Evidence map›Paper›PMID 38382467›Full record

ArticleCell reports. Medicine2024

Disruption of MerTK increases the efficacy of checkpoint inhibitor by enhancing ferroptosis and immune response in hepatocellular carcinoma.

Shun Wang, Le Zhu, Tianen Li, Xinxin Lin, Yan Zheng, Da Xu, Yu Guo, Ze Zhang, Yan Fu, Hao Wang and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
24.3field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 58 citations in OpenAlex.

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  18. Genetic variants ofFrontiers in immunology · 2026
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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

18 authors at 3 institutions in 1 country.

Shun WangKey Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer, Shanghai Municipal Health Commission (SMHC), Minhang Hospital, Fudan University, Shanghai, China; Department of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Le ZhuKey Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer, Shanghai Municipal Health Commission (SMHC), Minhang Hospital, Fudan University, Shanghai, China; Department of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Tianen LiDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Xinxin LinKey Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer, Shanghai Municipal Health Commission (SMHC), Minhang Hospital, Fudan University, Shanghai, China.
Yan ZhengDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Da XuDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Yu GuoKey Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer, Shanghai Municipal Health Commission (SMHC), Minhang Hospital, Fudan University, Shanghai, China; Department of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Ze ZhangDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Yan FuDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Hao WangDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Xufeng WangDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Tiantian ZouDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Xiaotian ShenDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China.
Lumin ZhangKey Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer, Shanghai Municipal Health Commission (SMHC), Minhang Hospital, Fudan University, Shanghai, China.
Nannan LaiKey Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer, Shanghai Municipal Health Commission (SMHC), Minhang Hospital, Fudan University, Shanghai, China.
Lu LuDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China. Electronic address: lulu@huashan.org.cn.
Lunxiu QinDepartment of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China. Electronic address: qinlx@fudan.edu.cn.
Qiongzhu DongKey Laboratory of Whole-Period Monitoring and Precise Intervention of Digestive Cancer, Shanghai Municipal Health Commission (SMHC), Minhang Hospital, Fudan University, Shanghai, China; Department of General Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China. Electronic address: qzhdong@fudan.edu.cn.
Fudan University · CNFudan University Shanghai Cancer Center · CNHuashan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors, particularly PD-1/PD-L1 blockades, have been approved for unresectable hepatocellular carcinoma (HCC). However, high resistance rates still limit their efficacy, highlighting the urgent need to understand the underlying mechanisms and develop strategies for overcoming the resistance. In this study, we demonstrate that HCC with high MER proto-oncogene tyrosine kinase (MerTK) expression exhibits anti-PD-1/PD-L1 resistance in two syngeneic mouse models and in patients who received anti-PD-1/PD-L1 therapy. Mechanistically, MerTK renders HCC resistant to anti-PD-1/PD-L1 by limiting ferroptosis with the upregulation of SLC7A11 via the ERK/SP1 pathway and facilitating the development of an immunosuppressive tumor microenvironment (TME) with the recruitment of myeloid-derived suppressor cells (MDSCs). Sitravatinib, an inhibitor of MerTK, sensitizes resistant HCC to anti-PD-L1 therapy by promoting tumor ferroptosis and decreasing MDSC infiltration into the TME. In conclusion, we find that MerTK could serve as a predictive biomarker for patient stratification and as a promising target to overcome anti-PD-1/PD-L1 resistance in HCC.

Indexed as

Carcinoma, HepatocellularFerroptosisLiver NeoplasmsAnimalsB7-H1 Antigenc-Mer Tyrosine KinaseHumansImmunityMiceTumor MicroenvironmentB7-H1 Antigenc-Mer Tyrosine KinaseMERTK protein, humanMertk protein, mouse

Identifiers

PMID38382467
PMCPMC10897610
OpenAlexW4391963078

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.