Evidence map›Paper›PMID 32819975›Full record

ArticleJournal for immunotherapy of cancer2020

Combination of thermally ablative focused ultrasound with gemcitabine controls breast cancer via adaptive immunity.

Natasha D Sheybani, Alexandra R Witter, Eric A Thim, Hideo Yagita, Timothy N J Bullock, Richard J Price

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.4field-weighted citation impact, top 11% 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.

NCT03237572 phase1terminatednot on this map

Focused Ultrasound Therapy to Augment Antigen Presentation and Immune-Specificity of Checkpoint Inhibitor Therapy With Pembrolizumab in Metastatic Breast Cancer

TypeinterventionalSponsorPatrick Dillon, MDRan2017 to 2022Enrolled13ConditionsBreast CancerArmsPembrolizumab, High-intensity focused ultrasound (HIFU)
NCT04116320 phase1terminatednot on this map

Pilot Evaluation of Focused Ultrasound Ablation and Focused Ultrasound Ablation Plus PD-1 Antibody Blockade in Advanced Solid Tumors

TypeinterventionalSponsorCraig L Slingluff, JrRan2019 to 2023Enrolled5ConditionsMelanoma, Breast Cancer, Merkel Cell Carcinoma, Squamous Cell CancerArmsEchopulse, Poly ICLC, Standard of Care PD-1 Therapy
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 54 citations in OpenAlex.

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  8. Sex parity in stimulation of murine lymphocyte trafficking in response to fever-range systemic thermal therapy.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2025
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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

6 authors at 2 institutions in 2 countries.

Natasha D Sheybani *Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
Alexandra R Witter *Pathology, University of Virginia, Charlottesville, Virginia, USA.
Eric A ThimBiomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
Hideo YagitaDepartment of Immunology, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan.
Timothy N J BullockPathology, University of Virginia, Charlottesville, Virginia, USA rprice@virginia.edu tb5v@virginia.edu.ORCID 0000-0001-6141-3261
Richard J PriceBiomedical Engineering, University of Virginia, Charlottesville, Virginia, USA rprice@virginia.edu tb5v@virginia.edu.ORCID 0000-0002-0237-2102
University of Virginia · USJuntendo University · JP

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
Cancer Research Training Program: From Molecular Mechanisms to Therapeutic StrategiesT32CA009109 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Andrew Carl Dudley, Melanie R Rutkowski · 1985 to 2026
$13.9M
Immunotherapeutic Nanoparticle Delivery to Melanoma With MR-Guided Focused UltrasoundR01CA197111 · NCI · UNIVERSITY OF VIRGINIA · PI BULLOCK, TIMOTHY N, ENGELHARD, VICTOR H · 2015 to 2019
$2.6M
Ceramide Nanoliposomes in Combination with Focused Ultrasound for Treating Breast CancerR21CA230088 · NCI · UNIVERSITY OF VIRGINIA · PI KESTER, MARK, PRICE, RICHARD J. · 2018 to 2019
$355k
Focused Ultrasound and Multifunctional Nanoparticle Vaccines as Adjuvant Strategies for Cancer ImmunotherapyF99CA234954 · NCI · UNIVERSITY OF VIRGINIA · PI SHEYBANI, NATASHA DIBA · 2018 to 2019
$81k
NCI NIH HHS F99 CA234954NCI NIH HHS P30 CA044579NCI NIH HHS R01 CA197111NCI NIH HHS R21 CA230088NCI NIH HHS T32 CA009109
6 · The paper itself

Abstract

backgroundTriple-negative breast cancer (TNBC) remains recalcitrant to most targeted therapy approaches. However, recent clinical studies suggest that inducing tumor damage can render TNBC responsive to immunotherapy. We therefore tested a strategy for immune sensitization of murine TNBC (4T1 tumors) through combination of focused ultrasound (FUS) thermal ablation and a chemotherapy, gemcitabine (GEM), known to attenuate myeloid-derived suppressor cells (MDSCs).

methodsWe applied a sparse-scan thermally ablative FUS regimen at the tumor site in combination with systemically administered GEM. We used flow cytometry analysis to investigate the roles of monotherapy and combinatorial therapy in mediating local and systemic immunity. We also tested this combination in Rag1

resultsThe immune-modulatory effect of FUS monotherapy was insufficient to promote a robust T cell response against 4T1, consistent with the dominant MDSC-driven immunosuppression evident in this model. The combination of FUS+GEM significantly constrained primary TNBC tumor outgrowth and extended overall survival of mice. Tumor control correlated with increased circulating antigen-experienced T cells and was entirely dependent on T cell-mediated immunity. The ability of FUS+GEM to control primary tumor outgrowth was moderately enhanced by either neoadjuvant or adjuvant treatment with anti-PD-1.

conclusionThermally ablative FUS in combination with GEM restricts primary tumor outgrowth, improves survival and enhances immunogenicity in a murine metastatic TNBC model. This treatment strategy promises a novel option for potentiating the role of FUS in immunotherapy of metastatic TNBC and is worthy of future clinical evaluation. TRIAL REGISTRATION NUMBERS: NCT03237572 and NCT04116320.

Indexed as

Adaptive ImmunityDeoxycytidineFemaleGemcitabineHigh-Intensity Focused Ultrasound AblationHumansImmunosuppressive AgentsTriple Negative Breast NeoplasmsDeoxycytidineGemcitabineImmunosuppressive Agentsadaptive immunitybreast neoplasmscombined modality therapyimmunotherapy

Identifiers

PMID32819975
PMCPMC7443308
OpenAlexW3075253593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.