Evidence map›Paper›PMID 41704422›Full record

ArticleJHEP reports : innovation in hepatology2026

Co-administered internalizing RGD peptide boosts anti-PD-L1 therapy in hepatocellular carcinoma.

Jan Henrik Klug, Blerina Aliraj, Lucia Alcober-Boquet, Dominic Denk, Lena Germann, Nadja M Meindl-Beinker, Carolina De La Torre, Oliver Waidmann, Fabian Finkelmeier, Stefan Zeuzem and 4 more

Abstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Jan Henrik KlugGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.
Blerina AlirajGoethe University Frankfurt, Faculty of Medicine, Institute of Biochemistry 1, Frankfurt am Main, Germany.
Lucia Alcober-BoquetGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.
Dominic DenkGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.
Lena GermannGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.
Nadja M Meindl-BeinkerDepartment of Medicine II, Section Molecular Hepatology, Medical Faculty Mannheim, Heidelberg University, Germany.
Carolina De La TorreNGS Core Facility, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany.
Oliver WaidmannGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.
Fabian FinkelmeierGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.
Stefan ZeuzemGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.
Bernhard BrüneGoethe University Frankfurt, Faculty of Medicine, Institute of Biochemistry 1, Frankfurt am Main, Germany.
Thomas J VoglFrankfurt Cancer Institute, Goethe University Frankfurt, Frankfurt am Main, Germany.
Andreas WeigertGoethe University Frankfurt, Faculty of Medicine, Institute of Biochemistry 1, Frankfurt am Main, Germany.
Albrecht PiiperGoethe University Frankfurt, University Hospital, Medical Clinic 1, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: Immune checkpoint inhibitor (ICI) therapy has significantly improved the treatment of solid tumors such as hepatocellular carcinoma (HCC); however, most patients fail to respond. Here, we examined whether co-administration of the tumor-penetrating internalizing (i)RGD peptide, which selectively increases tumor vascular permeability in a neuropilin-1-dependent manner, enhances intratumoral delivery and therapeutic efficacy of αPD-L1 in mouse models of HCC. Methods: αPD-L1, with or without iRGD, was administered intravenously to mice bearing endogenous HCCs (TGFα/c-myc and diethylnitrosamine [DEN]/carbon tetrachloride [CCl Results: While αPD-L1 monotherapy had minimal impact on tumor progression, combination treatment with iRGD significantly improved therapeutic efficacy, resulting in markedly reduced tumor growth (mean difference -198.2%, Conclusions: iRGD co-administration significantly improves the therapeutic efficacy of αPD-L1 in HCC mouse models by increasing intratumoral αPD-L1 delivery and more effectively alleviating the immunosuppressive tumor microenvironment. This non-conjugated, systemic approach holds strong translational potential to enhance ICI responses in patients with HCC. Impact and implications: Immune checkpoint inhibitors (ICIs) show limited efficacy in hepatocellular carcinoma (HCC), to which poor intratumoral drug delivery is likely to contribute. This study demonstrates that intravenous co-administration of the tumor-penetrating peptide iRGD with anti-PD-L1 significantly improves antibody distribution and therapeutic response without increasing toxicity in preclinical HCC models. These findings are highly relevant for clinicians and researchers aiming to enhance ICI effectiveness in solid tumors. Given the ongoing clinical evaluation of iRGD, this simple, non-conjugated strategy offers a feasible and rapidly translatable approach to overcome a key limitation of current ICI therapy and improve outcomes for patients with HCC.

Indexed as

Combination therapyDrug DeliveryHepatocellular CarcinomaImmune Checkpoint InhibitorImmunotherapyTumor microenvironment

Identifiers

PMID41704422
PMCPMC12907498

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.