Evidence map›Paper›PMID 33389015›Full record

ArticleCancer immunology, immunotherapy : CII2021

Discovery of acquired molecular signature on immune checkpoint inhibitors in paired tumor tissues.

Shin Hye Yoo, Jihui Yun, Bhumsuk Keam, Seung-Pyo Hong, Chan-Young Ock, Jaemoon Koh, Sehui Kim, Yoon Kyung Jeon, Kyeong Cheon Jung, Miso Kim and 4 more

Open access · greenAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Novel Therapeutics for Hepatocellular Carcinoma.Clinics in liver disease · 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

14 authors at 3 institutions in 2 countries.

Shin Hye Yoo *Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea.
Jihui Yun *Genomic Medicine Institute, Medical Research Center, Seoul National University, Seoul, Korea.
Bhumsuk KeamDepartment of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea. bhumsuk@snu.ac.kr.ORCID http://orcid.org/0000-0001-8196-4247
Seung-Pyo HongGenomic Medicine Institute, Medical Research Center, Seoul National University, Seoul, Korea.
Chan-Young OckDepartment of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea.
Jaemoon KohDepartment of Pathology, Seoul National University Hospital, Seoul, Korea.
Sehui KimDepartment of Pathology, Seoul National University Hospital, Seoul, Korea.
Yoon Kyung JeonDepartment of Pathology, Seoul National University Hospital, Seoul, Korea.
Kyeong Cheon JungDepartment of Pathology, Seoul National University Hospital, Seoul, Korea.
Miso KimDepartment of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea.
Tae Min KimDepartment of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea.
Dong-Wan KimDepartment of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea.
Jong-Il KimGenomic Medicine Institute, Medical Research Center, Seoul National University, Seoul, Korea.
Dae Seog HeoDepartment of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744, Republic of Korea.
Seoul National University Hospital · KRSeoul National University · KRCancer Research Institute · US

Funding

Korea Health Industry Development Institute HI17C2085Seoul National University Hospital Research Fund 03-2015-0380
6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitor (ICI) has an emerging role in several types of cancer. However, the mechanisms of acquired resistance (AR) to ICI have not been elucidated yet. To identify these mechanisms, we analyzed the pre- and post-ICI paired tumor samples in patients with AR.

methodsSix patients with renal cell carcinoma, urothelial cell carcinoma, or head and neck cancer, who showed an initial response to ICI followed by progression and had available paired tissue samples, were retrospectively analyzed. Whole exome sequencing, RNA sequencing, and multiplex immunohistochemistry were performed on pre-treatment and resistant tumor samples.

resultsThe median time to AR was 370 days (range, 210 to 739). Increased expression of alternative immune checkpoints including TIM3, LAG3, and PD-1 as well as increased CD8

conclusionsOur study findings suggest that the observed increase in immunosuppressive markers after ICI might contribute to AR. Moreover, APOBEC-mediated PIK3CA mutagenesis might be an AR mechanism. To validate these mechanisms of AR, further studies with enough sample size are required.

Indexed as

Biomarkers, TumorCarcinoma, Renal CellDrug Resistance, NeoplasmExome SequencingFollow-Up StudiesHead and Neck NeoplasmsHumansImmune Checkpoint InhibitorsKidney NeoplasmsMalePrognosisRetrospective StudiesRNA-SeqUrologic NeoplasmsBiomarkers, TumorImmune Checkpoint InhibitorsImmunotherapyProgrammed cell death 1 receptorTumor escapeTumor microenvironment

Identifiers

PMID33389015
PMCPMC10991621
OpenAlexW3119531337

What OpenQuestion holds

Textmetadata
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.