Evidence map›Paper›PMID 34301812›Full record

ArticleJournal for immunotherapy of cancer2021

ATM/NEMO signaling modulates the expression of PD-L1 following docetaxel chemotherapy in prostate cancer.

Zongren Wang, Xueling Zhang, Wuguo Li, Qiao Su, Zhaoyang Huang, Xinyao Zhang, Haiqi Chen, Chengqiang Mo, Bin Huang, Wei Ou and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Elucidating DNA Damage-Dependent Immune System Activation.International journal of molecular sciences · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
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

14 authors at 1 institution in 1 country.

Zongren Wang *The Center for Translational Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Xueling Zhang *The Center for Translational Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Wuguo Li *Animal Experiment Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Qiao SuAnimal Experiment Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Zhaoyang HuangThe Center for Translational Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Xinyao ZhangThe Center for Translational Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Haiqi ChenThe Center for Translational Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Chengqiang MoDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Bin HuangDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Wei OuDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Junxing ChenDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Guangyin ZhaoAnimal Experiment Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Lingwu ChenDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China shaolan@mail.sysu.edu.cn chenlwu@mail.sysu.edu.cn.
Lan ShaoThe Center for Translational Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China shaolan@mail.sysu.edu.cn chenlwu@mail.sysu.edu.cn.ORCID 0000-0001-6725-4433
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of docetaxel-based chemotherapy is limited by the development of drug resistance. Recent studies demonstrated the efficacy of anti-programmed death-1 (PD-1)/programmed cell death ligand-1 (PD-L1) immunotherapies in metastatic prostate cancer. The ataxia telangiectasia mutation (ATM) protein plays a crucial role in maintaining genome stability and function of mitosis. Here, we aimed to determine whether PD-1/PD-L1 signaling contributes to the resistance to DTX and to elucidate the mechanism underlying DTX-induced PD-L1 expression.

methodsIn this retrospective study, PD-L1 expression was analyzed in 33 tumor tissue samples from prostate cancer patients. Prostate cell lines were used to perform functional assays and examine underlying mechanisms in vitro. A fully mouse prostate cancer model and a humanized chimeric mouse bearing human prostate tumors and peripheral blood mononuclear cells were used for in vivo assays.

resultsWe have shown that DTX, a chemotherapeutic drug which causing microtubule interference, could significantly induce the expression of PD-L1 in prostate cancer cells. This effect is blocked by the inhibition of ATM, suggesting that it plays an essential role in PD-L1 expression upregulated by DTX. Mechanistic studies have shown that ATM activity in cancer cells enhances the stability of the NF-κB essential modulator (NEMO), which leading to an increase in the NF-κB activity and PD-L1 expression. Using the mouse model, it was further demonstrated that a combination of ATM and NEMO inhibitors along with DTX augmented the antitumor efficacy of chemotherapy, which are comparable to that of PD-L1 antibody.

conclusionsOur findings have revealed that a previously unrecognized ATM-NEMO signaling which induced by DTX is capable of suppressing tumor immunity by activating the expression of PD-L1, suggesting that the ATM-NEMO-NF-κB axis can be exploited to restore the immune balance and overcome cancer resistance triggered by DTX.

Indexed as

AgedAged, 80 and overAnimalsAntineoplastic AgentsB7-H1 AntigenCell Line, TumorDocetaxelHumansImmunotherapyIntracellular Signaling Peptides and ProteinsMaleMiceMiddle AgedProstatic NeoplasmsRetrospective StudiesSignal TransductionAntineoplastic AgentsB7-H1 AntigenCD274 protein, humanDocetaxelIntracellular Signaling Peptides and ProteinsNEMO protein, mousecombinationdrug therapyimmune evationimmunotherapyprogrammed cell death 1 receptor

Identifiers

PMID34301812
PMCPMC8296819
OpenAlexW3186796533

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.