Evidence map›Paper›PMID 32178474›Full record

ArticleCancers2020

Pemetrexed Enhances Membrane PD-L1 Expression and Potentiates T Cell-Mediated Cytotoxicity by Anti-PD-L1 Antibody Therapy in Non-Small-Cell Lung Cancer.

Andrea Cavazzoni, Graziana Digiacomo, Roberta Alfieri, Silvia La Monica, Claudia Fumarola, Maricla Galetti, Mara Bonelli, Daniele Cretella, Valeria Barili, Alessandra Zecca and 5 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Andrea CavazzoniDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Graziana DigiacomoDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Roberta AlfieriDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Silvia La MonicaDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Claudia FumarolaDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Maricla GalettiItalian Workers' Compensation Authority (INAIL) Research Center, 43126 Parma, Italy.
Mara BonelliDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Daniele CretellaDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Valeria BariliDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Alessandra ZeccaDepartment of Infectious Diseases and Hepatology, University Hospital of Parma, 43126 Parma, Italy.
Elisa GiovannettiDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Center, 1081HV Amsterdam, The Netherlands.
Michelangelo FiorentinoDepartment of Experimental, Diagnostic and Specialty Medicine, University of Bologna, 40138 Bologna, Italy.
Marcello TiseoDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Pier Giorgio PetroniniDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Andrea ArdizzoniDepartment of Experimental, Diagnostic and Specialty Medicine, University of Bologna, 40138 Bologna, Italy.
University of Parma · ITUniversity of Bologna · ITFondazione Pisa · ITIstituto Nazionale per l'Assicurazione Contro gli Infortuni sul Lavoro · IT

Funding

Associazione Augusto per la Vita PI PG.P. n/aAssociazione Italiana per la Ricerca sul Cancro IG2016 ID19026 PI A.A.Associazione Marta Live ONLUS n/aAssociazione Noi per Loro ONLUS PI PG.P. n/a
6 · The paper itself

Abstract

Immunotherapy has significantly changed the treatment landscape for advanced non-small-cell lung cancer (NSCLC) with the introduction of drugs targeting programmed cell death protein-1 (PD-1) and programmed cell death ligand-1 (PD-L1). In particular, the addition of the anti-PD-1 antibody pembrolizumab to platinum-pemetrexed chemotherapy resulted in a significantly improved overall survival in patients with non-squamous NSCLC, regardless of PD-L1 expression. In this preclinical study, we investigated whether chemotherapy can modulate PD-L1 expression in non-squamous NSCLC cell lines, thus potentially affecting immunotherapy efficacy. Among different chemotherapeutic agents tested, only pemetrexed increased PD-L1 levels by activating both mTOR/P70S6K and STAT3 pathways. Moreover, it also induced the secretion of cytokines, such as IFN-γ and IL-2, by activated peripheral blood mononuclear cells PBMCs that further stimulated the expression of PD-L1 on tumor cells, as demonstrated in a co-culture system. The anti-PD-1/PD-L1 therapy enhanced T cell-mediated cytotoxicity of NSCLC cells treated with pemetrexed and expressing high levels of PD-L1 in comparison with untreated cells. These data may explain the positive results obtained with pemetrexed-based chemotherapy combined with pembrolizumab in PD-L1-negative NSCLC and can support pemetrexed as one of the preferable chemotherapy partners for immunochemotherapy combination regimens.

Indexed as

chemotherapyIFN-γNSCLCPD-L1pemetrexed

Identifiers

PMID32178474
PMCPMC7139811
OpenAlexW3011381420

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.