Evidence map›Paper›PMID 32358520›Full record

ArticleNature communications2020

Systemic short chain fatty acids limit antitumor effect of CTLA-4 blockade in hosts with cancer.

Clélia Coutzac, Jean-Mehdi Jouniaux, Angelo Paci, Julien Schmidt, Domenico Mallardo, Atmane Seck, Vahe Asvatourian, Lydie Cassard, Patrick Saulnier, Ludovic Lacroix and 15 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 333 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
333citing papers in PubMed, 4 pooled it
19.6field-weighted citation impact, top 1% 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

333 citing papers in PubMed, 4 syntheses or guidelines pooled it, 445 citations in OpenAlex.

  1. Pooled it
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  19. Gut microbiota modulation of systemic immunity and cancer immunotherapy: mechanisms, evidence, and therapeutic implications.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    Review
  20. Review

273 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 7 institutions in 2 countries.

Clélia CoutzacUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.ORCID http://orcid.org/0000-0002-8347-6957
Jean-Mehdi JouniauxUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.
Angelo PaciUniversité Paris-Saclay, Institut Gustave Roussy, CNRS, Vectorologie et thérapeutiques anticancéreuses, F-94805, Villejuif, France.ORCID http://orcid.org/0000-0002-4849-0825
Julien SchmidtUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.
Domenico MallardoUnit of Melanoma, Cancer Immunotherapy and Development Therapeutics, Instituto Nazionale Tumori- IRCCS -Fondazione G. Pascale, Napoli, Italia.ORCID http://orcid.org/0000-0002-1081-5313
Atmane SeckUniversité Paris-Saclay, Institut Gustave Roussy, CNRS, Vectorologie et thérapeutiques anticancéreuses, F-94805, Villejuif, France.
Vahe AsvatourianInstitut Gustave Roussy, Biostatistics and Epidemiology Unit, Villejuif, F-94805, France.
Lydie CassardUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.ORCID http://orcid.org/0000-0001-8373-041X
Patrick SaulnierUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Genomic platform Molecular Biopathology unit and Biological Resource Center, F-94805, Villejuif, France.
Ludovic LacroixUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Genomic platform Molecular Biopathology unit and Biological Resource Center, F-94805, Villejuif, France.
Paul-Louis WoertherInstitut Gustave Roussy, Department of Medical Biology and Pathology, Microbiology unit, Villejuif, F-94805, France.
Aurore VozyUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.
Marie NaigeonUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.
Laetitia Nebot-BralUniversité Paris-Saclay, Faculté de Médicine, Le Kremlin Bicêtre, F-94276, France.
Mélanie DesboisUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.ORCID http://orcid.org/0000-0001-5503-8821
Ester SimeoneUnit of Melanoma, Cancer Immunotherapy and Development Therapeutics, Instituto Nazionale Tumori- IRCCS -Fondazione G. Pascale, Napoli, Italia.
Christine MateusInstitut Gustave Roussy, Dermatology Unit, Department of Medicine, Villejuif, F-94805, France.
Lisa BoselliUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.
Jonathan GrivelUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.
Emilie SoularueUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France.
Patricia LepageUniversité Paris-Saclay, INRAE, AgroParisTech, Micalis Institute, 78350, Jouy-en-Josas, France.ORCID http://orcid.org/0000-0002-9501-6771
Franck CarbonnelUniversité Paris-Saclay, Faculté de Médicine, Le Kremlin Bicêtre, F-94276, France.
Paolo Antonio Ascierto *Unit of Melanoma, Cancer Immunotherapy and Development Therapeutics, Instituto Nazionale Tumori- IRCCS -Fondazione G. Pascale, Napoli, Italia.ORCID http://orcid.org/0000-0002-8322-475X
Caroline Robert *Université Paris-Saclay, Faculté de Médicine, Le Kremlin Bicêtre, F-94276, France.ORCID http://orcid.org/0000-0002-9493-0238
Nathalie ChaputUniversité Paris-Saclay, Institut Gustave Roussy, Inserm, CNRS, Analyse moléculaire, modélisation et imagerie de la maladie cancéreuse, Laboratoire d'Immunomonitoring en Oncologie, F-94805, Villejuif, France. nathalie.chaput@gustaveroussy.fr.ORCID http://orcid.org/0000-0003-3968-8669
Centre National de la Recherche Scientifique · FRIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITInstitut Gustave Roussy · FRUniversité Paris-Saclay · FRAgroParisTech · FRDélégation Paris 5 · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gut microbiota composition influences the clinical benefit of immune checkpoints in patients with advanced cancer but mechanisms underlying this relationship remain unclear. Molecular mechanism whereby gut microbiota influences immune responses is mainly assigned to gut microbial metabolites. Short-chain fatty acids (SCFA) are produced in large amounts in the colon through bacterial fermentation of dietary fiber. We evaluate in mice and in patients treated with anti-CTLA-4 blocking mAbs whether SCFA levels is related to clinical outcome. High blood butyrate and propionate levels are associated with resistance to CTLA-4 blockade and higher proportion of Treg cells. In mice, butyrate restrains anti-CTLA-4-induced up-regulation of CD80/CD86 on dendritic cells and ICOS on T cells, accumulation of tumor-specific T cells and memory T cells. In patients, high blood butyrate levels moderate ipilimumab-induced accumulation of memory and ICOS + CD4 + T cells and IL-2 impregnation. Altogether, these results suggest that SCFA limits anti-CTLA-4 activity.

Indexed as

AnimalsB7-1 AntigenB7-2 AntigenBiomarkers, TumorButyratesCTLA-4 AntigenDendritic CellsFatty Acids, VolatileGastrointestinal MicrobiomeHumansIpilimumabMiceMice, Inbred BALB CNeoplasmsPropionatesRNA, Ribosomal, 16SB7-1 AntigenB7-2 AntigenBiomarkers, TumorButyratesCTLA-4 AntigenFatty Acids, VolatileIpilimumabPropionatesRNA, Ribosomal, 16S

Identifiers

PMID32358520
PMCPMC7195489
OpenAlexW3022450273

What OpenQuestion holds

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LicenceCC BY
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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.