Evidence map›Paper›PMID 36522548›Full record

ArticleNature cancer2022

Targeting the bicarbonate transporter SLC4A4 overcomes immunosuppression and immunotherapy resistance in pancreatic cancer.

Federica Cappellesso, Marie-Pauline Orban, Niranjan Shirgaonkar, Emanuele Berardi, Jens Serneels, Marie-Aline Neveu, Daria Di Molfetta, Francesca Piccapane, Rosa Caroppo, Lucantonio Debellis and 16 more

Open access · hybridAbstract read
In one paragraph

Article in Nature cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed
11.2field-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

88 citing papers in PubMed, 116 citations in OpenAlex.

  1. Review
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  4. Compartmental pH regulation in cancer and antitumor immunity: therapeutic opportunities and challenges.Apoptosis : an international journal on programmed cell death · 2026
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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 6 institutions in 3 countries.

Federica CappellessoLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.
Marie-Pauline OrbanLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.
Niranjan ShirgaonkarLaboratory of Precision Oncology and Cancer Evolution, Genome Institute of Singapore, A*STAR, Singapore, Singapore.ORCID http://orcid.org/0000-0001-6078-1409
Emanuele BerardiLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID http://orcid.org/0000-0002-0775-9605
Jens SerneelsLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.
Marie-Aline NeveuLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.
Daria Di MolfettaDepartment of Bioscience, Biotechnology and Biopharmaceutics, University of Bari, Bari, Italy.
Francesca PiccapaneDepartment of Bioscience, Biotechnology and Biopharmaceutics, University of Bari, Bari, Italy.
Rosa CaroppoDepartment of Bioscience, Biotechnology and Biopharmaceutics, University of Bari, Bari, Italy.
Lucantonio DebellisDepartment of Bioscience, Biotechnology and Biopharmaceutics, University of Bari, Bari, Italy.
Tessa OstynDepartment of Imaging and Pathology, Translational Cell and Tissue Research, KU Leuven and University Hospitals Leuven, Leuven, Belgium.
Nicolas JoudiouNuclear and Electron Spin Technologies Platform (NEST), Louvain Drug Research Institute, UCLouvain, Université Catholique de Louvain, Brussels, Belgium.ORCID http://orcid.org/0000-0002-6760-7400
Lionel MignionNuclear and Electron Spin Technologies Platform (NEST), Louvain Drug Research Institute, UCLouvain, Université Catholique de Louvain, Brussels, Belgium.ORCID http://orcid.org/0000-0002-9426-8600
Elena RichiardonePole of Pharmacology and Therapeutics (FATH), Institut de Recherche Expérmentale et Clinique (IREC), Université Catholique de Louvain, Brussels, Belgium.
Bénédicte F JordanNuclear and Electron Spin Technologies Platform (NEST), Louvain Drug Research Institute, UCLouvain, Université Catholique de Louvain, Brussels, Belgium.
Bernard GallezNuclear and Electron Spin Technologies Platform (NEST), Louvain Drug Research Institute, UCLouvain, Université Catholique de Louvain, Brussels, Belgium.
Cyril CorbetPole of Pharmacology and Therapeutics (FATH), Institut de Recherche Expérmentale et Clinique (IREC), Université Catholique de Louvain, Brussels, Belgium.ORCID http://orcid.org/0000-0001-8795-9131
Tania RoskamsDepartment of Imaging and Pathology, Translational Cell and Tissue Research, KU Leuven and University Hospitals Leuven, Leuven, Belgium.
Ramanuj DasGuptaLaboratory of Precision Oncology and Cancer Evolution, Genome Institute of Singapore, A*STAR, Singapore, Singapore.ORCID http://orcid.org/0000-0001-9015-3729
Sabine TejparLaboratory of Molecular Digestive Oncology, Department of Oncology, KU Leuven, Leuven, Belgium.
Mario Di MatteoLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.
Daniela TavernaDepartment of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy.
Stephan J ReshkinDepartment of Bioscience, Biotechnology and Biopharmaceutics, University of Bari, Bari, Italy.ORCID http://orcid.org/0000-0001-9757-5908
Baki Topal *Department of Abdominal Surgery, University Hospitals Gasthuisberg Leuven and KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-2687-7535
Federico Virga *Laboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium.
Massimiliano Mazzone *Laboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology, VIB, Leuven, Belgium. massimiliano.mazzone@kuleuven.vib.be.ORCID http://orcid.org/0000-0001-8824-4015
VIB-KU Leuven Center for Cancer Biology · BEUCLouvain · BEUniversity of Bari Aldo Moro · ITKU Leuven · BEAgency for Science, Technology and Research · SGUniversity of Turin · IT

Funding

European Research Council 101069459European Research Council 773208
6 · The paper itself

Abstract

Solid tumors are generally characterized by an acidic tumor microenvironment (TME) that favors cancer progression, therapy resistance and immune evasion. By single-cell RNA-sequencing analysis in individuals with pancreatic ductal adenocarcinoma (PDAC), we reveal solute carrier family 4 member 4 (SLC4A4) as the most abundant bicarbonate transporter, predominantly expressed by epithelial ductal cells. Functionally, SLC4A4 inhibition in PDAC cancer cells mitigates the acidosis of the TME due to bicarbonate accumulation in the extracellular space and a decrease in lactate production by cancer cells as the result of reduced glycolysis. In PDAC-bearing mice, genetic or pharmacological SLC4A4 targeting improves T cell-mediated immune response and breaches macrophage-mediated immunosuppression, thus inhibiting tumor growth and metastases. In addition, Slc4a4 targeting in combination with immune checkpoint blockade is able to overcome immunotherapy resistance and prolong survival. Overall, our data propose SLC4A4 as a therapeutic target to unleash an antitumor immune response in PDAC.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsSodium-Bicarbonate SymportersAnimalsBicarbonatesImmune ToleranceImmunotherapyMiceTumor MicroenvironmentBicarbonatesSlc4a4 protein, mouseSodium-Bicarbonate Symporters

Identifiers

PMID36522548
PMCPMC9767871
OpenAlexW4311748741

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.