Evidence map›Paper›PMID 37824211›Full record

ArticleThe Journal of clinical investigation2023

Improving radiotherapy in immunosuppressive microenvironments by targeting complement receptor C5aR1.

Callum Beach, David MacLean, Dominika Majorova, Stavros Melemenidis, Dhanya K Nambiar, Ryan K Kim, Gabriel N Valbuena, Silvia Guglietta, Carsten Krieg, Mahnaz Darvish-Damavandi and 24 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Complement system in cancer: friend or foe of immunotherapy.Journal for immunotherapy of cancer · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. The complement system in intestinal inflammation and cancer.The Journal of clinical investigation · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 8 institutions in 4 countries.

Callum BeachDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
David MacLeanDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Dominika MajorovaDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Stavros MelemenidisDepartment of Radiation Oncology, Stanford University, Stanford, California, USA.
Dhanya K NambiarDepartment of Radiation Oncology, Stanford University, Stanford, California, USA.
Ryan K KimDepartment of Radiation Oncology, Stanford University, Stanford, California, USA.
Gabriel N ValbuenaWellcome Centre for Human Genetics, University of Oxford, Oxford, United Kingdom.
Silvia GugliettaDepartment of Regenerative Medicine and Cell Biology.
Carsten KriegHollings Cancer Center, and.
Mahnaz Darvish-DamavandiNuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Tatsuya SuwaDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Alistair EastonDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Lily Vs HillsonSchool of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Ashley K McCullochSchool of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Ross K McMahonSchool of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Kathryn PennelSchool of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Joanne EdwardsSchool of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Sean M O'CathailSchool of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Campbell S RoxburghSchool of Cancer Sciences, University of Glasgow, Glasgow, United Kingdom.
Enric DomingoDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Eui Jung MoonDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Dadi JiangThe University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Yanyan JiangDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Qingyang ZhangDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Albert C KoongThe University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Trent M WoodruffSchool of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Edward E GravesDepartment of Radiation Oncology, Stanford University, Stanford, California, USA.
Tim MaughanDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Simon Ja BuczackiNuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Manuel StuckiDepartment of Gynecology, University of Zurich, Schlieren, Switzerland.
Quynh-Thu LeDepartment of Radiation Oncology, Stanford University, Stanford, California, USA.
Simon J LeedhamWellcome Centre for Human Genetics, University of Oxford, Oxford, United Kingdom.
Amato J GiacciaDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
Monica M OlcinaDepartment of Oncology, University of Oxford, Oxford, United Kingdom.
University of Oxford · GBUniversity of Glasgow · GBStanford University · USCentre for Human Genetics · GBMedical University of South Carolina · USThe University of Texas MD Anderson Cancer Center · USUniversity of Zurich · CHThe University of Queensland · AU

Funding

TUMOR HYPOXIA--MOLECULAR STUDIES &CLINICAL EXPLOITATIONP01CA067166 · NCI · STANFORD UNIVERSITY · PI LE, QUYNH-THU XUAN · 1996 to 2017
$25.5M
Translational Biology CoreP01CA257907 · NCI · STANFORD UNIVERSITY · PI Maximilian Diehn, Quynh-Thu Xuan Le · 2022 to 2026
$12.0M
The Impact of Mitochondrial Repression and Lipid Accumulation by HIF on Tumor GrowthR35CA197713 · NCI · STANFORD UNIVERSITY · PI GIACCIA, AMATO J. · 2015 to 2021
$5.3M
The role of Galectin-1 in shaping the immune suppressive landscape in head and neck cancerR01DE029672 · NIDCR · STANFORD UNIVERSITY · PI LE, QUYNH-THU XUAN · 2021 to 2025
$2.9M
Role of the complement C3a receptor on immune and non immune intestinal barrier functions and microbiota in colorectal cancer developmentR01CA258882 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GUGLIETTA, SILVIA · 2022 to 2025
$1.8M
Cancer Research UK 28803Medical Research Council MC_PC_21042NCI NIH HHS P01 CA067166NCI NIH HHS P01 CA257907NCI NIH HHS R01 CA258882NCI NIH HHS R35 CA197713NIDCR NIH HHS R01 DE029672Wellcome Trust 206314/Z/17/Z
6 · The paper itself

Abstract

An immunosuppressive microenvironment causes poor tumor T cell infiltration and is associated with reduced patient overall survival in colorectal cancer. How to improve treatment responses in these tumors is still a challenge. Using an integrated screening approach to identify cancer-specific vulnerabilities, we identified complement receptor C5aR1 as a druggable target, which when inhibited improved radiotherapy, even in tumors displaying immunosuppressive features and poor CD8+ T cell infiltration. While C5aR1 is well-known for its role in the immune compartment, we found that C5aR1 is also robustly expressed on malignant epithelial cells, highlighting potential tumor cell-specific functions. C5aR1 targeting resulted in increased NF-κB-dependent apoptosis specifically in tumors and not normal tissues, indicating that, in malignant cells, C5aR1 primarily regulated cell fate. Collectively, these data revealed that increased complement gene expression is part of the stress response mounted by irradiated tumors and that targeting C5aR1 could improve radiotherapy, even in tumors displaying immunosuppressive features.

Indexed as

Complement C5aReceptors, ComplementHumansReceptor, Anaphylatoxin C5aC5AR1 protein, humanComplement C5aReceptor, Anaphylatoxin C5aReceptors, ComplementCancerCell BiologyComplementOncologyRadiation therapy

Identifiers

PMID37824211
PMCPMC10688992
OpenAlexW4387579870

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.