Evidence map›Paper›PMID 41454189›Full record

ArticleProstate cancer and prostatic diseases2026

Spatial immune profiling of bone-metastatic castration-resistant prostate cancer reveals radium-223 immunomodulates the bone-tumor microenvironment.

Paul G Corn, Guoyu Yu, Yibo Fan, Miao Zhang, Patricia Troncoso, Devaki Shilpa Surasi, Suyu Liu, Jaffer A Ajani, Christopher J Logothetis, Guocan Wang and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Prostate cancer and prostatic diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02135484 (An Observation, Open Label Study of Alpharadin), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT02135484 nacompletednot on this map

An Observation, Open Label Study of Alpharadin (Radium 223) in Patients With Castrate Resistant Prostate Cancer Bone Metastases

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2014 to 2020Enrolled27ConditionsProstate CancerArmsAlpharadin
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

12 authors.

Paul G Corn *Departments of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Guoyu Yu *Departments of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Yibo FanDepartments of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Miao ZhangDepartments of Pathology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Patricia TroncosoDepartments of Pathology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Devaki Shilpa SurasiDepartments of Nuclear Medicine, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Suyu LiuDepartments of Biostatistics, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Jaffer A AjaniDepartments of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.
Christopher J LogothetisDepartments of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.ORCID http://orcid.org/0000-0002-6365-1711
Guocan WangDepartments of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA.ORCID http://orcid.org/0000-0002-8922-7249
Theocharis PanaretakisDepartments of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA. tpanaretakis@mdanderson.org.ORCID http://orcid.org/0000-0001-5754-6950
Sue-Hwa LinDepartments of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, 77030, Houston, TX, USA. slin@mdanderson.org.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
Targeting Tumor Microenvironment-Induced Therapy Resistance in Prostate Cancer Bone MetastasisP50CA140388 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI THOMPSON, TIMOTHY CHARLES · 2009 to 2022
$23.4M
Endothelial-to-osteoblast transition in prostate cancer bone metastasisR01CA174798 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LIN, SUE-HWA · 2013 to 2023
$3.0M
Cis-aconitate decarboxylase (ACOD1) in PMN-MDSC and prostate cancer progressionR01CA276235 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Guocan Wang · 2023 to 2026
$1.5M
Cancer Prevention and Research Institute of Texas (Cancer Prevention Research Institute of Texas) RP230247NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA140388NCI NIH HHS R01 CA174798NCI NIH HHS R01 CA276235United States Department of Defense | United States Army | Army Medical Command | Congressionally Directed Medical Research Programs (CDMRP) W81XWH-21-1-0522U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 5P50CA140388U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA276235U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA174798
6 · The paper itself

Abstract

backgroundProstate cancer (PCa) bone lesions are bone-forming, which contribute to an immunosuppressive bone-tumor microenvironment (bone-TME). Targeting PCa-induced bone with the radiopharmaceutical Radium-223 (Ra223) is approved for men with bone-metastatic castration-resistant PCa (bmCRPC). We studied the effect of Ra223 on spatial localization of tumor and immune cells in bmCRPC tumor biopsies to gain insights into therapeutic immunomodulation of the bone-TME.

methodsTransiliac bone marrow biopsies were performed at baseline and end of treatment (EOT) in 24 patients with bmCRPC treated with Ra223. In three patients with paired specimens containing tumor, multiplex immunofluorescence was performed with antibodies for a tumor cell marker (CK), T-cell markers (CD3, CD4, CD8, FOXP3, and granzyme B), macrophage markers (CD68 [total macrophages] and CD206 [M2-like macrophages]).

resultsIn all three patients, we observed enrichment of CD68

conclusionsThe changes in tumor cell numbers after Ra223 treatment seemed to be inversely correlated with changes in CD3 CLINICAL

trial registrationThis study does not report the clinical results of a clinical trial, but it does use samples from a completed clinical trial that is registered with clinicaltrials.gov (NCT02135484).

Indexed as

Bone NeoplasmsProstatic Neoplasms, Castration-ResistantRadiumTumor MicroenvironmentAgedHumansImmunomodulationMaleMiddle AgedRadioisotopesRadioisotopesRadiumRadium-223

Identifiers

PMID41454189
PMCPMC13472971

What OpenQuestion holds

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Registered trials

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.