Evidence map›Paper›PMID 33712445›Full record

ArticleJournal for immunotherapy of cancer2021

Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy.

Pascale Hubert, Patrick Roncarati, Stephanie Demoulin, Charlotte Pilard, Marie Ancion, Celia Reynders, Thomas Lerho, Diane Bruyere, Alizee Lebeau, Coraline Radermecker and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 1 pooled it
16.9field-weighted citation impact, top 1% 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

125 citing papers in PubMed, 1 synthesis or guideline pooled it, 161 citations in OpenAlex.

  1. Pooled it
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  6. Revealing the Biological Effect of theJournal of the American Chemical Society · 2026
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  11. Programmed cell death in lung cancer: mechanisms, immune responses, and therapeutics.Apoptosis : an international journal on programmed cell death · 2026
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65 more citing papers are in PubMed but not listed here.

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 1 institution in 1 country.

Pascale HubertLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Patrick RoncaratiLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Stephanie DemoulinLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Charlotte PilardLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Marie AncionLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Celia ReyndersLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Thomas LerhoLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Diane BruyereLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Alizee LebeauLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Coraline RadermeckerLaboratory of Immunophysiology, GIGA-I3, University of Liege, Liege, Belgium.
Margot MeunierLaboratory of Immunophysiology, GIGA-I3, University of Liege, Liege, Belgium.
Marie-Julie NokinMetastasis Research Laboratory, GIGA-Cancer, University of Liege, Liege, Belgium.
Elodie HendrickLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Olivier PeulenMetastasis Research Laboratory, GIGA-Cancer, University of Liege, Liege, Belgium.
Philippe DelvenneLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium.
Michael HerfsLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, Belgium M.Herfs@uliege.be.ORCID 0000-0002-4382-8997
University of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-mobility group box 1 (HMGB1) is a multifunctional redox-sensitive protein involved in various intracellular (eg, chromatin remodeling, transcription, autophagy) and extracellular (inflammation, autoimmunity) processes. Regarding its role in cancer development/progression, paradoxical results exist in the literature and it is still unclear whether HMGB1 mainly acts as an oncogene or a tumor suppressor.

methodsHMGB1 expression was first assessed in tissue specimens (n=359) of invasive breast, lung and cervical cancer and the two distinct staining patterns detected (nuclear vs cytoplasmic) were correlated to the secretion profile of malignant cells, patient outcomes and the presence of infiltrating immune cells within tumor microenvironment. Using several orthotopic, syngeneic mouse models of basal-like breast (4T1, 67NR and EpRas) or non-small cell lung (TC-1) cancer, the efficacy of several HMGB1 inhibitors alone and in combination with immune checkpoint blockade antibodies (anti-PD-1/PD-L1) was then investigated. Isolated from retrieved tumors, 14 immune cell (sub)populations as well as the activation status of antigen-presenting cells were extensively analyzed in each condition. Finally, the redox state of HMGB1 in tumor-extruded fluids and the influence of different forms (oxidized, reduced or disulfide) on both dendritic cell (DC) and plasmacytoid DC (pDC) activation were determined.

resultsAssociated with an unfavorable prognosis in human patients, we clearly demonstrated that targeting extracellular HMGB1 elicits a profound remodeling of tumor immune microenvironment for efficient cancer therapy. Indeed, without affecting the global number of (CD45

conclusionCollectively, we present evidence that extracellular HMGB1 blockade may complement first-generation cancer immunotherapies by remobilizing antitumor immune response.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCarcinoma, Non-Small-Cell LungGlycyrrhizic AcidHMGB1 ProteinImmune Checkpoint InhibitorsLung NeoplasmsPeptide FragmentsS100 ProteinsTumor MicroenvironmentUterine Cervical NeoplasmsAdaptive ImmunityAnimalsCell Line, TumorFemaleHumansglutamyl-leucyl-lysyl-valyl-leucyl-methionyl-glutamyl-lysyl-glutamyl-leucineGlycyrrhizic AcidHMGB1 ProteinHMGB1 protein, humanHMGB1 protein, mouseImmune Checkpoint InhibitorsPeptide FragmentsS100 Proteinsbreast neoplasmstranslational medical researchtumor microenvironment

Identifiers

PMID33712445
PMCPMC7959241
OpenAlexW3134797324

What OpenQuestion holds

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Registered trials

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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.