Evidence map›Paper›PMID 34911954›Full record

ArticleNature communications2021

Protein phosphatase 2A inactivation induces microsatellite instability, neoantigen production and immune response.

Yu-Ting Yen, May Chien, Pei-Yi Wu, Chi-Chang Ho, Chun-Te Ho, Kevin Chih-Yang Huang, Shu-Fen Chiang, K S Clifford Chao, William Tzu-Liang Chen, Shih-Chieh Hung

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Molecular origin, discovery, validation and application of neoantigens.Asian journal of pharmaceutical sciences · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Proteomics in pancreatic cancer.Biomarker research · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Article
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

10 authors at 1 institution in 1 country.

Yu-Ting YenDrug Development Center, Institute of New Drug Development, China Medical University, Taichung, 40402, Taiwan.
May ChienDrug Development Center, Institute of New Drug Development, China Medical University, Taichung, 40402, Taiwan.
Pei-Yi WuDrug Development Center, Institute of New Drug Development, China Medical University, Taichung, 40402, Taiwan.
Chi-Chang HoDrug Development Center, Institute of New Drug Development, China Medical University, Taichung, 40402, Taiwan.
Chun-Te HoDrug Development Center, Institute of New Drug Development, China Medical University, Taichung, 40402, Taiwan.
Kevin Chih-Yang HuangDepartment of Biomedical Imaging and Radiological Science, China Medical University, Taichung, 40402, Taiwan.ORCID http://orcid.org/0000-0002-0266-3233
Shu-Fen ChiangProton Therapy and Science Center, China Medical University Hospital, China Medical University, Taichung, Taiwan, 40402, ROC.
K S Clifford ChaoProton Therapy and Science Center, China Medical University Hospital, China Medical University, Taichung, Taiwan, 40402, ROC.
William Tzu-Liang ChenDepartment of Colorectal Surgery, China Medical University Hospital, China Medical University, Taichung, 40402, Taiwan.
Shih-Chieh HungDrug Development Center, Institute of New Drug Development, China Medical University, Taichung, 40402, Taiwan. hung3340@gmail.com.ORCID http://orcid.org/0000-0003-1813-4616
China Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microsatellite-instable (MSI), a predictive biomarker for immune checkpoint blockade (ICB) response, is caused by mismatch repair deficiency (MMRd) that occurs through genetic or epigenetic silencing of MMR genes. Here, we report a mechanism of MMRd and demonstrate that protein phosphatase 2A (PP2A) deletion or inactivation converts cold microsatellite-stable (MSS) into MSI tumours through two orthogonal pathways: (i) by increasing retinoblastoma protein phosphorylation that leads to E2F and DNMT3A/3B expression with subsequent DNA methylation, and (ii) by increasing histone deacetylase (HDAC)2 phosphorylation that subsequently decreases H3K9ac levels and histone acetylation, which induces epigenetic silencing of MLH1. In mouse models of MSS and MSI colorectal cancers, triple-negative breast cancer and pancreatic cancer, PP2A inhibition triggers neoantigen production, cytotoxic T cell infiltration and ICB sensitization. Human cancer cell lines and tissue array effectively confirm these signaling pathways. These data indicate the dual involvement of PP2A inactivation in silencing MLH1 and inducing MSI.

Indexed as

Microsatellite InstabilityAnimalsAntigensColorectal NeoplasmsDNA MethylationDNA Mismatch RepairHumansImmune Checkpoint InhibitorsMiceMice, Inbred BALB CMice, Inbred C57BLPancreatic NeoplasmsProtein Phosphatase 2T-Lymphocytes, CytotoxicTriple Negative Breast NeoplasmsAntigensImmune Checkpoint InhibitorsPpp2r1a protein, mouseProtein Phosphatase 2

Identifiers

PMID34911954
PMCPMC8674339
OpenAlexW4200313415

What OpenQuestion holds

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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.