Evidence map›Paper›PMID 34072037›Full record

ReviewCancers2021

Mechanisms of Immune Escape and Resistance to Checkpoint Inhibitor Therapies in Mismatch Repair Deficient Metastatic Colorectal Cancers.

Vito Amodio, Gianluca Mauri, Nicole M Reilly, Andrea Sartore-Bianchi, Salvatore Siena, Alberto Bardelli, Giovanni Germano

Abstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
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.

  1. Trial
  2. Article
  3. Immune-microbiota crosstalk in colorectal cancer: mechanistic pathways, biomarkers, and translational therapeutics.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Advances in Colorectal Cancer Cell Biology and Clonal Evolution.International journal of molecular sciences · 2026
    Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. The role of CD8Heliyon · 2024
    Review
  19. Review
  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

7 authors.

Vito AmodioCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.ORCID 0000-0001-6915-4399
Gianluca MauriIFOM, The FIRC Institute of Molecular Oncology, 20139 Milan, MI, Italy.
Nicole M ReillyCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Andrea Sartore-BianchiNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, 20162 Milan, MI, Italy.ORCID 0000-0003-0780-0409
Salvatore SienaNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, 20162 Milan, MI, Italy.ORCID 0000-0002-2681-2846
Alberto BardelliCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.ORCID 0000-0003-1647-5070
Giovanni GermanoCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.ORCID 0000-0003-1688-8684

Funding

AIRC-CRUK-FC AECC Accelerator Award 22795AIRC MFAG 2019 Grant ID 24604AIRC under IG 2018 ID. 21923European Community's Horizon 2020 under grant agreement MoTriColor n. 635342-2FONDAZIONE AIRC under 5 per Mille 2018 - ID. 21091Ministero della Salute NET-2011-02352137
6 · The paper itself

Abstract

Immune checkpoint inhibitors (CPIs) represent an effective therapeutic strategy for several different types of solid tumors and are remarkably effective in mismatch repair deficient (MMRd) tumors, including colorectal cancer (CRC). The prevalent view is that the elevated and dynamic neoantigen burden associated with the mutator phenotype of MMRd fosters enhanced immune surveillance of these cancers. In addition, recent findings suggest that MMRd tumors have increased cytosolic DNA, which triggers the cGAS STING pathway, leading to interferon-mediated immune response. Unfortunately, approximately 30% of MMRd CRC exhibit primary resistance to CPIs, while a substantial fraction of tumors acquires resistance after an initial benefit. Profiling of clinical samples and preclinical studies suggests that alterations in the Wnt and the JAK-STAT signaling pathways are associated with refractoriness to CPIs. Intriguingly, mutations in the antigen presentation machinery, such as loss of MHC or Beta-2 microglobulin (B2M), are implicated in initial immune evasion but do not impair response to CPIs. In this review, we outline how understanding the mechanistic basis of immune evasion and CPI resistance in MMRd CRC provides the rationale for innovative strategies to increase the subset of patients benefiting from CPIs.

Indexed as

colorectal cancerimmune checkpoint inhibitorsimmune escapeimmune evasionimmune surveillancemicrosatellite instabilitymismatch repair deficiencyMSI

Identifiers

PMID34072037
PMCPMC8199207

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.