Evidence map›Paper›PMID 39357979›Full record

ArticleJournal for immunotherapy of cancer2024

Gal-3 blocks the binding between PD-1 and pembrolizumab.

Stinne Ravn Greisen, Mia Bendix, Morten Aagaard Nielsen, Kathrine Pedersen, Nina Haunstrup Jensen, Malene Hvid, Jakob Hauge Mikkelsen, Taner Drace, Thomas Boesen, Torben Steiniche and 2 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Study on the Role of Galectin-3 in Sepsis.Biochemical genetics · 2026
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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

12 authors.

Stinne Ravn GreisenRheumatology, Aarhus University Hospital, Aarhus, Denmark srg@biomed.au.dk.ORCID http://orcid.org/0000-0003-2922-3307
Mia BendixDepartment of Medicine, Randers Regional Hospital, Randers, Denmark.
Morten Aagaard NielsenRheumatology, Aarhus University Hospital, Aarhus, Denmark.
Kathrine PedersenDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Nina Haunstrup JensenDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Malene HvidDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Jakob Hauge MikkelsenDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Taner DraceInterdisciplinary Nanoscience Center, Aarhus University, Aarhus, Denmark.
Thomas BoesenInterdisciplinary Nanoscience Center, Aarhus University, Aarhus, Denmark.
Torben SteinicheDepartment of Pathology, Aarhus University Hospital, Aarhus, Denmark.
Henrik SchmidtDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Bent DeleuranRheumatology, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmune checkpoint inhibitors (ICI) have revolutionized the treatment of metastatic malignant melanoma (MM) and improved long-term survival. Despite the impressive results, some patients still have progressive disease, and the search for biomarkers predicting response to ICI treatment is ongoing. In this search, galectin-3 (Gal-3) has been suggested as a molecule of interest, both as a marker of treatment response and as a treatment target to potentiate ICI therapy. We have previously demonstrated the binding between programmed cell death 1 (PD-1) and Gal-3, and here, we investigated the interaction between PD-1, pembrolizumab, and Gal-3 in metastatic MM patients.

methodsThe binding between PD-1, pembrolizumab and Gal-3 was investigated by surface plasmon resonance (SPR) and cryogenic electron microscopy (cryo-EM). The function was studied in in vitro cultures and soluble levels of both PD-1 and Gal-3 were measured in metastatic MM patients, treated with pembrolizumab.

resultsBy SPR, we demonstrated that Gal-3 can block the binding between PD-1 and pembrolizumab, and further visualized a steric inhibition using cryo-EM. T cells cultured with Gal-3 had reduced pro-inflammatory cytokine production, which could not be rescued by pembrolizumab. In patients with metastatic MM, high levels of Gal-3 in plasma were found in patients with a longer progression-free survival in the study period, whereas high Gal-3 expression in the tumor was seen in patients with disease progression. Soluble PD-1 levels in plasma increased after treatment with pembrolizumab and correlated with disease progression.

conclusionWe demonstrate that the interaction between PD-1 and Gal-3 interferes with the binding of pembrolizumab, supporting that an immune suppression induced by Gal-3 in the tumor microenvironment cannot be rescued by pembrolizumab.

Indexed as

Antibodies, Monoclonal, HumanizedGalectin 3Programmed Cell Death 1 ReceptorAgedBlood ProteinsFemaleGalectinsHumansImmune Checkpoint InhibitorsMaleMelanomaMiddle AgedAntibodies, Monoclonal, HumanizedBlood ProteinsGalectin 3GalectinsImmune Checkpoint InhibitorsLGALS3 protein, humanPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 ReceptorBiomarkerImmune Checkpoint InhibitorsImmunotherapySkin Cancer

Identifiers

PMID39357979
PMCPMC11448214

What Socratic holds

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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 Socratic graph.