Evidence map›Paper›PMID 33914067›Full record

ArticleNeuro-oncology2021

Targeting the CSF1/CSF1R axis is a potential treatment strategy for malignant meningiomas.

Jacky Yeung, Vesal Yaghoobi, Danielle Miyagishima, Matthew D Vesely, Tianxiang Zhang, Ti Badri, Ala Nassar, Xue Han, Miguel F Sanmamed, Mark Youngblood and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
12.8field-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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Cancer stem cells in meningiomas: novel insights and therapeutic implications.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. The Molecular and Immunological Landscape of Meningiomas.International journal of molecular sciences · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 3 countries.

Jacky YeungDepartment of Neurological Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-7336-5738
Vesal YaghoobiDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA.
Danielle MiyagishimaDepartment of Neurological Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Matthew D VeselyDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.
Tianxiang ZhangDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Ti BadriDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Ala NassarDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Xue HanDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Miguel F SanmamedDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Mark YoungbloodDepartment of Neurosurgery, Northwestern University School of Medicine, Chicago, Illinois, USA.
Matthieu PeyreNeurosurgery Department, AP-HP Pitié-Salpêtrière University Hospital, Paris, France.
Michel KalamaridesNeurosurgery Department, AP-HP Pitié-Salpêtrière University Hospital, Paris, France.
David L RimmDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA.
Murat GunelDepartment of Neurological Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Lieping ChenDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Yale University · USSorbonne Université · FRNorthwestern University · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA046934
6 · The paper itself

Abstract

backgroundMalignant meningiomas are fatal and lack effective therapy. As M2 macrophages are the most prevalent immune cell type in human meningiomas, we hypothesized that normalizing this immunosuppressive population would be an effective treatment strategy.

methodsWe used CIBERSORTx to examine the proportions of 22 immune subsets in human meningiomas. We targeted the colony-stimulating factor 1 (CSF1) or CSF1 receptor (CSF1R) axis, an important regulator of macrophage phenotype, using monoclonal antibodies (mAbs) in a novel immunocompetent murine model (MGS1) for malignant meningioma. RNA sequencing (RNA-seq) was performed to identify changes in gene expression in the tumor microenvironment (TME). Mass cytometry was used to delineate changes in immune subsets after treatment. We measured patients' plasma CSF1 levels using ELISA and CSF1R expression using multiplex quantitative immunofluorescence in a human meningioma tissue microarray.

resultsHuman meningiomas are heavily enriched for immunosuppressive myeloid cells. MGS1 recapitulates the TME of human meningiomas, including an abundance of myeloid cells, a paucity of infiltrating T cells, and low programmed death ligand 1 (PD-L1) expression. Treatment of murine meningiomas with anti-CSF1/CSF1R, but not programmed cell death receptor 1 (PD-1), mAbs abrogate tumor growth. RNA-seq and mass cytometry analyses reveal a myeloid cell reprogramming with limited effect on T cells in the TME. CSF1 plasma levels are significantly elevated in human patients, and CSF1R is highly expressed on CD163+ macrophages within the human TME.

conclusionOur findings suggest that anti-CSF1/CSF1R antibody treatment may be an effective normalization cancer immunotherapy for malignant meningiomas.

Indexed as

Macrophage Colony-Stimulating FactorMeningeal NeoplasmsMeningiomaReceptors, Granulocyte-Macrophage Colony-Stimulating FactorAnimalsHumansMacrophagesMiceReceptor, Macrophage Colony-Stimulating FactorTumor MicroenvironmentCSF1 protein, humanCSF1R protein, humanMacrophage Colony-Stimulating FactorReceptor, Macrophage Colony-Stimulating FactorReceptors, Granulocyte-Macrophage Colony-Stimulating Factorimmunotherapymacrophagemeningiomastumor immunology

Identifiers

PMID33914067
PMCPMC8563319
OpenAlexW3158130976

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.