Evidence map›Paper›PMID 35851310›Full record

ArticleJournal for immunotherapy of cancer2022

CD40×HER2 bispecific antibody overcomes the CCL2-induced trastuzumab resistance in HER2-positive gastric cancer.

Weilin Sun, Xi Wang, Daohan Wang, Li Lu, Hai Lin, Zhaoxiong Zhang, Yangpu Jia, Xinyang Nie, Tong Liu, Weihua Fu

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 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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  16. Implication of protein post translational modifications in gastric cancer.Frontiers in cell and developmental biology · 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

10 authors at 1 institution in 1 country.

Weilin Sun *Department of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0003-1202-9110
Xi WangDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Daohan Wang *Department of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Li LuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Hai LinDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Zhaoxiong ZhangDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Yangpu JiaDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Xinyang NieDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Tong LiuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China liutonga@126.com tjmughgs_fwh@163.com.
Weihua FuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China liutonga@126.com tjmughgs_fwh@163.com.ORCID 0000-0003-2576-865X
Tianjin Medical University General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere was much hard work to study the trastuzumab resistance in HER2-positive gastric cancer (GC), but the information which would reveal this abstruse mechanism is little. In this study, we aimed to investigate the roles of tumor cell-derived CCL2 on trastuzumab resistance and overcome the resistance by treatment with the anti-CD40-scFv-linked anti-HER2 (CD40 ×HER2) bispecific antibody (bsAb).

methodsWe measured the levels of CCL2 expression in HER2-positive GC tissues, and revealed biological functions of tumor cell-derived CCL2 on tumor-associated macrophages (TAMs) and the trastuzumab resistance. Then, we developed CD40 ×HER2 bsAb, and examined the targeting roles on HER2 and CD40, to overcome the trastuzumab resistance without systemic toxicity.

resultsWe found the level of CCL2 expression in HER2-postive GC was correlated with infiltration of TAMs, polarization status of infiltrated TAMs, trastuzumab resistance and survival outcomes of GC patients. On exposure to CCL2, TAMs decreased the M1-like phenotype, thereby eliciting the trastuzumab resistance. CCL2 activated the transcription of ZC3H12A, which increased K63-linked deubiquitination and K48-linked auto-ubiquitination of TRAF6/3 to inactivate NF-κB signaling in TAMs. CD40 ×HER2 bsAb, which targeted the CD40 to restore the ubiquitination level of TRAF6/3, increased the M1-like phenotypic transformation of TAMs, and overcame trastuzumab resistance without immune-related adversary effects (irAEs).

conclusionsWe revealed a novel mechanism of trastuzumab resistance in HER2-positive GC via the CCL2-ZC3H12A-TRAF6/3 signaling axis, and presented a CD40 ×HER2 bsAb which showed great antitumor efficacy with few irAEs.

Indexed as

Stomach NeoplasmsCD40 AntigensChemokine CCL2Erb-b2 Receptor Tyrosine KinasesHumansSignal TransductionTNF Receptor-Associated Factor 6TrastuzumabCCL2 protein, humanCD40 AntigensChemokine CCL2Erb-b2 Receptor Tyrosine KinasesTNF Receptor-Associated Factor 6Trastuzumabgastrointestinal neoplasmsimmunotherapymacrophagestumor microenvironment

Identifiers

PMID35851310
PMCPMC9295658
OpenAlexW4285736326

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.