Evidence map›Paper›PMID 33252831›Full record

ArticleMolecular oncology2021

Intratumoral immunosuppression profiles in 11q-deleted neuroblastomas provide new potential therapeutic targets.

Esther Coronado, Yania Yañez, Enrique Vidal, Luis Rubio, Francisco Vera-Sempere, Antonio José Cañada-Martínez, Joaquín Panadero, Adela Cañete, Ruth Ladenstein, Victoria Castel and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Molecular oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Reprogramming the neuroblastoma tumor immune microenvironment to enhance GPC2 CAR T cells.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Molecular Genetics in Neuroblastoma Prognosis.Children (Basel, Switzerland) · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Esther CoronadoLaboratory of Cellular and Molecular Biology, Health Research Institute Hospital La Fe, Valencia, Spain.
Yania YañezLaboratory of Cellular and Molecular Biology, Health Research Institute Hospital La Fe, Valencia, Spain.
Enrique VidalRoche Diagnostics Information Solutions, Basel, Switzerland.
Luis RubioDepartment of Pathology, La Fe University Hospital, Valencia, Spain.
Francisco Vera-SempereDepartment of Pathology, La Fe University Hospital, Valencia, Spain.
Antonio José Cañada-MartínezData Science Unit, Health Research Institute Hospital La Fe, Valencia, Spain.
Joaquín PanaderoGenomics Unit, Health Research Institute Hospital La Fe, Valencia, Spain.
Adela CañeteClinical and Translational Research in Cancer, Health Research Institute Hospital La Fe, Valencia, Spain.
Ruth LadensteinDepartment of Paediatrics, St. Anna Children's Hospital and Children's Cancer Research Institute (CCRI), Medical University, Vienna, Austria.
Victoria CastelSchool of Medicine, University of Valencia, Spain.
Jaime Font de MoraLaboratory of Cellular and Molecular Biology, Health Research Institute Hospital La Fe, Valencia, Spain.ORCID 0000-0002-6816-2095
Leitat Technological Center · ESUniversitat de València · ESHospital Universitari i Politècnic La Fe · ESRoche (Switzerland) · CHSt Anna Children's Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-risk neuroblastoma (NB) patients with 11q deletion frequently undergo late but consecutive relapse cycles with fatal outcome. To date, no actionable targets to improve current multimodal treatment have been identified. We analyzed immune microenvironment and genetic profiles of high-risk NB correlating with 11q immune status. We show in two independent cohorts that 11q-deleted NB exhibits various immune inhibitory mechanisms, including increased CD4+ resting T cells and M2 macrophages, higher expression of programmed death-ligand 1, interleukin-10, transforming growth factor-beta-1, and indoleamine 2,3-dioxygenase 1 (P < 0.05), and also higher chromosomal breakages (P ≤ 0.02) and hemizygosity of immunosuppressive miRNAs than MYCN-amplified and other 11q-nondeleted high-risk NB. We also analyzed benefits of maintenance treatment in 83 high-risk stage M NB patients focusing on 11q status, either with standard anti-GD2 immunotherapy (n = 50) or previous retinoic acid-based therapy alone (n = 33). Immunotherapy associated with higher EFS (50 vs. 30, P = 0.028) and OS (72 vs. 52, P = 0.047) at 3 years in the overall population. Despite benefits from standard anti-GD2 immunotherapy in high-risk NB patients, those with 11q deletion still face poor outcome. This NB subgroup displays intratumoral immune suppression profiles, revealing a potential therapeutic strategy with combination immunotherapy to circumvent this immune checkpoint blockade.

Indexed as

Chromosome DeletionChromosomes, Human, Pair 11Immune ToleranceImmunotherapyNeuroblastomaTumor MicroenvironmentDisease-Free SurvivalFemaleHumansMaleNeoplasm ProteinsRetrospective StudiesSurvival RateNeoplasm Proteins11q deletionanti-GD2 immunotherapycombination immunotherapyimmune cell infiltrationmiRNAsneuroblastoma

Identifiers

PMID33252831
PMCPMC7858123
OpenAlexW3109892208

What OpenQuestion holds

Textmetadata
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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.