Evidence map›Paper›PMID 38212297›Full record

ArticleCell death & disease2024

Antitumour effect of the mitochondrial complex III inhibitor Atovaquone in combination with anti-PD-L1 therapy in mouse cancer models.

Gonzalo Rodriguez-Berriguete, Rathi Puliyadi, Nicole Machado, Alessandro Barberis, Remko Prevo, Martin McLaughlin, Francesca M Buffa, Kevin J Harrington, Geoff S Higgins

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Emerging Nanoplatforms are Effective Against Tumor Hypoxia.International journal of nanomedicine · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. The Interplay between Autophagy and Mitochondria in Cancer.International journal of molecular sciences · 2024
    Review
  16. Article
  17. Review
  18. Review
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

9 authors at 2 institutions in 2 countries.

Gonzalo Rodriguez-BerrigueteDepartment of Oncology, University of Oxford, Oxford, UK. gonzalo.rodriguez@oncology.ox.ac.uk.ORCID 0000-0003-1613-0291
Rathi PuliyadiDepartment of Oncology, University of Oxford, Oxford, UK.
Nicole MachadoDepartment of Oncology, University of Oxford, Oxford, UK.
Alessandro BarberisNuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
Remko PrevoDepartment of Oncology, University of Oxford, Oxford, UK.
Martin McLaughlinInstitute of Cancer Research, London, UK.
Francesca M BuffaDepartment of Oncology, University of Oxford, Oxford, UK.ORCID 0000-0003-0409-406X
Kevin J HarringtonInstitute of Cancer Research, London, UK.ORCID 0000-0002-6014-348X
Geoff S HigginsDepartment of Oncology, University of Oxford, Oxford, UK. geoffrey.higgins@oncology.ox.ac.uk.
University of Oxford · GBInstitute of Cancer Research · GB

Funding

Cancer Research UK 23969Cancer Research UK 27515Cancer Research UK 28724Cancer Research UK 28736
6 · The paper itself

Abstract

Immune checkpoint blockade (ICB) provides effective and durable responses for several tumour types by unleashing an immune response directed against cancer cells. However, a substantial number of patients treated with ICB develop relapse or do not respond, which has been partly attributed to the immune-suppressive effect of tumour hypoxia. We have previously demonstrated that the mitochondrial complex III inhibitor atovaquone alleviates tumour hypoxia both in human xenografts and in cancer patients by decreasing oxygen consumption and consequently increasing oxygen availability in the tumour. Here, we show that atovaquone alleviates hypoxia and synergises with the ICB antibody anti-PD-L1, significantly improving the rates of tumour eradication in the syngeneic CT26 model of colorectal cancer. The synergistic effect between atovaquone and anti-PD-L1 relied on CD8+ T cells, resulted in the establishment of a tumour-specific memory immune response, and was not associated with any toxicity. We also tested atovaquone in combination with anti-PD-L1 in the LLC (lung) and MC38 (colorectal) cancer syngeneic models but, despite causing a considerable reduction in tumour hypoxia, atovaquone did not add any therapeutic benefit to ICB in these models. These results suggest that atovaquone has the potential to improve the outcomes of patients treated with ICB, but predictive biomarkers are required to identify individuals likely to benefit from this intervention.

Indexed as

Electron Transport Complex IIINeoplasmsAnimalsAtovaquoneB7-H1 AntigenCD8-Positive T-LymphocytesHumansImmunotherapyMiceTumor MicroenvironmentAtovaquoneB7-H1 AntigenElectron Transport Complex III

Identifiers

PMID38212297
PMCPMC10784292
OpenAlexW4390755111

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.