Evidence map›Paper›PMID 34479957›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Tumor Cell IDO Enhances Immune Suppression and Decreases Survival Independent of Tryptophan Metabolism in Glioblastoma.

Lijie Zhai, April Bell, Erik Ladomersky, Kristen L Lauing, Lakshmi Bollu, Brenda Nguyen, Matthew Genet, Miri Kim, Peiwen Chen, Xinlei Mi and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed
5.1field-weighted citation impact, top 3% 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

93 citing papers in PubMed, 108 citations in OpenAlex.

  1. Article
  2. Article
  3. Systemic and local dysregulation of the complement system in glioma: a comprehensive systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Phase I Evaluation of Patients with Newly Diagnosed Glioblastoma Treated with Radiation, Nivolumab, and IDO1 Enzyme Inhibitor BMS-986205.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  5. Mechanisms, Microenvironments, and Models: Understanding Therapeutic Resistance in Glioblastoma.International journal of radiation oncology, biology, physics · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
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  12. Article
  13. Complement system in cancer: friend or foe of immunotherapy.Journal for immunotherapy of cancer · 2026
    Review
  14. Review
  15. Article
  16. Article
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  18. Article
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  20. Review

33 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

22 authors at 7 institutions in 3 countries.

Lijie ZhaiDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-4480-7514
April BellDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0001-6268-0126
Erik LadomerskyDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-2587-3276
Kristen L LauingDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Lakshmi BolluDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Brenda NguyenDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Matthew GenetDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Miri KimDepartment of Neurological Surgery, Loyola University Medical Center, Loyola University Chicago, Maywood, Illinois.ORCID 0000-0002-5227-9803
Peiwen ChenDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Xinlei MiDepartment of Preventive Medicine at Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Jennifer D WuDepartment of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Matthew J SchipmaDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Brian WrayDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
John GriffithsDivision of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.
Richard D UnwinDivision of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-7955-9111
Simon J ClarkUniversity Eye Clinic, Institute for Ophthalmic Research, Eberhard Karls University of Tübingen, Tübingen, Baden-Württemberg, Germany.ORCID 0000-0001-8394-8355
Rajesh AcharyaUniversity of Pittsburgh Hillman Cancer Center, Pittsburgh, Pennsylvania.
Riyue BaoUniversity of Pittsburgh Hillman Cancer Center, Pittsburgh, Pennsylvania.
Craig HorbinskiDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Rimas V LukasThe Ken and Ruth Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Gary E SchiltzDepartment of Chemistry, Weinberg College of Arts and Sciences, Northwestern University, Evanston, Illinois.ORCID 0000-0003-4180-5051
Derek A WainwrightDepartment of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Derekwainwright@northwestern.edu.ORCID 0000-0001-7232-4264
Northwestern University · USLoyola University Medical Center · USManchester Academic Health Science Centre · GBSTZ eyetrial · DEUniversity of Manchester · GBUniversity of Pittsburgh · USUPMC Hillman Cancer Center · US

Funding

STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Amy Beth Heimberger · 2018 to 2026
$21.4M
CARCINOGENESIS TRAINING PROGRAMT32CA009560 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Kathleen Janee Green · 1986 to 2026
$8.4M
IDO1 and Immunotolerance in GlioblastomaR01NS097851 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCHILTZ, GARY E, WAINWRIGHT, DEREK ALAN · 2016 to 2025
$4.6M
Development of Novel MNK Inhibitors for Treating GlioblastomaR01NS113425 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PLATANIAS, LEONIDAS C., SCHILTZ, GARY E · 2019 to 2023
$2.5M
NKG2D superagonist co-stimulation to enhance adaptive immunotherapy of cancerR01CA208246 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WU, JENNIFER D · 2016 to 2020
$1.8M
Tissue Factor as a Key Determinant of IDH1 Mutant versus IDH1 Wild-type Glioma Thrombosis and MalignancyR01NS102669 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HORBINSKI, CRAIG MICHAEL · 2017 to 2021
$1.7M
The interaction of IDO and Tregs Leads to Immunosuppression in GliomaR00NS082381 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WAINWRIGHT, DEREK ALAN · 2014 to 2016
$735k
Aging, immunosenescence and glioblastomaK02AG068617 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WAINWRIGHT, DEREK ALAN · 2020 to 2024
$688k
The interaction of IDO and Tregs Leads to Immunosuppression in GliomaK99NS082381 · NINDS · UNIVERSITY OF CHICAGO · PI WAINWRIGHT, DEREK ALAN · 2013 to 2014
$173k
The role of IDO and Th17 in an experimental mouse model of gliomaF32NS073366 · NINDS · UNIVERSITY OF CHICAGO · PI WAINWRIGHT, DEREK ALAN · 2011 to 2012
$86k
NCI NIH HHS P50 CA221747NCI NIH HHS R01 CA208246NCI NIH HHS T32 CA009560NIA NIH HHS K02 AG068617NINDS NIH HHS F32 NS073366NINDS NIH HHS K99 NS082381NINDS NIH HHS R00 NS082381NINDS NIH HHS R01 NS097851NINDS NIH HHS R01 NS102669NINDS NIH HHS R01 NS113425
6 · The paper itself

Abstract

purposeGlioblastoma (GBM) is an incurable primary brain tumor that has not benefited from immunotherapy to date. More than 90% of GBM expresses the tryptophan (Trp) metabolic enzyme, indoleamine 2,3-dioxygenase 1 (IDO). This observation supported the historical hypothesis that IDO suppresses the antitumor immune response solely through a mechanism that requires intratumoral Trp depletion. However, recent findings led us to investigate the alternative hypothesis that IDO suppresses the anti-GBM immune response independent of its association with Trp metabolism. EXPERIMENTAL

designIDO-deficient GBM cell lines reconstituted with IDO wild-type or IDO enzyme-null cDNA were created and validated

resultsNonenzymic tumor cell IDO activity decreased the survival of experimental animals and increased the expression of complement factor H (CFH) and its isoform, factor H like protein 1 (FHL-1) in human GBM. Tumor cell IDO increased CFH and FHL-1 expression independent of Trp metabolism. Increased intratumoral CFH and FHL-1 levels were associated with poorer survival among patients with glioma. Similar to IDO effects, GBM cell FHL-1 expression increased intratumoral regulatory T cells (Treg) and myeloid-derived suppressor cells while it decreased overall survival in mice with GBM.

conclusionsOur study reveals a nonmetabolic IDO-mediated enhancement of CFH expression and provides a new therapeutic target for patients with GBM.

Indexed as

GlioblastomaGliomaAnimalsHumansImmunosuppression TherapyIndoleamine-Pyrrole 2,3,-DioxygenaseMiceTryptophanIndoleamine-Pyrrole 2,3,-DioxygenaseTryptophan

Identifiers

PMID34479957
PMCPMC8639612
OpenAlexW3198346885

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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.