Evidence map›Paper›PMID 34103524›Full record

ArticleNature communications2021

Synergistic immunotherapy of glioblastoma by dual targeting of IL-6 and CD40.

Fan Yang, Zhenqiang He, Hao Duan, Duo Zhang, Juehui Li, Huijuan Yang, Jay F Dorsey, Wei Zou, S Ali Nabavizadeh, Stephen J Bagley and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 2 pooled it
10.7field-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

102 citing papers in PubMed, 2 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Oncoimmunology · 2026
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42 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

18 authors at 3 institutions in 2 countries.

Fan Yang *Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-3106-7593
Zhenqiang He *Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
Hao Duan *Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
Duo ZhangDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-3215-2466
Juehui LiDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
Huijuan YangDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
Jay F DorseyDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
Wei ZouDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
S Ali NabavizadehDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Stephen J BagleyAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Kalil AbdullahDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
Steven BremAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Lin ZhangDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-1998-0611
Xiaowei XuDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Katelyn T ByrneAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Robert H VonderheideAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA. rhv@upenn.edu.
Yanqing GongDivision of Human Genetics and Translational Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA. gongy@pennmedicine.upenn.edu.
Yi FanDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA. yi.fan@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-6290-0595
University of Pennsylvania · USSun Yat-sen University · CNPenn Center for AIDS Research · US

Funding

Endothelial plasticity in glioma vascularization and therapy resistanceR01NS094533 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Yi Fan · 2015 to 2026
$4.3M
Molecular Determinants and Therapeutic Consequences of Immune Heterogeneity in CancerR01CA229803 · NCI · UNIVERSITY OF PENNSYLVANIA · PI STANGER, BEN Z, VONDERHEIDE, ROBERT H · 2018 to 2022
$3.7M
Dissecting the biology and consequence of circulating glioma cellsR01CA241501 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DORSEY, JAY FITZGERALD, FAN, YI · 2020 to 2024
$2.3M
Macrophage polarization in glioma microenvironmentR01NS106108 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI FAN, YI · 2018 to 2022
$2.0M
NCI NIH HHS R01 CA229803NCI NIH HHS R01 CA241501NINDS NIH HHS R01 NS094533NINDS NIH HHS R01 NS106108
6 · The paper itself

Abstract

Immunologically-cold tumors including glioblastoma (GBM) are refractory to checkpoint blockade therapy, largely due to extensive infiltration of immunosuppressive macrophages (Mϕs). Consistent with a pro-tumor role of IL-6 in alternative Mϕs polarization, we here show that targeting IL-6 by genetic ablation or pharmacological inhibition moderately improves T-cell infiltration into GBM and enhances mouse survival; however, IL-6 inhibition does not synergize PD-1 and CTLA-4 checkpoint blockade. Interestingly, anti-IL-6 therapy reduces CD40 expression in GBM-associated Mϕs. We identify a Stat3/HIF-1α-mediated axis, through which IL-6 executes an anti-tumor role to induce CD40 expression in Mϕs. Combination of IL-6 inhibition with CD40 stimulation reverses Mϕ-mediated tumor immunosuppression, sensitizes tumors to checkpoint blockade, and extends animal survival in two syngeneic GBM models, particularly inducing complete regression of GL261 tumors after checkpoint blockade. Thus, antibody cocktail-based immunotherapy that combines checkpoint blockade with dual-targeting of IL-6 and CD40 may offer exciting opportunities for GBM and other solid tumors.

Indexed as

ImmunotherapyAnimalsBrain NeoplasmsCD40 AntigensGene DeletionGlioblastomaHumansHypoxia-Inducible Factor 1, alpha SubunitImmune Checkpoint InhibitorsImmunosuppression TherapyInterleukin-6Lymphocyte ActivationLymphocytes, Tumor-InfiltratingMacrophagesMiceMice, Inbred C57BLCD40 AntigensHypoxia-Inducible Factor 1, alpha SubunitImmune Checkpoint InhibitorsInterleukin-6STAT3 Transcription Factor

Identifiers

PMID34103524
PMCPMC8187342
OpenAlexW3171365255

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.