Evidence map›Paper›PMID 36525476›Full record

ArticleCancer research2023

MYC Overexpression Drives Immune Evasion in Hepatocellular Carcinoma That Is Reversible through Restoration of Proinflammatory Macrophages.

Renumathy Dhanasekaran, Aida S Hansen, Jangho Park, Lea Lemaitre, Ian Lai, Nia Adeniji, Sibu Kuruvilla, Akanksha Suresh, Josephine Zhang, Varsha Swamy and 1 more

Open access · greenAbstract read
In one paragraph

Article in Cancer research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.8field-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

38 citing papers in PubMed, 53 citations in OpenAlex.

  1. Targeting MYC-Driven Cancers: From Oncogenic Addiction to Therapeutic Vulnerability.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
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  15. Article
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  18. Precision models in hepatocellular carcinoma.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  19. Cancer drug resistance (Alhambra, Calif.) · 2025
    Article
  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

11 authors at 3 institutions in 2 countries.

Renumathy DhanasekaranDivision of Gastroenterology and Hepatology, Department of Medicine. Stanford University School of Medicine, Stanford, California.ORCID 0000-0001-8819-7511
Aida S HansenDivision of Oncology, Departments of Medicine and Pathology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0002-6547-8393
Jangho ParkDivision of Gastroenterology and Hepatology, Department of Medicine. Stanford University School of Medicine, Stanford, California.ORCID 0000-0002-6151-5193
Lea LemaitreDivision of Gastroenterology and Hepatology, Department of Medicine. Stanford University School of Medicine, Stanford, California.ORCID 0000-0003-1940-1018
Ian LaiDivision of Oncology, Departments of Medicine and Pathology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0001-8662-7290
Nia AdenijiDivision of Gastroenterology and Hepatology, Department of Medicine. Stanford University School of Medicine, Stanford, California.ORCID 0000-0002-7957-5987
Sibu KuruvillaDivision of Oncology, Departments of Medicine and Pathology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0001-5455-3485
Akanksha SureshDivision of Gastroenterology and Hepatology, Department of Medicine. Stanford University School of Medicine, Stanford, California.ORCID 0000-0002-3393-7495
Josephine ZhangDivision of Gastroenterology and Hepatology, Department of Medicine. Stanford University School of Medicine, Stanford, California.ORCID 0000-0001-6921-0944
Varsha SwamyDivision of Oncology, Departments of Medicine and Pathology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0002-6351-4514
Dean W FelsherDivision of Oncology, Departments of Medicine and Pathology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0003-2496-523X
Stanford Medicine · USStanford University · USAarhus University · DK

Funding

Project 4: ImmunovirotherapyP50CA210964 · NCI · MAYO CLINIC ROCHESTER · PI MARK A. MC NIVEN · 2018 to 2026
$20.5M
Targeting the MYC Pathway for the Treatment of CancerR35CA253180 · NCI · STANFORD UNIVERSITY · PI DEAN W FELSHER · 2020 to 2026
$6.9M
MYC's Role in the Initiation and Maintenance of CancerR01CA089305 · NCI · STANFORD UNIVERSITY · PI FELSHER, DEAN W · 2001 to 2011
$3.7M
Prognostic Metabolic Signatures of Cancers Through Mass Spectrometry ImagingR01CA184384 · NCI · STANFORD UNIVERSITY · PI FELSHER, DEAN W, ZARE, RICHARD N · 2014 to 2018
$2.7M
(PQ7)Multi-scale Analysis of Tumor Microenvironment HeterogeneityR01CA208735 · NCI · STANFORD UNIVERSITY · PI FELSHER, DEAN W · 2017 to 2019
$2.2M
Mechanisms by which Oncogene Inactivation Elicits Tumor Cell DeathR01CA170378 · NCI · STANFORD UNIVERSITY · PI FELSHER, DEAN W · 2012 to 2015
$2.1M
Molecular and Cellular Basis of Oncogene AddictionR01CA105102 · NCI · STANFORD UNIVERSITY · PI FELSHER, DEAN W · 2004 to 2010
$2.0M
Functional Proteomic Analysis and Biomarker Identification in a Novel Mouse Model of Metastatic Hepatocellular Carcinoma (HCC)K08CA222676 · NCI · STANFORD UNIVERSITY · PI DHANASEKARAN, RENUMATHY · 2018 to 2022
$1.0M
Nanoscale proteomic profiles of hypoxia pathways to develop biomarkers of renal cR21CA169964 · NCI · STANFORD UNIVERSITY · PI FELSHER, DEAN W, LEPPERT, JOHN THOMAS · 2012 to 2013
$330k
NCI NIH HHS K08 CA222676NCI NIH HHS P50 CA210964NCI NIH HHS R01 CA089305NCI NIH HHS R01 CA105102NCI NIH HHS R01 CA170378NCI NIH HHS R01 CA184384NCI NIH HHS R01 CA208735NCI NIH HHS R21 CA169964NCI NIH HHS R35 CA253180
6 · The paper itself

Abstract

Cancers evade immune surveillance, which can be reversed through immune-checkpoint therapy in a small subset of cases. Here, we report that the MYC oncogene suppresses innate immune surveillance and drives resistance to immunotherapy. In 33 different human cancers, MYC genomic amplification and overexpression increased immune-checkpoint expression, predicted nonresponsiveness to immune-checkpoint blockade, and was associated with both Th2-like immune profile and reduced CD8 T-cell infiltration. MYC transcriptionally suppressed innate immunity and MHCI-mediated antigen presentation, which in turn impeded T-cell response. Combined, but not individual, blockade of PDL1 and CTLA4 could reverse MYC-driven immune suppression by leading to the recruitment of proinflammatory antigen-presenting macrophages with increased CD40 and MHCII expression. Depletion of macrophages abrogated the antineoplastic effects of PDL1 and CTLA4 blockade in MYC-driven hepatocellular carcinoma (HCC). Hence, MYC is a predictor of immune-checkpoint responsiveness and a key driver of immune evasion through the suppression of proinflammatory macrophages. The immune evasion induced by MYC in HCC can be overcome by combined PDL1 and CTLA4 blockade. SIGNIFICANCE: Macrophage-mediated immune evasion is a therapeutic vulnerability of MYC-driven cancers, which has implications for prioritizing MYC-driven hepatocellular carcinoma for combination immunotherapy.

Indexed as

Carcinoma, HepatocellularImmune EvasionLiver NeoplasmsCTLA-4 AntigenHumansMacrophagesCTLA-4 Antigen

Identifiers

PMID36525476
PMCPMC9931653
OpenAlexW4311667258

What OpenQuestion holds

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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.