Evidence map›Paper›PMID 33749663›Full record

ArticleJCI insight2021

Hedgehog-induced PD-L1 on tumor-associated macrophages is critical for suppression of tumor-infiltrating CD8+ T cell function.

Amy J Petty, Rui Dai, Rosa Lapalombella, Robert A Baiocchi, Don M Benson, Zihai Li, Xiaopei Huang, Yiping Yang

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
6.3field-weighted citation impact, top 2% 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

86 citing papers in PubMed, 96 citations in OpenAlex.

  1. Ad-SGE-DKK3 Gene Therapy Overcomes Resistance to Immune Checkpoint Blockade in Pleural Mesothelioma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Targeting Tumor-Associated Macrophages and Cancer-Associated Fibroblasts to Overcome Therapeutic Resistance in Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article

26 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

8 authors at 2 institutions in 1 country.

Amy J PettyDepartment of Medicine and.
Rui DaiDepartment of Medicine and.
Rosa LapalombellaDivision of Hematology.
Robert A BaiocchiDivision of Hematology.
Don M BensonDivision of Hematology.
Zihai LiDivision of Medical Oncology, and.
Xiaopei HuangDepartment of Medicine and.
Yiping YangDepartment of Medicine and.
Duke University · USThe Ohio State University · US

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Novel Strategies for Cancer Immunotherapy in Stem Cell TransplantR01CA136934 · NCI · OHIO STATE UNIVERSITY · PI YANG, YIPING · 2009 to 2018
$3.4M
Role of macrophage polarization in multi-organ fibrosis of chronic GVHDR01HL151195 · NHLBI · OHIO STATE UNIVERSITY · PI HUANG, XIAOPEI · 2020 to 2023
$2.2M
T Memory Stem Cells in CancerR01CA193167 · NCI · OHIO STATE UNIVERSITY · PI YANG, YIPING · 2016 to 2020
$2.2M
Regulation of tumor-infiltrating T cells by macrophagesR01CA260858 · NCI · OHIO STATE UNIVERSITY · PI HUANG, XIAOPEI · 2021 to 2025
$2.2M
Role of inflammation in cancer progressionR21CA186973 · NCI · DUKE UNIVERSITY · PI YANG, YIPING · 2014 to 2015
$378k
Role of hedgehog signaling in tumor-associated macrophage polarizationF30CA213799 · NCI · DUKE UNIVERSITY · PI PETTY, AMY JIAYUE · 2017 to 2020
$149k
NCI NIH HHS F30 CA213799NCI NIH HHS R01 CA136934NCI NIH HHS R01 CA193167NCI NIH HHS R01 CA260858NCI NIH HHS R21 CA186973NHLBI NIH HHS R01 HL151195NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

The programmed death-1 (PD-1) and the PD ligand 1 (PD-L1) interaction represents a key immune checkpoint within the tumor microenvironment (TME), and PD-1 blockade has led to exciting therapeutic advances in clinical oncology. Although IFN-γ-dependent PD-L1 induction on tumor cells was initially thought to mediate the suppression on effector cells, recent studies have shown that PD-L1 is also expressed at high level on tumor-associated macrophages (TAMs) in certain types of tumors. However, the precise role of PD-L1 expression on TAMs in suppressing antitumor immunity within the TME remains to be defined. Using a myeloid-specific Pdl1-knockout mouse model, here we showed definitive evidence that PD-L1 expression on TAMs is critical for suppression of intratumor CD8+ T cell function. We further demonstrated that tumor-derived Sonic hedgehog (Shh) drives PD-L1 expression in TAMs to suppress tumor-infiltrating CD8+ T cell function, leading to tumor progression. Mechanistically, Shh-dependent upregulation of PD-L1 in TAMs is mediated by signal transducer and activator of transcription 3, a cascade that has not been previously reported to our knowledge. Last, single-cell RNA sequencing analysis of human hepatocellular carcinoma revealed that PD-L1 is mainly expressed on M2 TAMs, supporting the clinical relevance of our findings. Collectively, our data revealed an essential role for Shh-dependent PD-L1 upregulation in TAMs in suppressing antitumor immunity within the TME, which could lead to the development of new immunotherapeutic strategies for treating cancer.

Indexed as

AnimalsB7-H1 AntigenCarcinoma, HepatocellularCD8-Positive T-LymphocytesHedgehog ProteinsLiver NeoplasmsMiceMice, Inbred C57BLSignal TransductionTumor-Associated MacrophagesTumor MicroenvironmentB7-H1 AntigenCD274 protein, humanHedgehog ProteinsCancerImmunologyT cells

Identifiers

PMID33749663
PMCPMC8026184
OpenAlexW3136393438

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.