Evidence map›Paper›PMID 36883955›Full record

ArticleCancer discovery2023

p38MAPKα Stromal Reprogramming Sensitizes Metastatic Breast Cancer to Immunotherapy.

Douglas V Faget, Xianmin Luo, Matthew J Inkman, Qihao Ren, Xinming Su, Kai Ding, Michael R Waters, Ganesh Kumar Raut, Gaurav Pandey, Paarth B Dodhiawala and 15 more

Open access · greenAbstract read
In one paragraph

Article in Cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 17 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

25 authors at 4 institutions in 1 country.

Douglas V FagetDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-2452-0962
Xianmin LuoDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-8696-0074
Matthew J InkmanDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-5490-2374
Qihao RenDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-5178-1829
Xinming SuDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-0351-2928
Kai DingWomen's Cancer Research Center, UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-3508-465X
Michael R WatersDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-5070-2244
Ganesh Kumar RautDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-3918-966X
Gaurav PandeyDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-8664-658X
Paarth B DodhiawalaDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-6362-5847
Renata Ramalho-OliveiraDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-2204-6512
Jiayu YeDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-7987-6360
Thomas ColeDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-0941-5670
Bhavna MuraliDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-3546-1416
Alexander ZheleznyakDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-1054-3768
Monica ShokeenDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-8114-9584
Kurt R WeissDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0003-3859-728X
Joseph B MonahanAclaris Therapeutics, St. Louis, Missouri.ORCID 0000-0002-5433-4001
Carl J DeSelmDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0001-7645-5798
Adrian V LeeWomen's Cancer Research Center, UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0001-9917-514X
Steffi OesterreichWomen's Cancer Research Center, UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-2537-6923
Katherine N WeilbaecherDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-7137-4742
Jin ZhangDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-9117-2793
David G DeNardoDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-3655-5783
Sheila A StewartDepartment of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-2260-9576
Washington University in St. Louis · USUniversity of Pittsburgh · USAclaris Therapeutics (United States) · USPoint Park University · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008244 · NIGMS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SHIMIZU, YOJI · 1988 to 2024
$13.6M
Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Megan Anne Cooper · 2018 to 2026
$7.6M
MOLECULAR ONCOLOGY TRAINING GRANTT32CA113275 · NCI · WASHINGTON UNIVERSITY · PI Matthew J Walter · 2006 to 2026
$5.7M
OVERCOMING THE PROTECTIVE BARRIERS OF BREAST CANCER IN BONE MARROW WITH TARGETED PRODRUG NANOTHERAPYR01CA216840 · NCI · WASHINGTON UNIVERSITY · PI LANZA, GREGORY M, WEILBAECHER, KATHERINE NELSON · 2018 to 2022
$3.1M
Exploring CD38 molecular biology and imaging in multiple myeloma pathogenesisR01CA248493 · NCI · WASHINGTON UNIVERSITY · PI SHOKEEN, MONICA · 2020 to 2024
$3.1M
MICROENVIRONMENTAL CONTROLS OF TUMOR DORMANCYR01AG059244 · NIA · WASHINGTON UNIVERSITY · PI STEWART, SHEILA A · 2018 to 2022
$2.5M
SENESCENT STROMA STIMULATES INFLAMMATION TO PROMOTE TUMORIGENESISR01CA217208 · NCI · WASHINGTON UNIVERSITY · PI STEWART, SHEILA A · 2018 to 2022
$1.8M
Uncovering the Mechanisms by which Aged Stroma Impacts Tumor InitiationR01CA151518 · NCI · WASHINGTON UNIVERSITY · PI STEWART, SHEILA A · 2011 to 2015
$1.5M
High-Throughput Computing for Genomics and Bioinformatics ResearchS10OD028483 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, ADRIAN V · 2021 to 2021
$574k
NCATS NIH HHS UL1 TR000448NCI NIH HHS F31 CA271721NCI NIH HHS P30 CA047904NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA151518NCI NIH HHS R01 CA216840NCI NIH HHS R01 CA217208NCI NIH HHS R01 CA248493NCI NIH HHS T32 CA113275NIAMS NIH HHS P30 AR073752NIA NIH HHS R01 AG059244NIGMS NIH HHS T32 GM008244NIH HHS S10 OD028483
6 · The paper itself

Abstract

Metastatic breast cancer is an intractable disease that responds poorly to immunotherapy. We show that p38MAPKα inhibition (p38i) limits tumor growth by reprogramming the metastatic tumor microenvironment in a CD4+ T cell-, IFNγ-, and macrophage-dependent manner. To identify targets that further increased p38i efficacy, we utilized a stromal labeling approach and single-cell RNA sequencing. Thus, we combined p38i and an OX40 agonist that synergistically reduced metastatic growth and increased overall survival. Intriguingly, patients with a p38i metastatic stromal signature had better overall survival that was further improved by the presence of an increased mutational load, leading us to ask if our approach would be effective in antigenic breast cancer. The combination of p38i, anti-OX40, and cytotoxic T-cell engagement cured mice of metastatic disease and produced long-term immunologic memory. Our findings demonstrate that a detailed understanding of the stromal compartment can be used to design effective antimetastatic therapies. SIGNIFICANCE: Immunotherapy is rarely effective in breast cancer. We dissected the metastatic tumor stroma, which revealed a novel therapeutic approach that targets the stromal p38MAPK pathway and creates an opportunity to unleash an immunologic response. Our work underscores the importance of understanding the tumor stromal compartment in therapeutic design. This article is highlighted in the In This Issue feature, p. 1275.

Indexed as

NeoplasmsAnimalsCD4-Positive T-LymphocytesCell Line, TumorImmunotherapyMacrophagesMiceT-Lymphocytes, CytotoxicTumor Microenvironment

Identifiers

PMID36883955
PMCPMC10238649
OpenAlexW4323534104

What OpenQuestion holds

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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.