Evidence map›Paper›PMID 33023966›Full record

ArticleCancer immunology research2021

Fructose Promotes Cytoprotection in Melanoma Tumors and Resistance to Immunotherapy.

Lindsey M Kuehm, Niloufar Khojandi, Alexander Piening, Lauryn E Klevorn, Simone C Geraud, Nicole R McLaughlin, Kristine Griffett, Thomas P Burris, Kelly D Pyles, Afton M Nelson and 6 more

Open access · greenAbstract read
In one paragraph

Article in Cancer immunology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
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  10. Metabolic Atlas of Human Eyelid Infiltrative Basal Cell Carcinoma.Investigative ophthalmology & visual science · 2025
    Article
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  12. Article
  13. Article
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  19. Article
  20. HO-1 Limits the Efficacy of Vemurafenib/PLX4032 in BRAFAntioxidants (Basel, Switzerland) · 2022
    Article
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

16 authors at 3 institutions in 3 countries.

Lindsey M KuehmSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.
Niloufar KhojandiSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.
Alexander PieningSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.ORCID 0000-0002-9741-3797
Lauryn E KlevornSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.
Simone C GeraudSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.
Nicole R McLaughlinSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.ORCID 0000-0002-2197-6147
Kristine GriffettSaint Louis University School of Medicine, Pharmacological and Physiological Sciences, St. Louis, Missouri.ORCID 0000-0002-6747-2518
Thomas P BurrisSaint Louis University School of Medicine, Pharmacological and Physiological Sciences, St. Louis, Missouri.
Kelly D PylesSaint Louis University School of Medicine, Biochemistry and Molecular Biology, St. Louis, Missouri.ORCID 0000-0001-9478-3365
Afton M NelsonWebster University, Department of Biological Sciences, St. Louis, Missouri.ORCID 0000-0002-7453-2187
Mary L PreussWebster University, Department of Biological Sciences, St. Louis, Missouri.
Kevin A BockerstettSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.
Maureen J DonlinSaint Louis University School of Medicine, Biochemistry and Molecular Biology, St. Louis, Missouri.
Kyle S McCommisSaint Louis University School of Medicine, Biochemistry and Molecular Biology, St. Louis, Missouri.ORCID 0000-0003-2381-1589
Richard J DiPaoloSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri.
Ryan M TeagueSaint Louis University School of Medicine, Molecular Microbiology and Immunology, St. Louis, Missouri. ryan.teague@health.slu.edu.
Saint Louis University · ESDepartment of Physiological Sciences · RUUniversity of Missouri–St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Defining how obesity shapes immunity and the success of cancer immunotherapyR01CA238705 · NCI · SAINT LOUIS UNIVERSITY · PI TEAGUE, RYAN M · 2019 to 2023
$1.7M
The Role of Epstein-Barr Virus-Induced Gene 3 (EBI3) in Preventing Gastric Atrophy and MetaplasiaF30DK118873 · NIDDK · SAINT LOUIS UNIVERSITY · PI BOCKERSTETT, KEVIN A · 2018 to 2021
$157k
NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA238705NIDDK NIH HHS F30 DK118873
6 · The paper itself

Abstract

Checkpoint blockade immunotherapy relies on the empowerment of the immune system to fight cancer. Why some patients fail to achieve durable clinical responses is not well understood, but unique individual factors such as diet, obesity, and related metabolic syndrome could play a role. The link between obesity and patient outcomes remains controversial and has been mired by conflicting reports and limited mechanistic insight. We addressed this in a C57BL/6 mouse model of diet-induced obesity using a Western diet high in both fats and sugars. Obese mice bearing B16 melanoma or MC38 carcinoma tumors had impaired immune responses to immunotherapy and a reduced capacity to control tumor progression. Unexpectedly, these compromised therapeutic outcomes were independent of body mass and, instead, were directly attributed to dietary fructose. Melanoma tumors in mice on the high-fructose diet were resistant to immunotherapy and showed increased expression of the cytoprotective enzyme heme oxygenase-1 (HO-1). This increase in HO-1 protein was recapitulated in human A375 melanoma cells exposed to fructose in culture. Induced expression of HO-1 shielded tumor cells from immune-mediated killing and was critical for resistance to checkpoint blockade immunotherapy, which could be overcome

Indexed as

CytoprotectionDrug Resistance, NeoplasmTumor EscapeAnimalsAntineoplastic Agents, ImmunologicalCarcinomaCell Line, TumorFemaleFructoseHeme Oxygenase-1HumansMaleMiceMice, Inbred C57BLNeoplasmsAntineoplastic Agents, ImmunologicalFructoseHeme Oxygenase-1

Identifiers

PMID33023966
PMCPMC7864871
OpenAlexW3092019571

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.