Evidence map›Paper›PMID 34733290›Full record

ArticleFrontiers in immunology2021

DNA Vaccines Targeting Novel Cancer-Associated Antigens Frequently Expressed in Head and Neck Cancer Enhance the Efficacy of Checkpoint Inhibitor.

Chuan Wang, Nur Syafinaz Zainal, San Jiun Chai, James Dickie, Chai Phei Gan, Natasha Zulaziz, Bryan Kit Weng Lye, Ruhcha V Sutavani, Christian H Ottensmeier, Emma V King and 11 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
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  4. Cancer vaccines: advances, hurdles, and future directions.Exploration of targeted anti-tumor therapy · 2025
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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

21 authors at 8 institutions in 2 countries.

Chuan WangHead and Neck Cancer Center, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, United Kingdom.
Nur Syafinaz ZainalCancer Immunology and Immunotherapy Unit, Cancer Research Malaysia, Selangor, Malaysia.
San Jiun ChaiCancer Immunology and Immunotherapy Unit, Cancer Research Malaysia, Selangor, Malaysia.
James DickieCancer Sciences, University of Southampton, Southampton, United Kingdom.
Chai Phei GanCancer Immunology and Immunotherapy Unit, Cancer Research Malaysia, Selangor, Malaysia.
Natasha ZulazizCancer Immunology and Immunotherapy Unit, Cancer Research Malaysia, Selangor, Malaysia.
Bryan Kit Weng LyeCancer Immunology and Immunotherapy Unit, Cancer Research Malaysia, Selangor, Malaysia.
Ruhcha V SutavaniCancer Sciences, University of Southampton, Southampton, United Kingdom.
Christian H OttensmeierHead and Neck Cancer Center, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, United Kingdom.
Emma V KingCancer Sciences, University of Southampton, Southampton, United Kingdom.
Mannil Thomas AbrahamMinistry of Health Malaysia, Department of Oral & Maxillofacial Surgery, Tengku Ampuan Rahimah Hospital, Klang, Malaysia.
Siti Mazlipah Binti IsmailDepartment of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
Shin Hin LauStomatology Unit, Cancer Research Centre, Institute for Medical Research, Kuala Lumpur, Malaysia.
Thomas George KallarakkalDepartment of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
Kein Seong MunDepartment of Pathology, Faculty of Medicine, University of Malaya, Selangor, Malaysia.
Rosnah Binti ZainOral Cancer Research and Coordinating Centre, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
Zainal Ariff Abdul RahmanDepartment of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, University Teknologi Majlis Amanah Rakyat (MARA), Selangor, Malaysia.
Gareth J ThomasCancer Sciences, University of Southampton, Southampton, United Kingdom.
Sok Ching CheongCancer Immunology and Immunotherapy Unit, Cancer Research Malaysia, Selangor, Malaysia.
Natalia SavelyevaHead and Neck Cancer Center, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, United Kingdom.
Kue Peng LimCancer Immunology and Immunotherapy Unit, Cancer Research Malaysia, Selangor, Malaysia.
Cancer Research Malaysia · MYUniversity of Southampton · GBUniversity of Liverpool · GBUniversity of Malaya · MYInstitute for Medical Research · MYMahsa University · MYTengku Ampuan Rahimah Hospital · MYUniversiti Teknologi MARA · MY

Funding

Medical Research Council MR/P013414/1Medical Research Council MR/PO13414/1
6 · The paper itself

Abstract

HPV-independent head and neck squamous cell carcinoma (HNSCC) is a common cancer globally. The overall response rate to anti-PD1 checkpoint inhibitors (CPIs) in HNSCC is ~16%. One major factor influencing the effectiveness of CPI is the level of tumor infiltrating T cells (TILs). Converting TILlow tumors to TILhigh tumors is thus critical to improve clinical outcome. Here we describe a novel DNA vaccines to facilitate the T-cell infiltration and control tumor growth. We evaluated the expression of target antigens and their respective immunogenicity in HNSCC patients. The efficacy of DNA vaccines targeting two novel antigens were evaluated with or without CPI using a syngeneic model. Most HNSCC patients (43/44) co-expressed MAGED4B and FJX1 and their respective tetramer-specific T cells were in the range of 0.06-0.12%. In a preclinical model, antigen-specific T cells were induced by DNA vaccines and increased T cell infiltration into the tumor, but not MDSC or regulatory T cells. The vaccines inhibited tumor growth and improved the outcome alone and upon combination with anti-PD1 and resulted in tumor clearance in approximately 75% of mice. Pre-existence of MAGED4B and FJX1-reactive T cells in HNSCC patients suggests that these widely expressed antigens are highly immunogenic and could be further expanded by vaccination. The DNA vaccines targeting these antigens induced robust T cell responses and with the anti-PD1 antibody conferring excellent tumor control. This opens up an opportunity for combination immunotherapy that might benefit a wider population of HNSCC patients in an antigen-specific manner.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsAntigens, NeoplasmCancer VaccinesCombined Modality TherapyFemaleHumansImmune Checkpoint InhibitorsLymphocytes, Tumor-InfiltratingMaleMiceMice, Inbred C57BLMiddle AgedAntigens, NeoplasmCancer VaccinesImmune Checkpoint InhibitorsVaccines, DNAcancer antigenscancer immunotherapyDNA vaccineFJX1head and neck cancerMAGED4B

Identifiers

PMID34733290
PMCPMC8559892
OpenAlexW3206412896

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.