Evidence map›Paper›PMID 36302761›Full record

ArticleNature communications2022

Targeting vasoactive intestinal peptide-mediated signaling enhances response to immune checkpoint therapy in pancreatic ductal adenocarcinoma.

Sruthi Ravindranathan, Tenzin Passang, Jian-Ming Li, Shuhua Wang, Rohan Dhamsania, Michael Brandon Ware, Mohammad Y Zaidi, Jingru Zhu, Maria Cardenas, Yuan Liu and 11 more

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 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Neuropeptide Y as a Neuro-Immune Checkpoint in Cancer.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Regulators of CD8Nature reviews. Immunology · 2026
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Neuro-immune cross-talk in cancer.Nature reviews. Cancer · 2025
    Review
  18. Article
  19. Nerves, nodes, and neoplasia.Frontiers in immunology · 2025
    Review
  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

21 authors at 3 institutions in 1 country.

Sruthi RavindranathanDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA. srra@outlook.com.ORCID 0000-0003-0451-7931
Tenzin PassangDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-3393-8161
Jian-Ming LiDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-6368-759X
Shuhua WangDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Rohan DhamsaniaDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-3049-1704
Michael Brandon WareDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Mohammad Y ZaidiDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Jingru ZhuDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Maria CardenasDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-8566-9576
Yuan LiuWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0001-8926-3058
Sanjeev GumberDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Brian RobinsonDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Anish Sen-MajumdarCambium Oncology LLC, Atlanta, GA, USA.
Hanwen ZhangDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-8955-7494
Shanmuganathan ChandrakasanAflac Cancer and Blood Disorders Center, Emory University, Atlanta, GA, USA.ORCID 0000-0001-8007-9932
Haydn KissickWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0001-7624-5598
Alan B FreyCambium Oncology LLC, Atlanta, GA, USA.
Susan N ThomasWoodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, USA.ORCID 0000-0003-4651-232X
Bassel F El-RayesDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Gregory B LesinskiDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-8787-7678
Edmund K WallerDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA. ewaller@emory.edu.ORCID 0000-0003-0816-6729
Emory University · USEmory Healthcare · USGeorgia Institute of Technology · US

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
Melanoma immunotherapy targeting sentinel lymph nodesR01CA207619 · NCI · GEORGIA INSTITUTE OF TECHNOLOGY · PI THOMAS, SUSAN NAPIER · 2016 to 2020
$2.0M
NCI NIH HHS P30 CA138292NCI NIH HHS R01 CA207619
6 · The paper itself

Abstract

A paucity of effector T cells within tumors renders pancreatic ductal adenocarcinoma (PDAC) resistant to immune checkpoint therapies. While several under-development approaches target immune-suppressive cells in the tumor microenvironment, there is less focus on improving T cell function. Here we show that inhibiting vasoactive intestinal peptide receptor (VIP-R) signaling enhances anti-tumor immunity in murine PDAC models. In silico data mining and immunohistochemistry analysis of primary tumors indicate overexpression of the neuropeptide vasoactive intestinal peptide (VIP) in human PDAC tumors. Elevated VIP levels are also present in PDAC patient plasma and supernatants of cultured PDAC cells. Furthermore, T cells up-regulate VIP receptors after activation, identifying the VIP signaling pathway as a potential target to enhance T cell function. In mouse PDAC models, VIP-R antagonist peptides synergize with anti-PD-1 antibody treatment in improving T cell recruitment into the tumors, activation of tumor-antigen-specific T cells, and inhibition of T cell exhaustion. In contrast to the limited single-agent activity of anti-PD1 antibodies or VIP-R antagonist peptides, combining both therapies eliminate tumors in up to 40% of animals. Furthermore, tumor-free mice resist tumor re-challenge, indicating anti-cancer immunological memory generation. VIP-R signaling thus represents a tumor-protective immune-modulatory pathway that is targetable in PDAC.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsAnimalsHumansMiceReceptors, Vasoactive Intestinal PeptideSignal TransductionTumor MicroenvironmentVasoactive Intestinal PeptideReceptors, Vasoactive Intestinal PeptideVasoactive Intestinal Peptide

Identifiers

PMID36302761
PMCPMC9613684
OpenAlexW4307778558

What OpenQuestion holds

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LicenceCC BY
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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.