Evidence map›Paper›PMID 33427691›Full record

ArticleJournal for immunotherapy of cancer2020

Obesity diminishes response to PD-1-based immunotherapies in renal cancer.

Shannon K Boi, Rachael M Orlandella, Justin Tyler Gibson, William James Turbitt, Gal Wald, Lewis Thomas, Claire Buchta Rosean, Katlyn E Norris, Megan Bing, Laura Bertrand and 20 more

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 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

30 authors at 4 institutions in 1 country.

Shannon K Boi *Graduate Biomedical Sciences, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Rachael M Orlandella *Graduate Biomedical Sciences, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Justin Tyler Gibson *Graduate Biomedical Sciences, The University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-2967-5338
William James TurbittDepartment of Nutrition Sciences, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Gal WaldDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Lewis ThomasDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Claire Buchta RoseanDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Katlyn E NorrisHonors Undergraduate Research Program, School of Health Professions, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Megan BingDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Laura BertrandDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Brett P GrossInterdisciplinary Program in Immunology, The University of Iowa, Iowa City, Iowa, USA.
Amani MakkoukInterdisciplinary Program in Immunology, The University of Iowa, Iowa City, Iowa, USA.
Dmytro StarenkiHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Kristine I FaragScience and Technology Honors Program, College of Arts and Sciences, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Robert E SorgeDepartment of Psychology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
James A BrownDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Jennifer GordetskyDepartments of Pathology and Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Hesham YasinUniversity of Iowa Holden Comprehensive Cancer Center, Iowa City, Iowa, USA.
Rohan GarjeUniversity of Iowa Holden Comprehensive Cancer Center, Iowa City, Iowa, USA.ORCID 0000-0002-7244-5602
Lakshminarayanan NandagopalDivision of Hematology and Oncology, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
George J WeinerUniversity of Iowa Holden Comprehensive Cancer Center, Iowa City, Iowa, USA.
David M LubaroffDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Rebecca C ArendThe University of Alabama at Birmingham O'Neal Comprehensive Cancer Center, Birmingham, Alabama, USA.
Peng LiDepartment of Biostatistics, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.
Yousef ZakhariaUniversity of Iowa Holden Comprehensive Cancer Center, Iowa City, Iowa, USA.
Eddy YangThe University of Alabama at Birmingham O'Neal Comprehensive Cancer Center, Birmingham, Alabama, USA.
Aliasger K SalemUniversity of Iowa Holden Comprehensive Cancer Center, Iowa City, Iowa, USA.
Kenneth NeppleDepartment of Urology, University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
Tatiana T Marquez-LagoDepartment of Genetics, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Lyse A NorianDepartment of Nutrition Sciences, The University of Alabama at Birmingham, Birmingham, Alabama, USA lnorian@uab.edu.ORCID 0000-0003-1016-313X
University of Iowa · USUniversity of Alabama at Birmingham · USHudsonAlpha Institute for Biotechnology · USVanderbilt University Medical Center · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Why is the prevalence of obesity so high in U.S. Southern States? Regional predictors of BMI and obesity treatment response.P30DK056336 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2000 to 2026
$31.9M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
IMMUNOLOGIC DISEASES AND BASIC IMMUNOLOGYT32AI007051 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Laurie Ellen Harrington · 1985 to 2026
$13.1M
Cancer Prevention & Control Training ProgramR25CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY, MENESES, KAREN M · 1988 to 2016
$11.2M
UAB Pre-Doctoral Training Program in Obesity-Related ResearchT32HL105349 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2010 to 2026
$5.7M
UAB Obesity Training ProgramT32DK062710 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI James O Hill, Brooks C Wingo · 2004 to 2026
$5.5M
Training Program in Cell, Molecular, and Developmental BiologyT32GM008111 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI YODER, BRADLEY K. · 1985 to 2022
$5.4M
UAB Cancer Prevention and Control Training Program (T32)T32CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ritu Aneja, Ellen Mary Lavoie Smith · 2018 to 2026
$3.2M
Obesity Affects Immunity to Kidney CancerR01CA181088 · NCI · UNIVERSITY OF IOWA · PI NORIAN, LYSE A · 2014 to 2018
$1.5M
Research Training Program in Basic and Translational OncologyT32CA183926 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, RAVI · 2014 to 2018
$1.0M
NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA181088NCI NIH HHS R25 CA047888NCI NIH HHS T32 CA047888NCI NIH HHS T32 CA183926NHLBI NIH HHS T32 HL105349NIAID NIH HHS T32 AI007051NIDDK NIH HHS P30 DK056336NIDDK NIH HHS P30 DK079626NIDDK NIH HHS T32 DK062710NIGMS NIH HHS T32 GM008111NIH HHS S10 OD021697
6 · The paper itself

Abstract

backgroundObesity is a major risk factor for renal cancer, yet our understanding of its effects on antitumor immunity and immunotherapy outcomes remains incomplete. Deciphering these associations is critical, given the growing clinical use of immune checkpoint inhibitors for metastatic disease and mounting evidence for an obesity paradox in the context of cancer immunotherapies, wherein obese patients with cancer have improved outcomes.

methodsWe investigated associations between host obesity and anti-programmed cell death (PD-1)-based outcomes in both renal cell carcinoma (RCC) subjects and orthotopic murine renal tumors. Overall survival (OS) and progression-free survival (PFS) were determined for advanced RCC subjects receiving standard of care anti-PD-1 who had ≥6 months of follow-up from treatment initiation (n=73). Renal tumor tissues were collected from treatment-naive subjects categorized as obese (body mass index, 'BMI' ≥30 kg/m

resultsWith obesity, RCC patients receiving anti-PD-1 administration exhibited shorter PFS (p=0.0448) and OS (p=0.0288). Treatment-naive renal cancer subjects had decreased frequencies of tumor-infiltrating PD-1

conclusionsWe find that obesity is associated with diminished efficacy of anti-PD-1-based therapies in renal cancer, due in part to increased inflammatory IL-1β levels, highlighting the need for continued study of this critical issue.

Indexed as

AnimalsFemaleHumansImmunotherapyKidney NeoplasmsMaleMiceObesityProspective StudiesRetrospective StudiesCD8-positive T-lymphocytesimmunotherapykidney neoplasmslymphocytesprogrammed cell death 1 receptortumor-infiltrating

Identifiers

PMID33427691
PMCPMC7757487
OpenAlexW3115193457

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.