Evidence map›Paper›PMID 42002644›Full record

ReviewDiscover oncology2026

Prognostic and therapeutic roles of B7-H3 and B7-H4 in prostate cancer.

Yunxi Hu, Wenjiang Yang, Shuang Guo, Denghui Huang

Abstract readReview
In one paragraph

Review in Discover oncology, 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. Review
  2. 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

4 authors.

Yunxi Hu *Wenshang County People's Hospital, 1 Dehui Road, Jining, 272500, China.
Wenjiang Yang *Urological Surgical Department, Wenshang County People's Hospital, 1 Dehui Road, Jining, 272500, Shandong, China.
Shuang GuoUrological Surgical Department, Wenshang County People's Hospital, 1 Dehui Road, Jining, 272500, Shandong, China.
Denghui HuangUrological Surgical Department, Wenshang County People's Hospital, 1 Dehui Road, Jining, 272500, Shandong, China. 421360803@qq.com.

Funding

Key Research and Development Plan Project of Jining City in 2024 (Policy Guidance Category) 2024YXNS232
6 · The paper itself

Abstract

Prostate cancer (PCa) remains a leading cause of cancer-related morbidity and mortality in men worldwide, with metastatic castration-resistant prostate cancer (mCRPC) presenting a particularly formidable therapeutic challenge. The limited efficacy of conventional immunotherapies targeting the PD-1/PD-L1 axis in PCa has spurred intensive research into alternative immune checkpoints. Among the B7 family of immunomodulatory proteins, B7-H3 (CD276) and B7-H4 (VTCN1/B7x/B7S1) have emerged as critical regulators of PCa pathogenesis, progression, and therapeutic resistance. This comprehensive review synthesizes current evidence from preclinical and clinical studies to delineate the multifaceted roles of B7-H3 and B7-H4 in PCa. We first detail the expression patterns of these molecules in PCa tissues and their robust correlation with adverse clinicopathological features, including high Gleason score, advanced tumor stage, metastasis, and poor survival outcomes. We then explore the complex molecular mechanisms underlying their pro-tumorigenic functions, encompassing immune suppression (inhibition of T-cell activity, modulation of myeloid-derived suppressor cells [MDSCs] and tumor-associated macrophages [TAMs]) and non-immune effects (regulation of cancer stem cells [CSCs], DNA damage repair [DDR], androgen receptor [AR] signaling, and tumor dormancy). Furthermore, we systematically review the rapidly expanding landscape of therapeutic strategies targeting B7-H3 and B7-H4, including antibody–drug conjugates (ADCs), chimeric antigen receptor (CAR) T-cell therapy, monoclonal antibodies, bispecific agents, and combination therapies with radiotherapy, AR pathway inhibitors (ARPIs), or other immunotherapies. We also discuss emerging directions such as liquid biopsy for B7-H3 detection, B7-H4-targeted immunoPET imaging, racial disparities in B7-H3 expression, and the development of predictive biomarkers for treatment response. Collectively, this review establishes B7-H3 and B7-H4 as pivotal nodes in PCa biology and highlights their promising potential to improve the clinical management of advanced and treatment-resistant PCa through improved prognostic stratification and the development of novel precision therapies.

Indexed as

Antibody–drug conjugateB7-H3B7-H4CAR T-cellCastration-resistant prostate cancerCD276Immune checkpointImmunotherapyPrognostic biomarkerProstate cancerTumor microenvironmentVTCN1

Identifiers

PMID42002644
PMCPMC13222914

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.