Evidence map›Paper›PMID 40291982›Full record

ReviewExploration of targeted anti-tumor therapy2025

Viral infections and immune modulation in bladder cancer: implications for immunotherapy.

Lívia Bitencourt Pascoal, Mehrsa Jalalizadeh, Gabriela Barbosa, Andrea Nazare Monteiro Rangel da Silva, Maria Alice Freitas Queiroz, Ekaterina Laukhtina, Shahrokh F Shariat, Alessandra Gambero, Leonardo O Reis

Abstract readReview
In one paragraph

Review in Exploration of targeted anti-tumor therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The emerging role of oncolytic virotherapy in genitourinary malignancies.Frontiers in cell and developmental biology · 2026
    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

9 authors.

Lívia Bitencourt PascoalUroScience, State University of Campinas, Campinas 13083-970, Brazil.ORCID https://orcid.org/0000-0002-1109-5661
Mehrsa JalalizadehUroScience, State University of Campinas, Campinas 13083-970, Brazil.
Gabriela BarbosaUroScience, State University of Campinas, Campinas 13083-970, Brazil.ORCID https://orcid.org/0000-0002-3386-8581
Andrea Nazare Monteiro Rangel da SilvaLaboratory of Virology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, Brazil.
Maria Alice Freitas QueirozLaboratory of Virology, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, Brazil.
Ekaterina LaukhtinaDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, 1090 Vienna, Austria.
Shahrokh F ShariatDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, 1090 Vienna, Austria.
Alessandra GamberoImmunOncology, Pontifical Catholic University of Campinas, Campinas 13060-904, Brazil.ORCID https://orcid.org/0000-0002-4862-4328
Leonardo O ReisUroScience, State University of Campinas, Campinas 13083-970, Brazil.ORCID https://orcid.org/0000-0003-2092-414X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review explores the intricate relationship between viral infections and Bacillus Calmette-Guerin (BCG) efficacy, emphasizing immune modulation mechanisms that may influence treatment outcomes. Since its introduction in 1976, intravesical BCG has been a cornerstone in managing non-muscle invasive bladder cancer (NMIBC) after transurethral resection of bladder tumors (TURBT). Despite its success, variability in response rates suggests that host immune status, influenced by persistent infections, immunosenescence, and antigenic overload, may play a crucial role in therapeutic effectiveness. Chronic viral infections can modulate T cell responses, leading to immune exhaustion and impaired antitumor immunity. This review discusses the interplay between viral antigenic load, immune dysfunction, and tumor microenvironment remodeling, highlighting their potential impact on immunotherapies. By integrating insights from virome analysis, immune profiling, and tumor characterization, this review proposes personalized strategies to enhance immunotherapy efficacy. A deeper understanding of viral-induced immune dysregulation may improve prognostic assessment, optimize treatment protocols, and reduce healthcare costs associated with bladder cancer. Future research should focus on targeted interventions to mitigate the immunosuppressive effects of chronic infections, ultimately improving patient outcomes in NMIBC management.

Indexed as

exhaustionimmune responsesenescenceurothelial carcinomaVirome

Identifiers

PMID40291982
PMCPMC12022759

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.