Evidence map›Paper›PMID 34291232›Full record

ArticleImmunotherapy advances2021

Type 2 immunity is maintained during cancer-associated adipose tissue wasting.

Patrick J Lenehan, Assunta Cirella, Amiko M Uchida, Stephanie J Crowley, Tatyana Sharova, Genevieve Boland, Michael Dougan, Stephanie K Dougan, Max Heckler

Abstract read
In one paragraph

Article in Immunotherapy advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Cytokines in cancer.Cancer cell · 2025
    Review
  3. PD-1 Blockade Induces Reactivation of Nonproductive T-Cell Responses Characterized by NF-κB Signaling in Patients with Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  4. Article
  5. Article
  6. cIAP1/2 Antagonism Induces Antigen-Specific T Cell-Dependent Immunity.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Article
  7. Blockade of innate inflammatory cytokines TNFImmunotherapy advances · 2023
    Article
  8. International journal of general medicine · 2023
    Article
  9. Editorial: Immunology of cachexia.Frontiers in immunology · 2023
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. 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

9 authors.

Patrick J LenehanDepartment of Cancer Immunology and Virology, Dana Farber Cancer Institute, Boston, MA, USA.ORCID https://orcid.org/0000-0002-1950-9179
Assunta CirellaDepartment of Cancer Immunology and Virology, Dana Farber Cancer Institute, Boston, MA, USA.
Amiko M UchidaDepartment of Cancer Immunology and Virology, Dana Farber Cancer Institute, Boston, MA, USA.
Stephanie J CrowleyDepartment of Cancer Immunology and Virology, Dana Farber Cancer Institute, Boston, MA, USA.
Tatyana SharovaDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Genevieve BolandDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Michael DouganDivision of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Stephanie K DouganDepartment of Cancer Immunology and Virology, Dana Farber Cancer Institute, Boston, MA, USA.
Max HecklerDepartment of Cancer Immunology and Virology, Dana Farber Cancer Institute, Boston, MA, USA.ORCID https://orcid.org/0000-0003-3213-5068

Funding

Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
RESEARCH TRAINING IN DIGESTIVE DISEASES AND NUTRITIONT32DK007191 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1986 to 2026
$14.6M
Systematic interrogation of the pancreatic cancer microenvironment in patient-derived specimensU01CA224146 · NCI · DANA-FARBER CANCER INST · PI HAHN, WILLIAM C. · 2017 to 2021
$3.0M
Cancer Immunology Training GrantT32CA207021 · NCI · DANA-FARBER CANCER INST · PI WUCHERPFENNIG, KAI W · 2016 to 2020
$2.4M
NCI NIH HHS T32 CA207021NCI NIH HHS U01 CA224146NIDDK NIH HHS T32 DK007191NIGMS NIH HHS T32 GM007753
6 · The paper itself

Abstract

objectivesCachexia is a systemic metabolic disorder characterized by loss of fat and muscle mass, which disproportionately impacts patients with gastrointestinal malignancies such as pancreatic cancer. While the immunologic shifts contributing to the development of other adipose tissue (AT) pathologies such as obesity have been well described, the immune microenvironment has not been studied in the context of cachexia.

methodsWe performed bulk RNA-sequencing, cytokine arrays, and flow cytometry to characterize the immune landscape of visceral AT (VAT) in the setting of pancreatic and colorectal cancers.

resultsThe cachexia inducing factor IL-6 is strongly elevated in the wasting VAT of cancer bearing mice, but the regulatory type 2 immune landscape which characterizes healthy VAT is maintained. Pathologic skewing toward Th1 and Th17 inflammation is absent. Similarly, the VAT of patients with colorectal cancer is characterized by a Th2 signature with abundant IL-33 and eotaxin-2, albeit also with high levels of IL-6.

conclusionsWasting AT during the development of cachexia may not undergo drastic changes in immune composition like those seen in obese AT. Our approach provides a framework for future immunologic analyses of cancer associated cachexia.

Indexed as

adipose tissuecachexiapancreatic cancer

Identifiers

PMID34291232
PMCPMC8286632

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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.