Evidence map›Paper›PMID 36430552›Full record

ArticleInternational journal of molecular sciences2022

Tumor Treating Fields (TTFields) Concomitant with Immune Checkpoint Inhibitors Are Therapeutically Effective in Non-Small Cell Lung Cancer (NSCLC) In Vivo Model.

Yiftah Barsheshet, Tali Voloshin, Boris Brant, Gadi Cohen, Lilach Koren, Roni Blatt, Shay Cahal, Tharwat Haj Khalil, Efrat Zemer Tov, Rom Paz and 11 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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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

21 authors.

Yiftah BarsheshetNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Tali VoloshinNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Boris BrantNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Gadi CohenNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Lilach KorenNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Roni BlattNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Shay CahalNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Tharwat Haj KhalilNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.ORCID 0000-0003-4258-0923
Efrat Zemer TovNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Rom PazNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Anat Klein-GoldbergNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Catherine Tempel-BramiNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Sara JacobovitchNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Alexandra VolodinNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Tal KanNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Bella KoltunNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Cfir DavidNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Adi HaberNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.ORCID 0000-0002-6025-4980
Moshe GiladiNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.ORCID 0000-0003-1489-4175
Uri WeinbergNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.
Yoram PaltiNovocure Ltd., Topaz Building, MATAM Center, Haifa 31905, Israel.

Funding

Novocure Ltd Not applicable
6 · The paper itself

Abstract

Tumor Treating Fields (TTFields) are electric fields that exert physical forces to disrupt cellular processes critical for cancer cell viability and tumor progression. TTFields induce anti-mitotic effects through the disruption of the mitotic spindle and abnormal chromosome segregation, which trigger several forms of cell death, including immunogenic cell death (ICD). The efficacy of TTFields concomitant with anti-programmed death-1 (anti-PD-1) treatment was previously shown in vivo and is currently under clinical investigation. Here, the potential of TTFields concomitant with anti- PD-1/anti-cytotoxic T-lymphocyte-associated protein 4 (anti-CTLA-4) or anti-programmed death-ligand 1 (anti-PD-L1) immune checkpoint inhibitors (ICI) to improve therapeutic efficacy was examined in lung tumor-bearing mice. Increased circulating levels of high mobility group box 1 protein (HMGB1) and elevated intratumoral levels of phosphorylated eukaryotic translation initiation factor 2α (p-eIF2α) were found in the TTFields-treated mice, indicative of ICD induction. The concomitant application of TTFields and ICI led to a significant decrease in tumor volume as compared to all other groups. In addition, significant increases in the number of tumor-infiltrating immune cells, specifically cytotoxic T-cells, were observed in the TTFields plus anti-PD-1/anti-CTLA-4 or anti-PD-L1 groups. Correspondingly, cytotoxic T-cells isolated from these tumors showed higher levels of IFN-γ production. Collectively, these results suggest that TTFields have an immunoactivating role that may be leveraged for concomitant treatment with ICI to achieve better tumor control by enhancing antitumor immunity.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAnimalsCell SurvivalImmune Checkpoint InhibitorsMiceSpindle ApparatusImmune Checkpoint Inhibitorsanti-CTLA-4 therapyanti-PD-1 therapyanti-PD-L1 therapyimmunogenic cell deathnon-small cell lung cancer (NSCLC)Tumor Treating Fields (TTFields)

Identifiers

PMID36430552
PMCPMC9696536
OpenAlexW4309311182

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.