Evidence map›Paper›PMID 37640480›Full record

ArticleJournal for immunotherapy of cancer2023

Adding liposomal doxorubicin enhances the abscopal effect induced by radiation/αPD1 therapy depending on tumor cell mitochondrial DNA and cGAS/STING.

Liqun Wang, Ren Luo, Kateryna Onyshchenko, Xi Rao, Meidan Wang, Beatrice Menz, Simone Gaedicke, Anca-Ligia Grosu, Elke Firat, Gabriele Niedermann

Open 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. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
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  4. Review
  5. CD4Journal for immunotherapy of cancer · 2026
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  7. Review
  8. Review
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  11. Article
  12. Review
  13. Article
  14. Article
  15. Identification of a TIGIT-expressing CD8Frontiers in immunology · 2025
    Article
  16. Review
  17. Article
  18. Mitochondrial DNA depletion syndrome and its cardiac complication.Frontiers in cardiovascular medicine · 2025
    Review
  19. Review
  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

10 authors at 2 institutions in 2 countries.

Liqun Wang *Department of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Ren Luo *Division of Thoracic Tumor Multimodality Treatment, Cancer Center, West China Hospital, Sichuan University, Chengdu, China luorenbu@gmail.com gabriele.niedermann@uniklinik-freiburg.de.
Kateryna OnyshchenkoDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Xi RaoDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Meidan WangDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Beatrice MenzDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Simone GaedickeDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Anca-Ligia GrosuDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Elke FiratDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany.
Gabriele NiedermannDepartment of Radiation Oncology, University of Freiburg Faculty of Medicine, Freiburg, Germany luorenbu@gmail.com gabriele.niedermann@uniklinik-freiburg.de.ORCID 0000-0001-9508-5497
University of Freiburg · DEHarbin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocalized radiotherapy (RT) can cause a T cell-mediated abscopal effect on non-irradiated tumor lesions, especially in combination with immune checkpoint blockade. However, this effect is still clinically rare and improvements are highly desirable. We investigated whether triple combination with a low dose of clinically approved liposomal doxorubicin (Doxil) could augment abscopal responses compared with RT/αPD-1 and Doxil/αPD-1. We also investigated whether the enhanced abscopal responses depended on the mitochondrial DNA (mtDNA)/cyclic GMP-AMP synthase (cGAS)/stimulator of interferon genes (STING)/IFN-I pathway. MATERIALS/

methodsWe used Doxil in combination with RT and αPD-1 in two tumor models (B16-CD133 melanoma and MC38 colon carcinoma) with mice bearing two tumors, only one of which was irradiated. Mechanistic studies on the role of the mtDNA/cGAS/STING/IFN-I axis were performed using inhibitors and knockout cells in vitro as well as in mice.

resultsAddition of a single low dose of Doxil to RT and αPD-1 strongly enhanced the RT/αPD-1-induced abscopal effect in both models. Complete cures of non-irradiated tumors were mainly observed in triple-treated mice. Triple therapy induced more cross-presenting dendritic cells (DCs) and more tumor-specific CD8

conclusionsThese data show that single low-dose Doxil can substantially enhance the RT/αPD-1-induced abscopal effect, with a strong increase in cross-presenting DCs and CD8

Indexed as

CD8-Positive T-LymphocytesDNA, MitochondrialAnimalsDoxorubicinMiceMitochondriaPolyethylene GlycolsDNA, MitochondrialDoxorubicinliposomal doxorubicinPolyethylene GlycolsCombined Modality TherapyImmunotherapyProgrammed Cell Death 1 ReceptorRadioimmunotherapyRadiotherapy

Identifiers

PMID37640480
PMCPMC10462948
OpenAlexW4386226643

What OpenQuestion holds

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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.