Evidence map›Paper›PMID 41760333›Full record

ArticleIn vivo (Athens, Greece)

Oral Administration of Itraconazole Induces M1 Polarization of Tumor-associated Macrophages in Gynecological Cancer.

Tomoko Ueda, Hiroshi Tsubamoto, Roze Taniguchi, Yumi Takimoto, Kazuko Sakata, Sachiyo Narita, Maiko Iwamoto, Momoko Nakabayashi, Y U Wakimoto, Tomoyuki Sasano and 3 more

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Tomoko UedaDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Hiroshi TsubamotoDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan; tsubamoto2025@gmail.com.
Roze TaniguchiDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Yumi TakimotoDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Kazuko SakataDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Sachiyo NaritaDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Maiko IwamotoDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Momoko NakabayashiDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Y U WakimotoDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Tomoyuki SasanoDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Satoko MibayashiDepartment of Surgical Pathology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Chisato OheDepartment of Surgical Pathology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.
Seiji MabuchiDepartment of Obstetrics and Gynecology, Hyogo Medical University School of Medicine, Nishinomiya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimItraconazole (ITZ), an antifungal agent with reported anticancer properties, has been shown to induce phenotypic repolarization of tumor-associated macrophages (TAMs) from an M2-like to an M1-like phenotype PATIENTS AND

methodsNineteen patients with cervical, vaginal, or vulvar cancer received oral ITZ (20 ml of 10 mg/ml solution, twice daily) in a window-of-opportunity trial (jRCTs051190006). Tumor response was assessed using transvaginal ultrasound. Paired tumor biopsy specimens obtained before and after ITZ treatment from patients with ≥20% tumor reduction within two weeks of ITZ treatment were analyzed by immunohistochemistry using anti-CD163 and anti-CD86 antibodies to identify M2-like and M1-like TAMs, respectively. Quantitative image analysis was performed using the Vectra3 system and inForm software.

resultsAmong the 19 patients, four [21.1%; 95% confidence interval (CI)=6.1-45.6%] showed ≥20% tumor reduction within two weeks of ITZ treatment, including one patient who achieved complete macroscopic regression. Immunohistochemical analysis of paired tumor samples from the remaining three responders demonstrated an increase in CD86 single-positive and CD163/CD86 double-positive TAMs after ITZ administration.

conclusionITZ treatment was associated with increased infiltration of M1-like TAMs in cancer tissues, suggesting an immunomodulatory effect. These findings support further investigation of ITZ as a potential adjunct in cancer therapy.

Indexed as

Genital Neoplasms, FemaleItraconazoleMacrophagesTumor-Associated MacrophagesAdministration, OralAdultAgedBiomarkersCell PolarityFemaleHumansImmunohistochemistryMacrophage ActivationMiddle AgedTreatment OutcomeBiomarkersItraconazolecervical cancerItraconazoleM1 polarizationrepurposingtumor-associated macrophage

Identifiers

PMID41760333
PMCPMC12949901

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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.