Evidence map›Paper›PMID 40327600›Full record

ArticleCancer research2025

The Integrated Stress Response Pathway Coordinates Translational Control of Multiple Immune Checkpoints in Lung Cancer.

Shayna Thomas-Jardin, Shruthy Suresh, Ariana Arce, Nicole Novaresi, Qing Deng, Emily Stein, Lisa Thomas, Cheryl Lewis, Chul Ahn, Bret M Evers and 8 more

Abstract read
In one paragraph

Article in Cancer 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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Shayna Thomas-JardinDepartment of Molecular Biology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-2412-7562
Shruthy SureshDepartment of Molecular Biology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-2985-8284
Ariana ArceDepartment of Molecular Biology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0009-0006-8602-686X
Nicole NovaresiDepartment of Molecular Biology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-7890-4382
Qing DengDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-9835-6889
Emily SteinDepartment of Molecular Biology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0009-0008-0698-4414
Lisa ThomasDepartment of Molecular Biology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0009-0006-1450-173X
Cheryl LewisHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-2685-6475
Chul AhnHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-2997-9203
Bret M EversDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-5686-0315
Esra A AkbayDepartment of Pathology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-4149-2529
Maria E SalvatierraDepartment of Translational Molecular Pathology, UT MD Anderson Cancer Center, Houston, Texas.ORCID 0009-0002-4020-385X
Wei LuDepartment of Translational Molecular Pathology, UT MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-4159-3861
Khaja KhanDepartment of Translational Molecular Pathology, UT MD Anderson Cancer Center, Houston, Texas.ORCID 0009-0000-8157-3174
Luisa M Solis SotoDepartment of Translational Molecular Pathology, UT MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-1253-630X
Ignacio I WistubaDepartment of Translational Molecular Pathology, UT MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-3365-6340
John D MinnaHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-7776-0767
Kathryn A O'DonnellDepartment of Molecular Biology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0003-2215-1064

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HEYMACH, JOHN V., MINNA, JOHN D. · 1996 to 2024
$57.4M
UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MELANIE H. COBB · 2010 to 2026
$53.7M
The role of PCDH7 in lung cancer pathogenesisR01CA207763 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI O'DONNELL, KATHRYN ANN · 2017 to 2021
$2.0M
The role of translation initiation factor eIF5B in lung cancer pathogenesisR01CA273585 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Kathryn Ann O'Donnell · 2023 to 2026
$1.9M
Immune Checkpoint Regulation by the Integrated Stress Response Pathway in Lung CaF32CA274982 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI THOMAS-JARDIN, SHAYNA · 2023 to 2025
$226k
High-performance slide scanner for multichannel fluorescence, brightfield and polarizationS10OD032267 · OD · UT SOUTHWESTERN MEDICAL CENTER · PI RAMIREZ, DENISE MARIE · 2022 to 2022
$208k
Cancer Prevention and Research Institute of Texas (CPRIT) RP200327Cancer Prevention and Research Institute of Texas (CPRIT) RP250391Melanoma Research Foundation (MRF) IHP24002National Cancer Institute (NCI) F32CA274982National Cancer Institute (NCI) P30CA142543National Cancer Institute (NCI) P50CA70907National Cancer Institute (NCI) R01CA207763National Cancer Institute (NCI) R01CA273585NCI NIH HHS F32 CA274982NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA070907NCI NIH HHS R01 CA207763NCI NIH HHS R01 CA273585NIH HHS S10 OD032267U.S. Department of Defense (DOD) LC190249V Foundation for Cancer Research (VFCR) T2021-011Welch Foundation (The Welch Foundation) I-1881
6 · The paper itself

Abstract

The integrated stress response (ISR) is an adaptive pathway hijacked by cancer cells to survive cellular stresses in the tumor microenvironment. ISR activation potently induces PD-L1, leading to suppression of antitumor immunity. In this study, we sought to uncover additional immune checkpoint proteins regulated by the ISR to elucidate mechanisms of tumor immune escape. The ISR coordinately induced cluster of differentiation 155 (CD155) and PD-L1, enhancing translation of both immune checkpoint proteins through bypass of inhibitory upstream open reading frames in their 5' untranslated regions. Analysis of primary human lung tumors identified a significant correlation between expression of PD-L1 and CD155. ISR activation accelerated tumorigenesis and inhibited T-cell function, which could be overcome by combining PD-1 and TIGIT blockade with the ISR inhibitor ISRIB. This study uncovers a mechanism by which two immune checkpoint proteins are coordinately regulated and suggests a therapeutic strategy for patients with lung cancer. SIGNIFICANCE: The integrated stress response represents a targetable axis to improve the efficacy of immunotherapy in lung cancer by inhibiting the coordinated translational regulation of the PD-L1/PD-1 and CD155/TIGIT immune checkpoint pathways.

Indexed as

B7-H1 AntigenImmune Checkpoint ProteinsLung NeoplasmsStress, PhysiologicalAnimalsCell Line, TumorGene Expression Regulation, NeoplasticHumansMiceProgrammed Cell Death 1 ReceptorProtein BiosynthesisTumor EscapeTumor MicroenvironmentB7-H1 AntigenCD274 protein, humanImmune Checkpoint ProteinsProgrammed Cell Death 1 Receptor

Identifiers

PMID40327600
PMCPMC12260515

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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.