Evidence map›Paper›PMID 40273234›Full record

ArticleScience (New York, N.Y.)2025

Tumor-derived erythropoietin acts as an immunosuppressive switch in cancer immunity.

David Kung-Chun Chiu, Xiangyue Zhang, Bowie Yik-Ling Cheng, Qiang Liu, Kazukuni Hayashi, Bo Yu, Ryan Lee, Catherine Zhang, Xiuli An, Jayakumar Rajadas and 3 more

Abstract read
In one paragraph

Article in Science (New York, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

37 citing papers in PubMed.

  1. Review
  2. Review
  3. Neutrophils in cancer.Nature reviews. Cancer · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Molecular and therapeutic frontiers in anemia therapy.The Journal of clinical investigation · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Longitudinal trajectories of nutritional markers in patients with de novo Stage IV gastric cancer: a descriptive analysis using one-year survival as a reference.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. EPO Receptor Blockade in Dendritic Cells Enhances Antitumor CD8Cancer communications (London, England) · 2026
    Article
  20. 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

13 authors.

David Kung-Chun ChiuDepartment of Pathology, Stanford University, Stanford, CA, USA.ORCID 0000-0002-9700-4707
Xiangyue ZhangDepartment of Pathology, Stanford University, Stanford, CA, USA.
Bowie Yik-Ling ChengStanford Institute for Immunity, Transplantation and Infection, Stanford University, Stanford, CA, USA.ORCID 0000-0003-0794-6133
Qiang LiuAdvanced Drug Delivery and Regenerative Biomaterials Laboratory, Cardiovascular Institute, Department of Medicine, Stanford University, Stanford, CA, USA.
Kazukuni HayashiDepartment of Pathology, Stanford University, Stanford, CA, USA.ORCID 0000-0003-0325-3719
Bo YuImmunEdge Inc., Mountain View, CA, USA.ORCID 0009-0002-4106-5380
Ryan LeeDepartment of Pathology, Stanford University, Stanford, CA, USA.ORCID 0000-0002-3448-0730
Catherine ZhangDepartment of Pathology, Stanford University, Stanford, CA, USA.ORCID 0009-0001-1256-3834
Xiuli AnLaboratory of Membrane Biology, New York Blood Center, New York, NY, USA.
Jayakumar RajadasAdvanced Drug Delivery and Regenerative Biomaterials Laboratory, Cardiovascular Institute, Department of Medicine, Stanford University, Stanford, CA, USA.
Nathan E Reticker-FlynnDepartment of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, CA, USA.ORCID 0000-0002-9963-039X
Erinn B RankinDepartment of Radiation Oncology, Stanford University, Stanford, CA, USA.
Edgar G EnglemanDepartment of Pathology, Stanford University, Stanford, CA, USA.ORCID 0000-0002-2096-9279

Funding

Sickle cell bone marrow niche and regulation of platelet activation and erythropoiesisP01HL149626 · NHLBI · NEW YORK BLOOD CENTER · PI Karina Yazdanbakhsh · 2020 to 2026
$24.4M
Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
Project 3: Impact of tumor genetics on PDAC immunobiology and responses to macrophage-targeted immunotherapyP01CA244114 · NCI · STANFORD UNIVERSITY · PI KIM, SEUNG K · 2021 to 2025
$10.0M
Systems Biology of Tumor-Immune-Stromal Interactions in Metastatic ProgressionU54CA274511 · NCI · STANFORD UNIVERSITY · PI JOSEPH B SHRAGER · 2023 to 2026
$9.5M
Targeting Lymph Node Dependent Immune Tolerance in CancerR01CA251174 · NCI · STANFORD UNIVERSITY · PI EDGAR G. ENGLEMAN · 2021 to 2026
$3.2M
Innate Immune Mechanisms Contributing to Cancer Growth in ObesityR01CA262361 · NCI · STANFORD UNIVERSITY · PI ENGLEMAN, EDGAR G. · 2021 to 2025
$2.9M
NCI NIH HHS P01 CA244114NCI NIH HHS R01 CA251174NCI NIH HHS R01 CA262361NCI NIH HHS U54 CA274511NHLBI NIH HHS P01 HL149626NIDDK NIH HHS P30 DK116074
6 · The paper itself

Abstract

Successful cancer immunotherapy requires a patient to mount an effective immune response against tumors; however, many cancers evade the body's immune system. To investigate the basis for treatment failure, we examined spontaneous mouse models of hepatocellular carcinoma (HCC) with either an inflamed T cell-rich or a noninflamed T cell-deprived tumor microenvironment (TME). Our studies reveal that erythropoietin (EPO) secreted by tumor cells determines tumor immunotype. Tumor-derived EPO autonomously generates a noninflamed TME by interacting with its cognate receptor EPOR on tumor-associated macrophages (TAMs). EPO signaling prompts TAMs to become immunoregulatory through NRF2-mediated heme depletion. Removing either tumor-derived EPO or EPOR on TAMs leads to an inflamed TME and tumor regression independent of genotype, owing to augmented antitumor T cell immunity. Thus, the EPO/EPOR axis functions as an immunosuppressive switch for antitumor immunity.

Indexed as

Carcinoma, HepatocellularErythropoietinLiver NeoplasmsReceptors, ErythropoietinTumor-Associated MacrophagesTumor EscapeTumor MicroenvironmentAnimalsCell Line, TumorHemeHumansImmune ToleranceMiceMice, Inbred C57BLNF-E2-Related Factor 2Signal TransductionEPO protein, humanErythropoietinHemeNfe2l2 protein, mouseNF-E2-Related Factor 2Receptors, Erythropoietin

Identifiers

PMID40273234
PMCPMC12110762

What OpenQuestion holds

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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.