Evidence map›Paper›PMID 34321321›Full record

ArticleScience translational medicine2021

Blockade of the CD93 pathway normalizes tumor vasculature to facilitate drug delivery and immunotherapy.

Yi Sun, Wei Chen, Robert J Torphy, Sheng Yao, Gefeng Zhu, Ronggui Lin, Roberta Lugano, Emily N Miller, Yuki Fujiwara, Li Bian and 13 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07035249 (A Prospective, Single-Arm Clinical Trial Evaluating DCSZ11 Combined With Standard-of-Care Therapy in Patients With Advanced or Metastatic Solid Tumors), which is not on this map. Cited by 91 papers.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed
9.9field-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.

NCT07035249 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Single-Arm Clinical Trial Evaluating DCSZ11 Combined With Standard-of-Care Therapy in Patients With Advanced or Metastatic Solid Tumors

TypeinterventionalSponsorWest China HospitalRan2025 to 2027Enrolled9ConditionsDCSZ11, Solid Tumors, HNSCCArmsLow Dose DCSZ11, Medium Dose DCSZ11, High Dose DCSZ11, Standard Treatment
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 145 citations in OpenAlex.

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31 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

23 authors at 6 institutions in 3 countries.

Yi SunDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-0194-2476
Wei ChenDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Robert J TorphyDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0003-3941-0886
Sheng YaoDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA.ORCID 0000-0003-0988-9937
Gefeng ZhuDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA.
Ronggui LinDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Roberta LuganoDepartment of Immunology, Genetics and Pathology, Science for Life Laboratory, Rudbeck Laboratory, Uppsala University, 75185 Uppsala, Sweden.
Emily N MillerDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-2939-407X
Yuki FujiwaraDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-8801-4284
Li BianDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Linghua ZhengDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA.ORCID 0000-0001-7770-4098
Sudarshan AnandDepartment of Cell, Development and Cancer Biology, Oregon Health and Science University, Portland, OR 97239, USA.ORCID 0000-0002-4969-6884
Fan GaoCaltech Bioinformatics Resource Center at Beckman Institute, California Institute of Technology, Pasadena, CA 91125, USA.ORCID 0000-0001-6832-3402
Weizhou ZhangDepartment of Pathology, University of Florida, Gainesville, FL 32610, USA.ORCID 0000-0002-8236-0346
Sarah E FerraraUniversity of Colorado Comprehensive Cancer Center, Aurora, CO 80045, USA.
Andrew E GoodspeedUniversity of Colorado Comprehensive Cancer Center, Aurora, CO 80045, USA.ORCID 0000-0001-7055-7128
Anna DimbergDepartment of Immunology, Genetics and Pathology, Science for Life Laboratory, Rudbeck Laboratory, Uppsala University, 75185 Uppsala, Sweden.ORCID 0000-0003-4422-9125
Xiao-Jing WangDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0001-8695-7361
Barish H EdilDepartment of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.ORCID 0000-0003-1467-9723
Carlton C BarnettDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-5686-8357
Richard D SchulickDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0001-7360-7338
Lieping ChenDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. yuwen.zhu@cuanschutz.edu lieping.chen@yale.edu.ORCID 0000-0002-6825-3069
Yuwen ZhuDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. yuwen.zhu@cuanschutz.edu lieping.chen@yale.edu.ORCID 0000-0003-1434-6590
Oregon Health & Science University · USUniversity of Oklahoma Health Sciences Center · USYale University · USUppsala University · SECalifornia Institute of Technology · USUniversity of Florida · 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 SPORE in Lung Cancer (YSILC): The Biology and Personalized Treatment of Lung CancerP50CA196530 · NCI · YALE UNIVERSITY · PI Kurt A Schalper · 2015 to 2026
$31.1M
Mechanisms of Dual Inhibition of TGFbeta/PD-L1 in HNSCCR01DE028420 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI WANG, JING HONG, WANG, XIAO-JING · 2019 to 2023
$2.7M
Proteolysis-targeting chimera against BCL-XL inhibits breast cancer metastasisR01CA260239 · NCI · UNIVERSITY OF FLORIDA · PI ZHANG, WEIZHOU · 2021 to 2025
$2.5M
Obesity, inflammation and breast cancerR01CA200673 · NCI · UNIVERSITY OF IOWA · PI ZHANG, WEIZHOU · 2016 to 2020
$1.7M
CD177 suppresses breast-cancer development by inhibiting beta-cateninR01CA203834 · NCI · UNIVERSITY OF IOWA · PI ZHANG, WEIZHOU · 2016 to 2020
$1.7M
A microRNA-target Network in Endothelial DNA Damage and AngiogenesisR01HL137779 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ANAND, SUDARSHAN · 2018 to 2021
$1.5M
MicroRNA regulation of endothelial DNA repair to enhance anti-tumor immunityR01HL143803 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ANAND, SUDARSHAN · 2018 to 2021
$1.5M
Mechanisms of Breaking Indolence in Squamous Cell CarcinomaI01BX003232 · VA · VA NORTHERN CALIFORNIA HEALTH CARE SYS · PI WANG, XIAO-JING · 2017 to 2025
–
American Heart Association-American Stroke Association 17IRG33400218BLRD VA I01 BX003232NCI NIH HHS P30 CA046934NCI NIH HHS P50 CA196530NCI NIH HHS R01 CA200673NCI NIH HHS R01 CA203834NCI NIH HHS R01 CA260239NHLBI NIH HHS R01 HL137779NHLBI NIH HHS R01 HL143803NIDCR NIH HHS R01 DE028420
6 · The paper itself

Abstract

The immature and dysfunctional vascular network within solid tumors poses a substantial obstacle to immunotherapy because it creates a hypoxic tumor microenvironment that actively limits immune cell infiltration. The molecular basis underpinning this vascular dysfunction is not fully understood. Using genome-scale receptor array technology, we showed here that insulin-like growth factor binding protein 7 (IGFBP7) interacts with its receptor CD93, and we subsequently demonstrated that this interaction contributes to abnormal tumor vasculature. Both CD93 and IGFBP7 were up-regulated in tumor-associated endothelial cells. IGFBP7 interacted with CD93 via a domain different from multimerin-2, the known ligand for CD93. In two mouse tumor models, blockade of the CD93/IGFBP7 interaction by monoclonal antibodies promoted vascular maturation to reduce leakage, leading to reduced tumor hypoxia and increased tumor perfusion. CD93 blockade in mice increased drug delivery, resulting in an improved antitumor response to gemcitabine or fluorouracil. Blockade of the CD93 pathway triggered a substantial increase in intratumoral effector T cells, thereby sensitizing mouse tumors to immune checkpoint therapy. Last, analysis of samples from patients with cancer under anti-programmed death 1/programmed death-ligand 1 treatment revealed that overexpression of the IGFBP7/CD93 pathway was associated with poor response to therapy. Thus, our study identified a molecular interaction involved in tumor vascular dysfunction and revealed an approach to promote a favorable tumor microenvironment for therapeutic intervention.

Indexed as

NeoplasmsPharmaceutical PreparationsAnimalsEndothelial CellsHumansImmunotherapyMiceTumor MicroenvironmentPharmaceutical Preparations

Identifiers

PMID34321321
PMCPMC8749958
OpenAlexW3184342887

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Registered trials

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.