Evidence map›Paper›PMID 34484870›Full record

ArticleOncoimmunology2021

Combination checkpoint therapy with anti-PD-1 and anti-BTLA results in a synergistic therapeutic effect against murine glioblastoma.

John Choi, Ravi Medikonda, Laura Saleh, Timothy Kim, Ayush Pant, Siddhartha Srivastava, Young-Hoon Kim, Christina Jackson, Luqing Tong, Denis Routkevitch and 6 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 44 citations in OpenAlex.

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  11. A novel HVEM-Fc recombinant protein for lung cancer immunotherapy.Journal of experimental & clinical cancer research : CR · 2025
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  19. From glioma gloom to immune bloom: unveiling novel immunotherapeutic paradigms-a review.Journal of experimental & clinical cancer research : CR · 2024
    Review
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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

16 authors at 3 institutions in 3 countries.

John ChoiDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Ravi MedikondaDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Laura SalehDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Timothy KimDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Ayush PantDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Siddhartha SrivastavaDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Young-Hoon KimDepartment of Neurosurgery, College of Medicine, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea.
Christina JacksonDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Luqing TongDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Denis RoutkevitchDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Christopher JacksonDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Dimitrios MathiosDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.ORCID 0000-0002-0792-6880
Tianna ZhaoDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Hyerim ChoDepartment of Radiology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Henry BremDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.
Michael LimDepartment of Neurosurgery, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, USA.ORCID 0000-0003-0523-3076
Johns Hopkins University · USAsan Medical Center · KRSeoul National University · KR

Funding

Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

Clinical trials involving anti-programmed cell death protein-1 (anti-PD-1) failed to demonstrate improved overall survival in glioblastoma (GBM) patients. This may be due to the expression of alternative checkpoints such as B- and T- lymphocyte attenuator (BTLA) on several immune cell types including regulatory T cells. Murine GBM models indicate that there is significant upregulation of BTLA in the tumor microenvironment (TME) with associated T cell exhaustion. We investigate the use of antibodies against BTLA and PD-1 on reversing immunosuppression and increasing long-term survival in a murine GBM model. C57BL/6 J mice were implanted with the murine glioma cell line GL261 and randomized into 4 arms: (i) control, (ii) anti-PD-1, (iii) anti-BTLA, and (iv) anti-PD-1 + anti-BTLA. Kaplan-Meier curves were generated for all arms. Flow cytometric analysis of blood and brains were done on days 11 and 16 post-tumor implantation. Tumor-bearing mice treated with a combination of anti-PD-1 and anti-BTLA therapy experienced improved overall long-term survival (60%) compared to anti-PD-1 (20%) or anti-BTLA (0%) alone (

Indexed as

GlioblastomaGliomaAnimalsCombined Modality TherapyHumansMiceMice, Inbred C57BLTumor Microenvironmentanti-BTLAanti-PD-1B and T lymphocyte attenuatorglioblastomaglioblastoma immunotherapyimmune checkpoint inhibitor therapy

Identifiers

PMID34484870
PMCPMC8409779
OpenAlexW3198644046

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.