Evidence map›Paper›PMID 40554927›Full record

ReviewTranslational oncology2025

Epigenetic modifiers to enhance the efficacy of immune checkpoint inhibitors for the treatment of melanoma.

Luigi Liguori, Angelo Luciano, Valentina Pagliara, Giovanna Polcaro, Rosario De Feo, Angela Viggiano, Fabio Salomone, Annarita Avanzo, Filippo Vitale, Simeone D'ambrosio and 4 more

Abstract readReview
In one paragraph

Review in Translational oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
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  5. Review
  6. 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

14 authors.

Luigi LiguoriDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi 84031, Italy. Electronic address: luliguori@unisa.it.
Angelo LucianoDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi 84031, Italy. Electronic address: angelo.luciano1990@gmail.com.
Valentina PagliaraDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi 84031, Italy. Electronic address: vpagliara@unisa.it.
Giovanna PolcaroDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi 84031, Italy. Electronic address: gpolcaro@unisa.it.
Rosario De FeoDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi 84031, Italy. Electronic address: r.defeo9@studenti.unisa.it.
Angela ViggianoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples 80131, Italy. Electronic address: ange.viggiano@gmail.com.
Fabio SalomoneDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples 80131, Italy. Electronic address: fabio.salomone@virgilio.it.
Annarita AvanzoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples 80131, Italy. Electronic address: annarita.avanzo@gmail.com.
Filippo VitaleDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples 80131, Italy. Electronic address: vitale_filippo@yahoo.it.
Simeone D'ambrosioDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples 80131, Italy. Electronic address: simeone.dambrosio@outlook.it.
Alberto ServettoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples 80131, Italy. Electronic address: alberto.servetto@unina.it.
Cristina R FerroneDepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles 90048, CA, USA. Electronic address: Cristina.ferrone@cshs.org.
Stefano PepeDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi 84031, Italy. Electronic address: spepe@unisa.it.
Francesco SabbatinoDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi 84031, Italy. Electronic address: fasabbatino@unisa.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitor (ICI)-based immunotherapy has significantly improved survival outcomes and radically changed the management of many different types of solid tumors, including melanoma. Almost half of advanced melanoma patients achieve a long-term clinical benefit from ICIs. Unfortunately, the other half of treated patients either rapidly progress or achieve a short-term clinical benefit due to the development of resistance. As a result, novel therapeutic strategies are urgently needed to overcome ICI resistance. Epigenetic alterations affecting the tumor neoantigen presentation system or modifying the tumor microenvironment can mitigate ICI resistance. Several studies have demonstrated that epigenetic alterations are potentially targetable by epigenetic modifiers, laying the foundation for the development of novel therapeutic strategies to overcome ICI resistance. In the present work, we summarize the major epigenetic alterations involved in the pathogenesis of melanoma and their role in ICI resistance. Preclinical evidence supporting the biological rationale for combining epigenetic modifiers with ICIs and an updated overview of the main clinical trials testing epigenetic modifiers for the treatment of melanoma patients will be presented.

Indexed as

DNMTEpigeneticHDACICIMelanomaPD-1PD-L1Resistance

Identifiers

PMID40554927
PMCPMC12240179

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.