Evidence map›Paper›PMID 34623465›Full record

ArticleCancer immunology, immunotherapy : CII2022

Effects of combination treatment with durvalumab plus tremelimumab on the tumor microenvironment in non-small-cell lung carcinoma.

Li Cheng, Todd Creasy, Fernanda Pilataxi, Lydia Greenlees, Luis Vence, Sriram Sridhar, Katie Streicher

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. 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

7 authors at 3 institutions in 4 countries.

Li ChengTranslational Science, Oncology R&D, AstraZeneca, Gaithersburg, MD, USA. li.cheng1@astrazeneca.com.ORCID http://orcid.org/0000-0002-9479-1768
Todd CreasyTranslational Science, Oncology R&D, AstraZeneca, Gaithersburg, MD, USA.
Fernanda PilataxiTranslational Science, Oncology R&D, AstraZeneca, Gaithersburg, MD, USA.
Lydia GreenleesTranslational Science, Oncology R&D, AstraZeneca, Gaithersburg, MD, USA.
Luis VenceTranslational Science, Oncology R&D, AstraZeneca, Gaithersburg, MD, USA.
Sriram SridharTranslational Science, Oncology R&D, AstraZeneca, Gaithersburg, MD, USA.
Katie StreicherTranslational Science, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA. katie.streicher@astrazeneca.com.
AstraZeneca (United States) · USAstraZeneca (Japan) · JPAstraZeneca (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rapid development of immune checkpoint blockade (ICB) therapies has revolutionized the cancer treatment landscape and brightened the long-term forecast for many cancer patients. However, the specific genomic and proteomic changes in tumors treated with different ICB treatments have yet to be fully characterized. We treated four non-small-cell lung carcinoma (NSCLC) tumor digests ex vivo with the anti-PD-L1 antibody durvalumab (D) alone or in combination with the anti-CTLA-4 antibody tremelimumab (T) to explore changes in gene and protein expression associated with these ICB therapies. All four tumors showed a robust increase in interferon gamma (IFN-γ) production (100-300% higher than isotype control) in both D- and D + T-treated tumors. Three of the four tumors showed additional increases in IFN-γ production with D + T compared with D (40-70%). A substantial reduction in interleukin 10 (IL-10) was also found in three of the four tumors (reduced to 4-8%) in response to D and D + T. Conventional CD4 + /CD8 + populations and T cell activation markers increased after D and D + T treatment. D and D + T upregulated multiple IPA pathways involving T cell activation. D + T resulted in additional upregulation of Th1/Th2 pathways through a different set of genes, as well as greater reduction in genes involved in epithelial-mesenchymal transition (EMT), angiogenesis, and cancer stemness. Our results demonstrated that D + T augmented the effects of D in the microenvironment of this set of NSCLC tumors. The specific impact of D + T on the regulation of EMT, angiogenesis, and cancer stemness warrants further evaluation in a larger set of tumors.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsHumansProteomicsTumor MicroenvironmentAntibodies, MonoclonalAntibodies, Monoclonal, HumanizeddurvalumabtremelimumabAngiogenesisDurvalumabEMTIFN-γ productionT cell proliferation and activationTremelimumab

Identifiers

PMID34623465
PMCPMC9015996
OpenAlexW3204759452

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.