Evidence map›Paper›PMID 36353752›Full record

ArticleCancer research2022

ATM Regulates Differentiation of Myofibroblastic Cancer-Associated Fibroblasts and Can Be Targeted to Overcome Immunotherapy Resistance.

Massimiliano Mellone, Klaudia Piotrowska, Giulia Venturi, Lija James, Aleksandra Bzura, Maria A Lopez, Sonya James, Chuan Wang, Matthew J Ellis, Christopher J Hanley and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

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  6. Pancreatic cancer-associated myofibroblasts: a review.International journal of biological sciences · 2026
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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

23 authors at 5 institutions in 3 countries.

Massimiliano MelloneSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-4964-9340
Klaudia PiotrowskaSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0001-9553-9890
Giulia VenturiSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-1624-8946
Lija JamesSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0003-3574-1565
Aleksandra BzuraDepartment of Genetics and Genome Biology, Cancer Research Centre, University of Leicester, Leicester, United Kingdom.ORCID 0000-0001-5836-4905
Maria A LopezSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0003-4398-775X
Sonya JamesSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-0032-5935
Chuan WangDepartment of Molecular and Clinical Cancer Medicine, Cancer Research Centre, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0003-3811-7725
Matthew J EllisSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-5264-0531
Christopher J HanleySchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0003-3816-7220
Josephine F BuckinghamSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-6314-973X
Kerry L CoxSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0003-0492-3024
Gareth HughesBioscience, Oncology Innovative Medicines and Early Development (IMED) Biotech Unit, AstraZeneca, Cambridge, United Kingdom.ORCID 0000-0002-1938-8039
Viia Valge-ArcherBioscience, Oncology Innovative Medicines and Early Development (IMED) Biotech Unit, AstraZeneca, Cambridge, United Kingdom.ORCID 0000-0001-6661-6033
Emma V KingSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0003-0658-1873
Stephen A BeersSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-3765-3342
Vincent JaquetDepartment of Pathology and Immunology, Centre Médical Universitaire, Genève, Switzerland.ORCID 0000-0003-2229-2406
George D D JonesDepartment of Genetics and Genome Biology, Cancer Research Centre, University of Leicester, Leicester, United Kingdom.ORCID 0000-0002-9543-2206
Natalia SavelyevaDepartment of Molecular and Clinical Cancer Medicine, Cancer Research Centre, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-7313-4769
Emre SayanSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-5291-1485
Jason L ParsonsDepartment of Molecular and Clinical Cancer Medicine, Cancer Research Centre, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-5052-1125
Stephen DurantBioscience, Oncology Innovative Medicines and Early Development (IMED) Biotech Unit, AstraZeneca, Cambridge, United Kingdom.ORCID 0000-0003-4209-7499
Gareth J ThomasSchool of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.ORCID 0000-0003-3832-7335
University of Southampton · GBAstraZeneca (United States) · USCancer Research UK · GBUniversity of Leicester · GBHôpital Beau-Séjour · CH

Funding

Cancer Research UK 24721
6 · The paper itself

Abstract

Myofibroblastic cancer-associated fibroblast (myoCAF)-rich tumors generally contain few T cells and respond poorly to immune-checkpoint blockade. Although myoCAFs are associated with poor outcome in most solid tumors, the molecular mechanisms regulating myoCAF accumulation remain unclear, limiting the potential for therapeutic intervention. Here, we identify ataxia-telangiectasia mutated (ATM) as a central regulator of the myoCAF phenotype. Differentiating myofibroblasts in vitro and myoCAFs cultured ex vivo display activated ATM signaling, and targeting ATM genetically or pharmacologically could suppress and reverse differentiation. ATM activation was regulated by the reactive oxygen species-producing enzyme NOX4, both through DNA damage and increased oxidative stress. Targeting fibroblast ATM in vivo suppressed myoCAF-rich tumor growth, promoted intratumoral CD8 T-cell infiltration, and potentiated the response to anti-PD-1 blockade and antitumor vaccination. This work identifies a novel pathway regulating myoCAF differentiation and provides a rationale for using ATM inhibitors to overcome CAF-mediated immunotherapy resistance. SIGNIFICANCE: ATM signaling supports the differentiation of myoCAFs to suppress T-cell infiltration and antitumor immunity, supporting the potential clinical use of ATM inhibitors in combination with checkpoint inhibition in myoCAF-rich, immune-cold tumors.

Indexed as

Ataxia Telangiectasia Mutated ProteinsCancer-Associated FibroblastsImmunotherapyNeoplasmsCell DifferentiationDrug Resistance, NeoplasmHumansMyofibroblastsAtaxia Telangiectasia Mutated ProteinsATM protein, human

Identifiers

PMID36353752
PMCPMC9755965
OpenAlexW4308681430

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.