Evidence map›Paper›PMID 33154149›Full record

ArticleJournal for immunotherapy of cancer2020

Nicotinamide combined with gemcitabine is an immunomodulatory therapy that restrains pancreatic cancer in mice.

Benson Chellakkan Selvanesan, Kiran Meena, Amanda Beck, Lydie Meheus, Olaya Lara, Ilse Rooman, Claudia Gravekamp

Open 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. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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  14. Science translational medicine · 2022
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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

7 authors at 3 institutions in 2 countries.

Benson Chellakkan SelvanesanDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York, USA.ORCID 0000-0001-8013-1294
Kiran MeenaDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York, USA.
Amanda BeckMichael F. Price Center, Albert Einstein College of Medicine, Bronx, New York, USA.
Lydie MeheusAntiCancer Fund, Boechoutlaan, Strombeek-Bever, Belgium.
Olaya LaraLaboratory of Medical and Molecular Oncology, Vrije Universiteit Brussel, Laarbeeklaan, Brussels, Belgium.ORCID 0000-0002-7466-3072
Ilse RoomanAntiCancer Fund, Boechoutlaan, Strombeek-Bever, Belgium claudia.gravekamp@einsteinmed.org irooman@vub.be.
Claudia GravekampDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York, USA claudia.gravekamp@einsteinmed.org irooman@vub.be.ORCID 0000-0002-1713-3008
Albert Einstein College of Medicine · USVrije Universiteit Brussel · BEAnticancer Fund · BE

Funding

WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI THOMAS E ROHAN · 1985 to 2026
$111.2M
NCI NIH HHS P30 CA013330
6 · The paper itself

Abstract

backgroundTreatments for pancreatic ductal adenocarcinoma are poorly effective, at least partly due to the tumor's immune-suppressive stromal compartment. New evidence of positive effects on immune responses in the tumor microenvironment (TME), compelled us to test the combination of gemcitabine (GEM), a standard chemotherapeutic for pancreatic cancer, with nicotinamide (NAM), the amide form of niacin (vitamin B

methodsVarious mouse tumor models of pancreatic cancer, that is, orthotopic Panc-02 and KPC (Kras

resultsA significant reduction in tumor weight and number of metastases was found, as well as a significant improved survival of the NAM+GEM group compared with all control groups. IHC and flow cytometry showed a significant decrease in tumor-associated macrophages and myeloid-derived suppressor cells in the tumors of NAM+GEM-treated mice. This correlated with a significant increase in the number of CD4 and CD8 T cells of NAM+GEM-treated tumors, and CD4 and CD8 T cell responses to tumor-associated antigen survivin, most likely through epitope spreading. In vivo depletions of T cells demonstrated the involvement of CD4 T cells in the eradication of the tumor by NAM+GEM treatment. In addition, remodeling of the tumor stroma was observed with decreased collagen I and lower expression of hyaluronic acid binding protein, reorganization of the immune cells into lymph node like structures and CD31 positive vessels. Expression profiling for a panel of immuno-oncology genes revealed significant changes in genes involved in migration and activation of T cells, attraction of dendritic cells and epitope spreading.

conclusionThis study highlights the potential of NAM+GEM as immunotherapy for advanced pancreatic cancer.

Indexed as

AnimalsAntimetabolites, AntineoplasticCarcinoma, Pancreatic DuctalDeoxycytidineDisease Models, AnimalFemaleGemcitabineHumansImmunomodulationMiceNiacinamideVitamin B ComplexAntimetabolites, AntineoplasticDeoxycytidineGemcitabineNiacinamideVitamin B CompleximmunomodulationlymphocytesT-Lymphocytestumor-Infiltratingtumor microenvironment

Identifiers

PMID33154149
PMCPMC7646363
OpenAlexW3096664027

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.