Evidence mapPaperPMID 41929514Full record

ReviewFrontiers in immunology2026

Trained immunity in cancer and autoimmunity: a double-edged sword in immune memory reprogramming.

Nasrin Salari, Mehrshad Shams, Fatemeh Tavassoli Razavi, Esmaeil Yazdanpanah, Valentyn Oksenych, Dariush Haghmorad

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  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

6 authors.

Nasrin SalariCancer Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Mehrshad ShamsDepartment of Immunology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Fatemeh Tavassoli RazaviCancer Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Esmaeil YazdanpanahImmunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Valentyn OksenychOslo Bioconsulting, Oslo, Norway.
Dariush HaghmoradCancer Research Center, Semnan University of Medical Sciences, Semnan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trained immunity, characterized by the long-term functional reprogramming of innate immune cells through epigenetic and metabolic modifications, has emerged as a pivotal concept bridging innate and adaptive immune responses. This review explores the dual role of trained immunity as both a protective mechanism in cancer and a pathogenic driver in autoimmune diseases. We first discuss the underlying mechanisms involving histone modifications, chromatin remodeling, and metabolic pathways such as glycolysis and the mTOR/HIF-1α axis, alongside key regulators including NOD2 and pattern recognition receptors. The contribution of trained immunity to antitumor responses is highlighted through its ability to enhance innate cell cytotoxicity, remodel the tumor microenvironment, and synergize with immune checkpoint blockade and BCG immunotherapy. Conversely, we examine how infections, dysbiosis, and dietary factors can induce maladaptive trained immunity, leading to persistent hyperinflammatory states and exacerbation of autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, and multiple sclerosis. Furthermore, we address therapeutic strategies to modulate trained immunity, including small molecules, β-glucan, statins, and BCG derivatives, emphasizing their potential applications in cancer immunotherapy and autoimmunity control. We also underscore the risks of unintended immune activation, such as autoimmune flare-ups during cancer treatment or compromised host defense during immunosuppression. Finally, we discuss future directions, including the development of trained immunity-based vaccines, personalized immunomodulatory approaches, and the integration of multi-omics and artificial intelligence to design patient-specific interventions. Understanding the complex interplay between trained immunity, cancer, and autoimmunity will be crucial for translating these insights into innovative therapeutic strategies.

Indexed as

Autoimmune DiseasesAutoimmunityImmunologic MemoryNeoplasmsTrained ImmunityAnimalsEpigenesis, GeneticHumansImmunity, InnateImmunotherapyTumor Microenvironmentautoimmune diseasescancer immunotherapyepigenetic reprogramminginnate immune memorytrained immunity

Identifiers

PMID41929514
PMCPMC13038919

What Socratic holds

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LicenceCC BY
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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.