Evidence map›Paper›PMID 36508164›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2023

Radiotherapy Induces Innate Immune Responses in Patients Treated for Prostate Cancers.

Amrita K Cheema, Yaoxiang Li, Mary Ventimiglia, Keith Kowalczyk, Ryan Hankins, Gaurav Bandi, Einsley-Marie Janowski, Scott Grindrod, Alejandro Villagra, Anatoly Dritschilo

Open access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 16 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

10 authors at 3 institutions in 1 country.

Amrita K CheemaDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC.ORCID 0000-0003-4877-7583
Yaoxiang LiDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC.ORCID 0000-0001-9200-1016
Mary VentimigliaDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC.ORCID 0000-0002-5019-8524
Keith KowalczykDepartment of Radiation Medicine, LL Bles, MedStar-Georgetown University Hospital, Washington DC.ORCID 0000-0002-3081-6815
Ryan HankinsDepartment of Radiation Medicine, LL Bles, MedStar-Georgetown University Hospital, Washington DC.ORCID 0000-0001-5586-0102
Gaurav BandiDepartment of Radiation Medicine, LL Bles, MedStar-Georgetown University Hospital, Washington DC.ORCID 0000-0002-1016-9227
Einsley-Marie JanowskiDepartment of Radiation Oncology, University of Virginia School of Medicine, Charlottesville, Virginia.ORCID 0000-0002-7126-0075
Scott GrindrodShuttle Pharmaceuticals, Rockville, Maryland.ORCID 0000-0002-6999-9604
Alejandro VillagraDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC.ORCID 0000-0001-9346-8355
Anatoly DritschiloDepartment of Radiation Medicine, LL Bles, MedStar-Georgetown University Hospital, Washington DC.ORCID 0000-0002-7120-097X
Georgetown University · USShuttle Pharmaceuticals (United States) · USUniversity of Virginia · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
TOPIC 345: PREDICTIVE BIOMARKERS OF PROSTATE CANCER PATIENT SENSITIVITY FOR RADIATION LATE EFFECTS75N91019C00031 · NCI · SHUTTLE PHARMACEUTICALS, LLC · PI DRITSCHILO, ANATOLY · 2019 to 2019
$1.9M
Environmental Health Perspectives, NIEHS27302C0031 · NIEHS · 2008 to 2008
$1.2M
NCI NIH HHS 75N91019C00031NCI NIH HHS HHSN261201600027CNCI NIH HHS HHSN261201600027INCI NIH HHS P30 CA051008NIEHS NIH HHS 27302C0031
6 · The paper itself

Abstract

purposeRadiotherapy is a curative therapeutic modality used to treat cancers as a single agent or in combination with surgery and chemotherapy. Advanced radiotherapy technologies enable treatment with large fractions and highly conformal radiation doses to effect free-radical damage to cellular DNA leading to cell-cycle arrest, cell death, and innate immune response (IIR) stimulation. EXPERIMENTAL

designTo understand systemic clinical responses after radiation exposure, proteomic and metabolomic analyses were performed on plasma obtained from patients with cancer at intervals after prostate stereotactic body radiotherapy. Pathway and multivariate analyses were used to delineate molecular alterations following radiotherapy and its correlation with clinical outcomes.

resultsDNA damage response increased within the first hour after treatment and returned to baseline by 1 month. IIR signaling also increased within 1 hour of treatment but persisted for up to 3 months thereafter. Furthermore, robust IIR and metabolite elevations, consistent with an early proinflammatory M1-mediated innate immune activation, were observed in patients in remission, whereas patients experiencing prostate serum antigen-determined disease progression demonstrated less robust immune responses and M2-mediated metabolite elevations.

conclusionsTo our knowledge, these data are the first report of longitudinal proteomic and metabolomic molecular responses in patients after radiotherapy for cancers. The data supports innate immune activation as a critical clinical response of patients receiving radiotherapy for prostate cancer. Furthermore, we propose that the observed IIR may be generalized to the treatment of other cancer types, potentially informing multidisciplinary therapeutic strategies for cancer treatment.

Indexed as

Prostatic NeoplasmsRadiotherapy, ConformalHumansImmunity, InnateMaleProstate-Specific AntigenProteomicsProstate-Specific Antigen

Identifiers

PMID36508164
PMCPMC9975665
OpenAlexW4311202769

What OpenQuestion holds

Textmetadata
LicenceTDM
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.