Evidence map›Paper›PMID 35338089›Full record

ArticleJournal for immunotherapy of cancer2022

CD4 T cell dynamics shape the immune response to combination oncolytic herpes virus and BRAF inhibitor therapy for melanoma.

Galabina Bozhanova, Jehanne Hassan, Lizzie Appleton, Victoria Jennings, Shane Foo, Martin McLaughlin, Charleen Ml Chan Wah Hak, Emmanuel C Patin, Eva Crespo-Rodriguez, Gabby Baker and 12 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. HSV: The scout and assault for digestive system tumors.Frontiers in molecular biosciences · 2023
    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

22 authors at 5 institutions in 2 countries.

Galabina BozhanovaTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Jehanne HassanImperial College London, London, UK.
Lizzie AppletonTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Victoria JenningsLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.
Shane FooRadiotherapy & Imaging, The Institute of Cancer Research, London, UK.
Martin McLaughlinInstitute of Cancer Research, London, UK.ORCID 0000-0002-9739-7133
Charleen Ml Chan Wah HakTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Emmanuel C PatinTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.ORCID 0000-0001-5390-5733
Eva Crespo-RodriguezTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Gabby BakerTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Edward ArmstrongTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Matthew ChiuTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Hardev PandhaOncology, University of Surrey, Guildford, UK.
Adel SamsonLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.
Victoria RoulstoneTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Joan KyulaTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.
Richard VileMolecular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Fiona Errington-MaisLeeds Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.ORCID 0000-0003-2155-534X
Malin PedersenTranslational Immunotherapy/Targeted Therapy Teams, The Institute of Cancer Research, London, UK.ORCID 0000-0003-1887-733X
Kevin HarringtonDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.ORCID 0000-0002-6014-348X
Masahiro OnoImperial College London, London, UK.
Alan MelcherInstitute of Cancer Research, London, UK alan.melcher@icr.ac.uk.ORCID 0000-0002-2042-3380
Institute of Cancer Research · GBUniversity of Leeds · GBImperial College London · GBMayo Clinic · USUniversity of Surrey · GB

Funding

Cancer Research UK 28724
6 · The paper itself

Abstract

backgroundCombination herpes simplex virus (HSV) oncolytic virotherapy and BRAF inhibitors (BRAFi) represent promising immunogenic treatments for BRAF mutant melanoma, but an improved understanding of the immunobiology of combinations is needed to improve on the benefit of immune checkpoint inhibitors (ICI).

methodsUsing a BRAF

resultsAdding BRAFi treatment to HSV improved anti-tumor effects in vivo but not in vitro. Immune characterization showed HSV or dual therapy led to fewer intratumoral Treg, although with a more activated phenotype, together with more effector CD8 +T cells. Tocky analysis further showed that HSV/BRAFi dual treatment reduced the Tocky signal (reflecting engagement with cognate antigen), in both Treg and conventional subsets of CD4+, but not in CD8 +cells. However, a higher percentage of Treg than of conventional CD4 +maintained frequent engagement with antigens on treatment, reflecting a predominance of suppressive over effector function within the CD4 +compartment. The only T cell subset which correlated with a reduction in tumor growth was within Tocky signal positive conventional CD4+, supporting their therapeutic role. Targeting CD25 high, antigen-engaged Treg with a depleting anti-CD25 ICI, achieved complete cures in 100% of mice with triple therapy. Transcriptomic analysis confirmed reduction in Foxp3 on addition of anti-CD25 to HSV/BRAFi, as well as increases in expression of genes reflecting interferon signaling and cytotoxic activity.

conclusionsCombination HSV/BRAFi is an immunogenic therapy for BRAF mutant melanoma, but cannot fully control tumors. Dual therapy results in changes in T cell dynamics within tumors, with relatively maintained antigen signaling in Treg compared with conv CD4+. Antigen-engaged CD4 +effectors correlate with tumor growth control, and depletion of Treg by addition of an anti-CD25 ICI, releasing suppression of conventional CD4 +effectors by Treg, enhances survival and activates immune signaling within tumors.

Indexed as

Herpes SimplexMelanomaOncolytic VirusesAnimalsCD4-Positive T-LymphocytesHumansImmunityMiceMice, Inbred C57BLProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAF protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins B-rafImmunomodulationMelanomaOncolytic VirotherapyT-Lymphocytes

Identifiers

PMID35338089
PMCPMC8961178
OpenAlexW4220676729

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.