Evidence map›Paper›PMID 36650022›Full record

ArticleJournal for immunotherapy of cancer2023

Statin drugs enhance responses to immune checkpoint blockade in head and neck cancer models.

Vikash Kansal, Andre J Burnham, Brendan L C Kinney, Nabil F Saba, Chrystal Paulos, Gregory B Lesinski, Zachary S Buchwald, Nicole C Schmitt

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
22.0field-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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
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  7. Cholesterol as a metabolic integrator of oncogenic signaling, immune evasion, and therapy resistance.Apoptosis : an international journal on programmed cell death · 2026
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Vikash KansalDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-8240-2112
Andre J BurnhamDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-2541-5088
Brendan L C KinneyDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia, USA.
Nabil F SabaWinship Cancer Institute, Emory University, Atlanta, Georgia, USA.ORCID 0000-0003-4972-1477
Chrystal PaulosWinship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Gregory B LesinskiWinship Cancer Institute, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-8787-7678
Zachary S BuchwaldWinship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Nicole C SchmittDepartment of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia, USA nicole.cherie.schmitt@emory.edu.ORCID 0000-0002-0571-3531
Emory University · US

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

backgroundAnti-PD-1 immune checkpoint blockade is approved for first-line treatment of recurrent/metastatic head and neck squamous cell carcinoma (HNSCC), but few patients respond. Statin drugs (HMG-CoA reductase inhibitors) are associated with superior survival in several cancer types, including HNSCC. Emerging data suggest that manipulation of cholesterol may enhance some aspects of antitumor immunity.

methodsWe used syngeneic murine models (mouse oral cancer, MOC1 and TC-1) to investigate our hypothesis that a subset of statin drugs would enhance antitumor immunity and delay tumor growth.

resultsUsing an ex vivo coculture assay of murine cancer cells and tumor infiltrating lymphocytes, we discovered that all seven statin drugs inhibited tumor cell proliferation. Simvastatin and lovastatin also enhanced T-cell killing of tumor cells. In mice, daily oral simvastatin or lovastatin enhanced tumor control and extended survival when combined with PD-1 blockade, with rejection of MOC1 tumors in 30% of mice treated with lovastatin plus anti-PD-1. Results from flow cytometry of tumors and tumor-draining lymph nodes suggested T cell activation and shifts from M2 to M1 macrophage predominance as potential mechanisms of combination therapy.

conclusionsThese results suggest that statins deserve further study as well-tolerated, inexpensive drugs that may enhance responses to PD-1 checkpoint blockade and other immunotherapies for HNSCC.

Indexed as

Head and Neck NeoplasmsHydroxymethylglutaryl-CoA Reductase InhibitorsAnimalsImmune Checkpoint InhibitorsLovastatinMiceSimvastatinSquamous Cell Carcinoma of Head and NeckHydroxymethylglutaryl-CoA Reductase InhibitorsImmune Checkpoint InhibitorsLovastatinSimvastatinHead and Neck NeoplasmsMacrophagesProgrammed Cell Death 1 Receptor

Identifiers

PMID36650022
PMCPMC9853267
OpenAlexW4317207508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.