Evidence map›Paper›PMID 34638239›Full record

ReviewCancers2021

Overcoming Immunotherapy Resistance by Targeting the Tumor-Intrinsic NLRP3-HSP70 Signaling Axis.

Balamayooran Theivanthiran, Tarek Haykal, Linda Cao, Alisha Holtzhausen, Michael Plebanek, Nicholas C DeVito, Brent A Hanks

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Therapeutic Significance of NLRP3 Inflammasome in Cancer: Friend or Foe?International journal of molecular sciences · 2024
    Review
  7. Article
  8. PES1 reduces CD8Journal of biomedical science · 2023
    Article
  9. Article
  10. The roles of inflammasomes in cancer.Frontiers in immunology · 2023
    Review
  11. Article
  12. Article
  13. Inflammasomes in Cancer Progression and Anti-Tumor Immunity.Frontiers in cell and developmental biology · 2022
    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 1 country.

Balamayooran TheivanthiranDepartment of Medicine, Division of Medical Oncology, Duke University, Durham, NC 27708, USA.
Tarek HaykalDepartment of Medicine, Division of Medical Oncology, Duke University, Durham, NC 27708, USA.ORCID 0000-0002-8637-7292
Linda CaoDepartment of Medicine, Division of Medical Oncology, Duke University, Durham, NC 27708, USA.
Alisha HoltzhausenLineburger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.ORCID 0000-0003-3604-7401
Michael PlebanekDepartment of Medicine, Division of Medical Oncology, Duke University, Durham, NC 27708, USA.
Nicholas C DeVitoDepartment of Medicine, Division of Medical Oncology, Duke University, Durham, NC 27708, USA.ORCID 0000-0001-7537-8647
Brent A HanksDepartment of Medicine, Division of Medical Oncology, Duke University, Durham, NC 27708, USA.ORCID 0000-0002-2803-3272
Duke Medical Center · USDuke University · USUniversity of North Carolina at Chapel Hill · US

Funding

Investigating the PD-L1:NLRP3 signaling axis as a tumor intrinsic mechanism of adaptive resistance to anti-PD-1 antibody immunotherapyR37CA249085 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HANKS, BRENT ALLEN · 2020 to 2025
$2.5M
Conquer Cancer Foundation Advanced Clinical Research Award in Immune Checkpoint Inhibitor TherapyDamon Runyon Cancer Research Foundation Physician Scientist AwardDuke University Duke Scholar AwardDuke University Strong Start AwardMerck Pre-Clinical Research GrantNCI NIH HHS R37 CA249085NIH HHS 1F32CA247067-01A1Office of Extramural Research, National Institutes of Health 1R37CA249085-01Office of Extramural Research, National Institutes of Health 1R37CA249085-01S1
6 · The paper itself

Abstract

The tumor-intrinsic NOD-like receptor family, pyrin-domain-containing-3 (NLRP3) inflammasome, plays an important role in regulating immunosuppressive myeloid cell populations in the tumor microenvironment (TME). While prior studies have described the activation of this inflammasome in driving pro-tumorigenic mechanisms, emerging data is now revealing the tumor NLRP3 inflammasome and the downstream release of heat shock protein-70 (HSP70) to regulate anti-tumor immunity and contribute to the development of adaptive resistance to anti-PD-1 immunotherapy. Genetic alterations that influence the activity of the NLRP3 signaling axis are likely to impact T cell-mediated tumor cell killing and may indicate which tumors rely on this pathway for immune escape. These studies suggest that the NLRP3 inflammasome and its secreted product, HSP70, represent promising pharmacologic targets for manipulating innate immune cell populations in the TME while enhancing responses to anti-PD-1 immunotherapy. Additional studies are needed to better understand tumor-specific regulatory mechanisms of NLRP3 to enable the development of tumor-selective pharmacologic strategies capable of augmenting responses to checkpoint inhibitor immunotherapy while minimizing unwanted off-target effects. The execution of upcoming clinical trials investigating this strategy to overcome anti-PD-1 resistance promises to provide novel insight into the role of this pathway in immuno-oncology.

Indexed as

adaptive immunotherapy resistancegranulocytic myeloid-derived suppressor cellsHSP70NLRP3 inflammasome

Identifiers

PMID34638239
PMCPMC8507548
OpenAlexW3199016230

What OpenQuestion holds

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LicenceCC BY
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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.