Evidence map›Paper›PMID 34944851›Full record

ReviewCancers2021

Barriers to Immunotherapy in Ovarian Cancer: Metabolic, Genomic, and Immune Perturbations in the Tumour Microenvironment.

Racheal Louise Johnson, Michele Cummings, Amudha Thangavelu, Georgios Theophilou, Diederick de Jong, Nicolas Michel Orsi

Abstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

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  18. The Immune Response of Cancer Cells in Breast and Gynecologic Neoplasms.International journal of molecular sciences · 2024
    Review
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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

6 authors.

Racheal Louise JohnsonDepartment Gynaecological Oncology, St. James's University Hospital, Leeds LS9 7TF, UK.ORCID 0000-0002-2677-2709
Michele CummingsLeeds Institute of Medical Research, St. James's University Hospital, Leeds LS9 7TF, UK.
Amudha ThangaveluDepartment Gynaecological Oncology, St. James's University Hospital, Leeds LS9 7TF, UK.
Georgios TheophilouDepartment Gynaecological Oncology, St. James's University Hospital, Leeds LS9 7TF, UK.ORCID 0000-0001-7571-8816
Diederick de JongDepartment Gynaecological Oncology, St. James's University Hospital, Leeds LS9 7TF, UK.ORCID 0000-0003-0081-674X
Nicolas Michel OrsiLeeds Institute of Medical Research, St. James's University Hospital, Leeds LS9 7TF, UK.ORCID 0000-0003-0890-0399

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A lack of explicit early clinical signs and effective screening measures mean that ovarian cancer (OC) often presents as advanced, incurable disease. While conventional treatment combines maximal cytoreductive surgery and platinum-based chemotherapy, patients frequently develop chemoresistance and disease recurrence. The clinical application of immune checkpoint blockade (ICB) aims to restore anti-cancer T-cell function in the tumour microenvironment (TME). Disappointingly, even though tumour infiltrating lymphocytes are associated with superior survival in OC, ICB has offered limited therapeutic benefits. Herein, we discuss specific TME features that prevent ICB from reaching its full potential, focussing in particular on the challenges created by immune, genomic and metabolic alterations. We explore both recent and current therapeutic strategies aiming to overcome these hurdles, including the synergistic effect of combination treatments with immune-based strategies and review the status quo of current clinical trials aiming to maximise the success of immunotherapy in OC.

Indexed as

adaptivegenomicimmunotherapyinnatemetabolismovarian cancerresistancetumour microenvironment

Identifiers

PMID34944851
PMCPMC8699358

What Socratic 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 Socratic graph.