Evidence map›Paper›PMID 38711203›Full record

ArticleClinical and translational medicine2024

PI3K/mTOR inhibition induces tumour microenvironment remodelling and sensitises pS6

Wout De Wispelaere, Daniela Annibali, Sandra Tuyaerts, Julie Messiaen, Asier Antoranz, Gautam Shankar, Nikolina Dubroja, Alejandro Herreros-Pomares, Regina E M Baiden-Amissah, Marie-Pauline Orban and 17 more

Abstract read
In one paragraph

Article in Clinical and translational medicine, 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
–field-weighted citation impact
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.

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  6. Choosing the right animal model for sarcoma research.Cellular and molecular life sciences : CMLS · 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

27 authors.

Wout De WispelaereDepartment of Oncology, Laboratory of Gynecological Oncology, University of Leuven, Leuven, Belgium.
Daniela AnnibaliDepartment of Oncology, Laboratory of Gynecological Oncology, University of Leuven, Leuven, Belgium.ORCID 0000-0001-8413-7669
Sandra TuyaertsDepartment of Medical Oncology, Laboratory of Medical and Molecular Oncology (LMMO), Vrije Universiteit Brussel - UZ Brussel, Brussels, Belgium.
Julie MessiaenDepartment of Imaging and Pathology, Translational Cell and Tissue Research, University of Leuven, Leuven, Belgium.
Asier AntoranzDepartment of Imaging and Pathology, Translational Cell and Tissue Research, University of Leuven, Leuven, Belgium.
Gautam ShankarDepartment of Imaging and Pathology, Translational Cell and Tissue Research, University of Leuven, Leuven, Belgium.
Nikolina DubrojaDepartment of Imaging and Pathology, Translational Cell and Tissue Research, University of Leuven, Leuven, Belgium.
Alejandro Herreros-PomaresDepartment of Oncology, Laboratory of Gynecological Oncology, University of Leuven, Leuven, Belgium.
Regina E M Baiden-AmissahDepartment of Oncology, Laboratory of Gynecological Oncology, University of Leuven, Leuven, Belgium.
Marie-Pauline OrbanLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology (CCB), Flemish Institute of Biotechnology (VIB), Leuven, Belgium.
Marcello DelfiniLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology (CCB), Flemish Institute of Biotechnology (VIB), Leuven, Belgium.
Emanuele BerardiDepartment of Development and Regeneration, Laboratory of Tissue Engineering, University of Leuven, Kortrijk, Belgium.
Thomas Van BrusselDepartment of Human Genetics, Laboratory for Translational Genetics, University of Leuven, Leuven, Belgium.
Rogier SchepersDepartment of Human Genetics, Laboratory for Translational Genetics, University of Leuven, Leuven, Belgium.
Gino PhilipsDepartment of Human Genetics, Laboratory for Translational Genetics, University of Leuven, Leuven, Belgium.
Bram BoeckxDepartment of Human Genetics, Laboratory for Translational Genetics, University of Leuven, Leuven, Belgium.
Maria Francesca BaiettiTRACE, Department of Oncology, University of Leuven, Leuven, Belgium.
Luigi CongedoDepartment of Oncology, Laboratory of Gynecological Oncology, University of Leuven, Leuven, Belgium.
Kiave Yune HoWangYinTransCure bioServices, Archamps, France.
Emilie BayonTransCure bioServices, Archamps, France.
Anne-Sophie Van RompuyDepartment of Pathology, University Hospitals Leuven, Leuven, Belgium.
Eleonora LeucciTRACE, Department of Oncology, University of Leuven, Leuven, Belgium.
Sebastien P TabruynTransCure bioServices, Archamps, France.
Francesca BosisioDepartment of Imaging and Pathology, Translational Cell and Tissue Research, University of Leuven, Leuven, Belgium.
Massimiliano MazzoneLaboratory of Tumor Inflammation and Angiogenesis, Center for Cancer Biology (CCB), Flemish Institute of Biotechnology (VIB), Leuven, Belgium.
Diether LambrechtsDepartment of Human Genetics, Laboratory for Translational Genetics, University of Leuven, Leuven, Belgium.
Frédéric AmantDepartment of Oncology, Laboratory of Gynecological Oncology, University of Leuven, Leuven, Belgium.ORCID 0000-0002-5452-4905

Funding

Fonds Wetenschappelijk Onderzoek 1124423NHORIZON EUROPE Marie Sklodowska-Curie Actions #101064216Kom op tegen Kanker #11040Stichting Tegen Kanker #2016-054
6 · The paper itself

Abstract

backgroundUterine leiomyosarcomas (uLMS) are aggressive tumours with poor prognosis and limited treatment options. Although immune checkpoint blockade (ICB) has proven effective in some 'challenging-to-treat' cancers, clinical trials showed that uLMS do not respond to ICB. Emerging evidence suggests that aberrant PI3K/mTOR signalling can drive resistance to ICB. We therefore explored the relevance of the PI3K/mTOR pathway for ICB treatment in uLMS and explored pharmacological inhibition of this pathway to sensitise these tumours to ICB.

methodsWe performed an integrated multiomics analysis based on TCGA data to explore the correlation between PI3K/mTOR dysregulation and immune infiltration in 101 LMS. We assessed response to PI3K/mTOR inhibitors in immunodeficient and humanized uLMS patient-derived xenografts (PDXs) by evaluating tumour microenvironment modulation using multiplex immunofluorescence. We explored response to single-agent and a combination of PI3K/mTOR inhibitors with PD-1 blockade in humanized uLMS PDXs. We mapped intratumoural dynamics using single-cell RNA/TCR sequencing of serially collected biopsies.

resultsPI3K/mTOR over-activation (pS6

conclusionsOur findings indicate that aberrant PI3K/mTOR pathway activation contributes to immune escape in uLMS and provides a rationale for combining PI3K/mTOR inhibition with ICB for the treatment of this patient population.

Indexed as

LeiomyosarcomaTumor MicroenvironmentUterine NeoplasmsAnimalsFemaleHumansImmune Checkpoint InhibitorsMiceMTOR InhibitorsPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsTOR Serine-Threonine KinasesImmune Checkpoint InhibitorsMTOR InhibitorsMTOR protein, humanPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsTOR Serine-Threonine Kinasesanti‐PD‐1 therapyhumanized patient‐derived xenograft modelsimmune‐modulationPI3K/mTOR inhibitorsresistanceuterine leiomyosarcoma

Identifiers

PMID38711203
PMCPMC11074386

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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.