Evidence map›Paper›PMID 39107475›Full record

ArticleScientific reports2024

MDK promotes M2 macrophage polarization to remodel the tumour microenvironment in clear cell renal cell carcinoma.

Naipeng Shi, Saisai Chen, Dong Wang, Tiange Wu, Nieke Zhang, Ming Chen, Xuefei Ding

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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  20. Traumatic Brain Injury Induces Early Barrier Protective Responses in Incisional Skin Wounds Accelerating Cutaneous Wound Healing.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Article
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

7 authors.

Naipeng Shi *Department of Urology, Northern Jiangsu People's Hospital, Yangzhou, China.
Saisai Chen *Department of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, China.
Dong Wang *Department of Urology, Nantong Tongzhou Hospital of Traditional Chinese Medicine, Nantong, China.
Tiange WuDepartment of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, China.
Nieke ZhangDepartment of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, China.
Ming ChenDepartment of Urology, Affiliated Zhongda Hospital of Southeast University, Nanjing, China.
Xuefei DingDepartment of Urology, Northern Jiangsu People's Hospital, Yangzhou, China. xuefeid@126.com.

Funding

Jiangsu Commission of Health ZD2022010National Natural Science Foundation of China 823B2067
6 · The paper itself

Abstract

The efficacy of immunotherapy for clear cell renal cell carcinoma (ccRCC), especially advanced ccRCC, is limited, presenting a clinical challenge. This limitation is closely tied to the immune regulation network. Understanding the heterogeneity of the tumour microenvironment (TME) is crucial for developing advanced ccRCC therapies. Using publicly available ccRCC data (scRNA-seq, bulk RNA-seq, and somatic mutation data), a multiomics study was performed to explore TME heterogeneity. Three distinct ccRCC immune subtypes were identified through combined scRNA-seq and bulk RNA-seq analysis. A prognostic model based on unique cell signalling molecules in immunosuppressive tumour subtype was validated in the TCGA and CheckMate cohorts. MDK emerged as a critical regulatory gene in the immunosuppressive subtype, predicting a poor ccRCC prognosis and a poor immunotherapy response. MDK promotes M2 macrophage polarization via the MDK-LRP1 interaction, and the inhibition of MDK suppressed M2 polarization. This study revealed the heterogeneity of the ccRCC TME and a reliable prognostic model, shedding light on the vital role of MDK in the immunosuppressive TME and paving the way for optimized ccRCC immunotherapy.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsMacrophagesTumor MicroenvironmentCell Line, TumorGene Expression Regulation, NeoplasticHumansImmunotherapyMacrophage ActivationMidkinePrognosisMDK protein, humanMidkineccRCCImmunosuppressionM2 macrophageMDKTumour microenvironment

Identifiers

PMID39107475
PMCPMC11303797

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Registered trials

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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.