Evidence map›Paper›PMID 38241033›Full record

ArticleCancer discovery2024

EGFR-driven lung adenocarcinomas coopt alveolar macrophage metabolism and function to support EGFR signaling and growth.

Alexandra Kuhlmann-Hogan, Thekla Cordes, Ziyan Xu, Ramya S Kuna, Kacie A Traina, Camila Robles-Oteiza, Deborah Ayeni, Elizabeth M Kwong, Stellar Levy, Anna-Maria Globig and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancer discovery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 29 citations in OpenAlex.

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  19. Applications of Limonene in Neoplasms and Non-Neoplastic Diseases.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 2 countries.

Alexandra Kuhlmann-HoganSalk Institute for Biological Studies, La Jolla, CA, United States.ORCID 0009-0003-0208-8907
Thekla CordesTechnische Universität Braunschweig, Braunschweig, Germany.ORCID 0000-0002-8097-191X
Ziyan XuSalk Institute for Biological Studies.ORCID 0000-0003-1270-135X
Ramya S KunaSalk Institute for Biological Studies, La Jolla, Ca, United States.ORCID 0000-0002-8104-4720
Kacie A TrainaVanderbilt University, Nashville, TN, United States.ORCID 0000-0002-7799-3253
Camila Robles-OteizaYale School of Medicine, New Haven, United States.ORCID 0000-0001-7157-9572
Deborah AyeniYale School of Medicine, New Haven, United States.ORCID 0000-0002-1350-9303
Elizabeth M KwongUniversity of California San Diego Medical Center, La Jolla, CA, United States.ORCID 0000-0002-8002-7611
Stellar LevyYale School of Medicine, New Haven, CT, United States.ORCID 0009-0006-0731-4274
Anna-Maria GlobigSalk Institute for Biological Studies, La Jolla, CA, United States.ORCID 0000-0002-5236-7459
Matthew M NobariLoyola University Chicago, Maywood, IL, United States.ORCID 0000-0002-6743-7683
George Z ChengUniversity of California San Diego Medical Center, La Jolla, CA, United States.ORCID 0000-0001-6859-8705
Sandra L LeibelUniversity of California - San Diego School of Medicine, La Jolla, CA, United States.ORCID 0000-0001-6867-2477
Robert J HomerYale School of Medicine, New Haven, United States.ORCID 0000-0002-2055-5885
Reuben J ShawSalk Institute for Biological Studies, La Jolla, CA, United States.ORCID 0000-0002-1555-8977
Christian M MetalloSalk Institute for Biological Studies, La Jolla, CA, United States.ORCID 0000-0003-2404-3040
Katerina PolitiYale School of Medicine, New Haven, CT, United States.ORCID 0000-0001-6064-4527
Susan M KaechSalk Institute for Biological Studies, La Jolla, CA, United States.ORCID 0000-0003-1674-1420
Salk Institute for Biological Studies · USYale Cancer Center · USUniversity of California San Diego · USUniversity of California System · USYale University · US

Funding

Viral Vector Core (VVC)P30CA014195 · NCI · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI Ye Zheng · 1985 to 2026
$82.8M
INTERDISCIPLINARY IMMUNOLOGY TRAINING PROGRAMT32AI007019 · NIAID · YALE UNIVERSITY · PI Carrie L. Lucas, David G. Schatz · 1985 to 2026
$14.4M
Decoding And Targeting The LKB1-AMPK Signaling Pathway In CancerR35CA220538 · NCI · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI Reuben Shaw · 2017 to 2026
$11.3M
(PQ5) Mitochondrial Heterogeneity in Melanoma Tumor and Immune ResponsesR01CA216101 · NCI · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI GERALD SHADEL · 2018 to 2026
$5.0M
Understanding and Overcoming Resistance to Cancer Immunotherapy Due to Defective Antigen PresentationR01CA230275 · NCI · YALE UNIVERSITY · PI KAECH, SUSAN M, POLITI, KATERINA ABIGAIL · 2019 to 2023
$3.7M
Yale Cancer Biology Training GrantT32CA193200 · NCI · YALE UNIVERSITY · PI PETER M GLAZER, Qin Yan · 2016 to 2026
$3.6M
Non-essential amino acids and sphingolipid diversity in cancer progressionR01CA234245 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI METALLO, CHRISTIAN MICHAEL · 2019 to 2023
$1.9M
Targeting the Immune System in Mouse Models of Lung AdenocarcinomaR01CA195720 · NCI · YALE UNIVERSITY · PI KAECH, SUSAN M, POLITI, KATERINA ABIGAIL · 2015 to 2017
$1.8M
A Hybrid Quadrupole-Orbitrap LC/MSS10OD021815 · OD · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI SAGHATELIAN, ALAN · 2016 to 2016
$580k
BD FACSAria Fusion for Flow Cytometry Core FacilityS10OD023689 · OD · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI ZHENG, YE · 2018 to 2018
$530k
NCI NIH HHS P30 CA014195NCI NIH HHS R01 CA195720NCI NIH HHS R01 CA216101NCI NIH HHS R01 CA230275NCI NIH HHS R01 CA234245NCI NIH HHS R35 CA220538NCI NIH HHS T32 CA193200NIAID NIH HHS T32 AI007019NIH HHS S10 OD021815NIH HHS S10 OD023689
6 · The paper itself

Abstract

The limited efficacy of currently approved immunotherapies in EGFR-driven lung adenocarcinoma (LUAD) underscores the need to better understand alternative mechanisms governing local immunosuppression to fuel novel therapies. Elevated surfactant and GM-CSF secretion from the transformed epithelium induces tumor-associated alveolar macrophage (TA-AM) proliferation, which supports tumor growth by rewiring inflammatory functions and lipid metabolism. TA-AM properties are driven by increased GM-CSF-PPARγ signaling and inhibition of airway GM-CSF or PPARγ in TA-AMs suppresses cholesterol efflux to tumor cells, which impairs EGFR phosphorylation and restrains LUAD progression. In the absence of TA-AM metabolic support, LUAD cells compensate by increasing cholesterol synthesis, and blocking PPARγ in TA-AMs simultaneous with statin therapy further suppresses tumor progression and increases proinflammatory immune responses. These results reveal new therapeutic combinations for immunotherapy-resistant EGFR-mutant LUADs and demonstrate how cancer cells can metabolically co-opt TA-AMs through GM-CSF-PPARγ signaling to provide nutrients that promote oncogenic signaling and growth. SIGNIFICANCE: Alternate strategies harnessing anticancer innate immunity are required for lung cancers with poor response rates to T cell-based immunotherapies. This study identifies a targetable, mutually supportive, metabolic relationship between macrophages and transformed epithelium, which is exploited by tumors to obtain metabolic and immunologic support to sustain proliferation and oncogenic signaling.

Identifiers

PMID38241033
PMCPMC11258210
OpenAlexW4391035237

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.