Evidence map›Paper›PMID 39136172›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2024

Dissecting the Distinct Tumor Microenvironments of HRD and HRP Ovarian Cancer: Implications for Targeted Therapies to Overcome PARPi Resistance in HRD Tumors and Refractoriness in HRP Tumors.

Junjun Qiu, Tingting Ren, Qinqin Liu, Qian Jiang, Tong Wu, Leong Chi Cheng, Wenqing Yan, Xinyu Qu, Xiao Han, Keqin Hua

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Junjun QiuDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Tingting RenDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Qinqin LiuDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Qian JiangDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Tong WuDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Leong Chi ChengDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Wenqing YanDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Xinyu QuDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.
Xiao HanKangxiang Bio-tech.Ltd., 2168 Chenhang Road, ShangHai, 201114, China.
Keqin HuaDepartment of Gynecology Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011, China.ORCID 0000-0001-5359-8841

Funding

Key Technologies Research and Development Program 2021YFC2701400Medical Innovation Research of Shanghai Science and Technology 21Y11906900National Natural Science Foundation of China 81971361National Natural Science Foundation of China 82173188Science and Technology Innovation Plan Of Shanghai Science and Technology Commission 22Y31900500Shanghai Education Commission's Research and Innovation Plan 2019-01-07-00-07-E00050Shanghai Municipal Hospital Development Center andSHDC22021307Shanghai Municipal Hospital Development Center HDC2020CR4087Shanghai Municipal Hospital Development Center SHDC2020CR1045BShanghai Municipal Hospital Development Center SHDC2020CR6009
6 · The paper itself

Abstract

High-grade serous tubo-ovarian cancer (HGSTOC) is an aggressive gynecological malignancy including homologous recombination deficient (HRD) and homologous recombination proficient (HRP) groups. Despite the therapeutic potential of poly (ADP-ribose) polymerase inhibitors (PARPis) and anti-PDCD1 antibodies, acquired resistance in HRD and suboptimal response in HRP patients necessitate more precise treatment. Herein, single-cell RNA and single-cell T-cell receptor sequencing on 5 HRD and 3 HRP tumors are performed to decipher the heterogeneous tumor immune microenvironment (TIME), along with multiplex immunohistochemistry staining and animal experiments for validation. HRD tumors are enriched with immunogenic epithelial cells, FGFR1+PDGFRβ+ myCAFs, M1 macrophages, tumor reactive CD8+/CD4+ Tregs, whereas HRP tumors are enriched with HDAC1-expressing epithelial cells, indolent CAFs, M2 macrophages, and bystander CD4+/CD8+ T cells. Significantly, customized therapies are proposed. For HRD patients, targeting FGFR1+PDGFRβ+ myCAFs via tyrosine kinase inhibitors, targeting Tregs via anti-CCR8 antibodies/TNFRSF4 stimulation, and targeting CXCL13+ exhausted T cells by blocking PDCD1/CTLA-4/LAG-3/TIGIT are proposed. For HRP patients, targeting indolent CAFs, targeting M2 macrophages via CSF-1/CSF-1R inhibitors, targeting bystander T cells via tumor vaccines, and targeting epithelial cells via HDAC inhibitors. The study provides comprehensive insights into HRD and HRP TIME and tailored therapeutic approaches, addressing the challenges of PARPi-resistant HRD and refractory HRP tumors.

Indexed as

Ovarian NeoplasmsPoly(ADP-ribose) Polymerase InhibitorsTumor MicroenvironmentAnimalsDisease Models, AnimalDrug Resistance, NeoplasmFemaleHumansMicePoly(ADP-ribose) Polymerase Inhibitorshigh grade tubo‐ovarian cancerHRDHRPprecise treatment strategiessingle‐cell RNA sequencingsingle‐cell T cell receptor sequencingtumor immune microenvironment

Identifiers

PMID39136172
PMCPMC11481286

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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.