Evidence map›Paper›PMID 39378431›Full record

ArticleCancer immunology research2025

Complement Factor H Is an ICOS Ligand Modulating Tregs in the Glioma Microenvironment.

Karolina I Smolag, Jakub Olszowka, Rebecca Rosberg, Elinn Johansson, Elisabet Marinko, Karin Leandersson, David J O'Connell, Valeria Governa, Emre Can Tuysuz, Mattias Belting and 3 more

Abstract read
In one paragraph

Article in Cancer immunology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Systemic and local dysregulation of the complement system in glioma: a comprehensive systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. Review
  3. Review
  4. Complement system in cancer: friend or foe of immunotherapy.Journal for immunotherapy of cancer · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
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

13 authors.

Karolina I SmolagSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID 0000-0001-6940-7130
Jakub OlszowkaSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID 0009-0006-1497-2275
Rebecca RosbergDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University, Lund, Sweden.ORCID 0000-0003-2512-1207
Elinn JohanssonDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University, Lund, Sweden.ORCID 0009-0000-0673-8127
Elisabet MarinkoSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID 0009-0002-8484-785X
Karin LeanderssonCancer Immunology, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID 0000-0001-8254-3137
David J O'ConnellSchool of Biomolecular and Biomedical Science, Conway Institute, University College Dublin, Dublin, Ireland.ORCID 0000-0002-6461-7750
Valeria GovernaDivision of Oncology, Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID 0000-0001-9999-0590
Emre Can TuysuzSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID 0000-0002-2264-0303
Mattias BeltingDivision of Oncology, Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID 0000-0003-1585-5434
Alexander PietrasDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University, Lund, Sweden.ORCID 0000-0002-5783-9347
Myriam MartinSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID 0000-0003-1526-8678
Anna M BlomSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.ORCID 0000-0002-1348-1734

Funding

Cancerfonden (Swedish Cancer Society)governmental grant for clinical research (ALF)Malmö Cancer FoundationSkåne University HospitalStiftelsen Konung Gustaf V:s 80-årsfond (King Gustaf V's 80-year Fund)Vetenskapsrådet (VR) 2022-00532
6 · The paper itself

Abstract

The survival rate of patients with glioma has not significantly increased in recent years despite aggressive treatment and advances in immunotherapy. The limited response to treatments is partially attributed to the immunosuppressive tumor microenvironment, in which regulatory T cells (Treg) play a pivotal role in immunologic tolerance. In this study, we investigated the impact of complement factor H (FH) on Tregs within the glioma microenvironment and found that FH is an ICOS ligand. The binding of FH to this immune checkpoint molecule promoted the survival and function of Tregs and induced the secretion of TGFβ and IL10 while suppressing T-cell proliferation. We further demonstrated that cancer cells in human and mouse gliomas directly produce FH. Database investigations revealed that upregulation of FH expression was associated with the presence of Tregs and correlated with worse prognosis for patients with glioma. We confirmed the effect of FH on glioma development in a mouse model, in which FH knockdown was associated with a decrease in the number of ICOS+ Tregs and demonstrated a tendency of prolonged survival (P = 0.064). Because the accumulation of Tregs represents a promising prognostic and therapeutic target, evaluating FH expression should be considered when assessing the effectiveness of and resistance to immunotherapies against glioma.

Indexed as

Complement Factor HGliomaInducible T-Cell Co-Stimulator ProteinT-Lymphocytes, RegulatoryTumor MicroenvironmentAnimalsBrain NeoplasmsCell Line, TumorDisease Models, AnimalHumansInducible T-Cell Co-Stimulator LigandLigandsMiceMice, Inbred C57BLPrognosisComplement Factor HICOS protein, humanInducible T-Cell Co-Stimulator LigandInducible T-Cell Co-Stimulator ProteinLigands

Identifiers

PMID39378431
PMCPMC11712038

What OpenQuestion holds

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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.