Evidence map›Paper›PMID 36184683›Full record

ArticleNature communications2022

Chemotherapy-induced complement signaling modulates immunosuppression and metastatic relapse in breast cancer.

Lea Monteran, Nour Ershaid, Hila Doron, Yael Zait, Ye'ela Scharff, Shahar Ben-Yosef, Camila Avivi, Iris Barshack, Amir Sonnenblick, Neta Erez

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 3 pooled it
10.0field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 3 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
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  7. FeiScience · 2026
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  17. Complement system in cancer: friend or foe of immunotherapy.Journal for immunotherapy of cancer · 2026
    Review
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26 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Lea Monteran *Department of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nour Ershaid *Department of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-6422-7728
Hila DoronDepartment of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yael ZaitDepartment of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ye'ela ScharffDepartment of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Shahar Ben-YosefDepartment of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Camila AviviDepartment of Pathology, Sheba Medical Center, Tel Hashomer, Tel Aviv, Israel.
Iris BarshackDepartment of Pathology, Sheba Medical Center, Tel Hashomer, Tel Aviv, Israel.
Amir SonnenblickOncology Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-1954-4633
Neta ErezDepartment of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. netaerez@tauex.tau.ac.il.ORCID 0000-0001-6506-9074
Tel Aviv University · ILSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mortality from breast cancer is almost exclusively a result of tumor metastasis and resistance to therapy and therefore understanding the underlying mechanisms is an urgent challenge. Chemotherapy, routinely used to treat breast cancer, induces extensive tissue damage, eliciting an inflammatory response that may hinder efficacy and promote metastatic relapse. Here we show that systemic treatment with doxorubicin, but not cisplatin, following resection of a triple-negative breast tumor induces the expression of complement factors in lung fibroblasts and modulates an immunosuppressive metastatic niche that supports lung metastasis. Complement signaling derived from cancer-associated fibroblasts (CAFs) mediates the recruitment of myeloid-derived suppressor cells (MDSCs) to the metastatic niche, thus promoting T cell dysfunction. Pharmacological targeting of complement signaling in combination with chemotherapy alleviates immune dysregulation and attenuates lung metastasis. Our findings suggest that combining cytotoxic treatment with blockade of complement signaling in triple-negative breast cancer patients may attenuate the adverse effects of chemotherapy, thus offering a promising approach for clinical use.

Indexed as

Antineoplastic AgentsBreast NeoplasmsLung NeoplasmsTriple Negative Breast NeoplasmsCell Line, TumorDoxorubicinFemaleHumansImmunosuppression TherapyNeoplasm Recurrence, LocalAntineoplastic AgentsDoxorubicin

Identifiers

PMID36184683
PMCPMC9527249
OpenAlexW4299286463

What OpenQuestion holds

Textmetadata
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.