Evidence map›Paper›PMID 37205627›Full record

ReviewCancer research2023

Immune Checkpoint Inhibitors and the Exposome: Host-Extrinsic Factors Determine Response, Survival, and Toxicity.

Elio Gregory Pizzutilo, Rebecca Romanò, Laura Roazzi, Alberto G Agostara, Sara Oresti, Annalisa Zeppellini, Laura Giannetta, Giulio Cerea, Diego Signorelli, Salvatore Siena and 1 more

Abstract readReview
In one paragraph

Review in Cancer research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Role of comorbidities and medication on immunotherapy efficacy in cSCC: A DeCOG multicentre analysis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
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  15. Immunotherapy: remember the host.Translational lung cancer research · 2023
    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.

Elio Gregory Pizzutilo *Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0002-1440-1820
Rebecca Romanò *Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0002-1644-1981
Laura RoazziNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0009-0009-3503-0895
Alberto G AgostaraNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0001-5646-7150
Sara OrestiNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0009-0006-3879-2092
Annalisa ZeppelliniNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0009-0002-2137-3140
Laura GiannettaNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0009-0006-0943-0017
Giulio CereaNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0003-1133-0681
Diego SignorelliNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0001-5507-7820
Salvatore SienaNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0002-2681-2846
Andrea Sartore-BianchiNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID 0000-0003-0780-0409

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer immunotherapy, largely represented by immune checkpoint inhibitors (ICI), has led to substantial changes in preclinical cancer research and clinical oncology practice over the past decade. However, the efficacy and toxicity profiles of ICIs remain highly variable among patients, with only a fraction achieving a significant benefit. New combination therapeutic strategies are being investigated, and the search for novel predictive biomarkers is ongoing, mainly focusing on tumor- and host-intrinsic components. Less attention has been directed to all the external, potentially modifiable factors that compose the exposome, including diet and lifestyle, infections, vaccinations, and concomitant medications, that could affect the immune system response and its activity against cancer cells. We hereby provide a review of the available clinical evidence elucidating the impact of host-extrinsic factors on ICI response and toxicity.

Indexed as

ExposomeNeoplasmsHumansImmune Checkpoint InhibitorsImmunotherapyImmune Checkpoint Inhibitors

Identifiers

PMID37205627
PMCPMC10345966

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.