Evidence map›Paper›PMID 34824159›Full record

ArticleJournal for immunotherapy of cancer2021

Paralysis of the cytotoxic granule machinery is a new cancer immune evasion mechanism mediated by chitinase 3-like-1.

Abbass Darwich, Alessandra Silvestri, Mohamed-Reda Benmebarek, Juliette Mouriès, Bruno Cadilha, Alessia Melacarne, Lapo Morelli, Domenico Supino, Alexandre Taleb, Hannah Obeck and 7 more

Erratum issuedAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Antibody-drug conjugates come of age in oncology.Nature reviews. Drug discovery · 2023
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Gut microbes
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Abbass DarwichDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID 0000-0001-5540-9303
Alessandra SilvestriHumanitas Mirasole SpA, Rozzano, Lombardia, Italy.
Mohamed-Reda BenmebarekDepartment of Medicine IV, Ludwig-Maximilians-Universitat Munchen, Munchen, Bayern, Germany.
Juliette MourièsDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Bruno CadilhaDivision for Clinical Pharmacology, Ludwig-Maximilians-Universitat Munchen, Munich, Germany.
Alessia MelacarneHumanitas Mirasole SpA, Rozzano, Lombardia, Italy.
Lapo MorelliEuropean Institute of Oncology, Milano, Italy.
Domenico SupinoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Alexandre TalebRoche Innovation Center Munich, Penzberg, Germany.
Hannah ObeckDepartment of Medicine IV, Ludwig-Maximilians-Universitat Munchen, Munchen, Bayern, Germany.
Claudio SustmannRoche Innovation Center Munich, Penzberg, Germany.
Agnese LosurdoHumanitas Mirasole SpA, Rozzano, Lombardia, Italy.
Giovanna MasciHumanitas Mirasole SpA, Rozzano, Lombardia, Italy.
Giuseppe CuriglianoUniversita degli Studi di Milano, Milano, Italy.
Sebastian KoboldDivision of Clinical Pharmacology, Ludwig-Maximilians-Universitat Munchen, Munich, UK.ORCID 0000-0002-5612-4673
Giuseppe PennaHumanitas Mirasole SpA, Rozzano, Lombardia, Italy.
Maria RescignoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy maria.rescigno@hunimed.eu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNatural killer (NK) cells require a functional lytic granule machinery to mediate effective antitumor responses. Evading the lytic cargo deployed at the immune synapse (IS) could be a critical step for cancer progression through yet unidentified mechanisms.

methodsNK cell antibody-dependent cellular cytotoxicity (ADCC) is a major determinant of the clinical efficacy of some therapeutic antibodies including the anti-HER2 Trastuzumab. Thus, we screened sera of Trastuzumab-resistant HER2 +patients with breast cancer for molecules that could inhibit NK cell ADCC. We validated our findings in vitro using cytotoxicity assays and confocal imaging of the lytic granule machinery and in vivo using syngeneic and xenograft murine models.

resultsWe found that sera from Trastuzumab-refractory patients could inhibit healthy NK cell ADCC in vitro. These sera contained high levels of the inflammatory protein chitinase 3-like 1 (CHI3L1) compared with sera from responders and healthy controls. We demonstrate that recombinant CHI3L1 inhibits both ADCC and innate NK cell cytotoxicity. Mechanistically, CHI3L1 prevents the correct polarization of the microtubule-organizing center along with the lytic granules to the IS by hindering the receptor of advanced glycation end-products and its downstream JNK signaling. In vivo, CHI3L1 administration drastically impairs the control of NK cell-sensitive tumors, while CHI3L1 blockade synergizes with ADCC to cure mice with HER2 +xenografts.

conclusionOur work highlights a new paradigm of tumor immune escape mediated by CHI3L1 which acts on the cytotoxic machinery and prevents granule polarization. Targeting CHI3L1 could mitigate immune escape and potentiate antibody and cell-based immunotherapies.

Indexed as

AnimalsChitinase-3-Like Protein 1FemaleHumansImmune EvasionImmunotherapyKiller Cells, NaturalMiceNeoplasmsChil1 protein, mouseChitinase-3-Like Protein 1immunotherapykiller cellsnaturaltumor escape

Identifiers

PMID34824159
PMCPMC8627417

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.