Evidence mapPaperPMID 42274579Full record

ReviewCells2026

How Deeply Can mRNA Vaccines Affect the Responsiveness to Immune Checkpoint Inhibitors Through Changes in the Tumor Microenvironment? Evidence from Melanoma.

Ivana Persico, Maria Grazia Doro, Laura Frogheri, Maria Cristina Sini, Giovanni Battista Maestrale, Antonella Manca, Domenico Mallardo, Paolo Antonio Ascierto, Giuseppe Palmieri

Abstract readReview
In one paragraph

Review in Cells, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ivana PersicoUnit of Cancer Genetics, Institute of Genetics and Biomedical Research (IRGB), National Research Council (CNR), 07100 Sassari, Italy.
Maria Grazia DoroUnit of Cancer Genetics, Institute of Genetics and Biomedical Research (IRGB), National Research Council (CNR), 07100 Sassari, Italy.
Laura FrogheriUnit of Cancer Genetics, Institute of Genetics and Biomedical Research (IRGB), National Research Council (CNR), 07100 Sassari, Italy.ORCID 0000-0002-9844-1052
Maria Cristina SiniUnit of Cancer Genetics, Institute of Genetics and Biomedical Research (IRGB), National Research Council (CNR), 07100 Sassari, Italy.
Giovanni Battista MaestraleUnit of Cancer Genetics, Institute of Genetics and Biomedical Research (IRGB), National Research Council (CNR), 07100 Sassari, Italy.
Antonella MancaUnit of Cancer Genetics, Institute of Genetics and Biomedical Research (IRGB), National Research Council (CNR), 07100 Sassari, Italy.ORCID 0000-0003-2497-1541
Domenico MallardoIstituto Nazionale Tumori (INT), Fondazione "Giovanni Pascale", 80040 Naples, Italy.ORCID 0000-0002-1081-5313
Paolo Antonio AsciertoIstituto Nazionale Tumori (INT), Fondazione "Giovanni Pascale", 80040 Naples, Italy.
Giuseppe PalmieriUnit of Cancer Genetics, Institute of Genetics and Biomedical Research (IRGB), National Research Council (CNR), 07100 Sassari, Italy.ORCID 0000-0002-4350-2276

Funding

Italian Association for Cancer Research Programma di ricerca 5 per Mille 2018 - Id. 21073
6 · The paper itself

Abstract

Messenger RNA (mRNA) vaccines are emerging as promising tools capable of reshaping how cancer interacts with the immune system and responds to immunotherapy. These vaccines not only act as platforms for antigen delivery but can also influence the tumor microenvironment (TME), fostering a shift from immunologically "cold'' conditions toward "hotter'' and treatment-responsive states. In melanoma, this capability has been found to enhance the efficacy of the immune checkpoint inhibitors (ICIs), as mRNA-based priming can provide the robust antitumor activation needed for more effective checkpoint blockade. Early clinical studies with personalized or off-the-shelf vaccines showed benefits in patients with high-risk resected melanoma or refractory to PD-1 inhibition. Combining mRNA vaccines with ICIs, along with other immunomodulatory strategies, may be helpful to overcome resistance arising from the TME and achieve more durable clinical benefits. Besides these advances, computational and in silico modeling are providing new insights into how mRNA vaccines modulate the TME, helping to identify factors such as antigen-presenting cell (APC) density, CD8

Indexed as

Cancer VaccinesImmune Checkpoint InhibitorsMelanomamRNA VaccinesRNA, MessengerTumor MicroenvironmentAnimalsHumansImmunotherapyCancer VaccinesImmune Checkpoint InhibitorsmRNA VaccinesRNA, Messengerimmune checkpoint inhibitorsmelanomamRNA-based therapyprognosistumor-associated antigenstumor-infiltrating lymphocytes

Identifiers

PMID42274579
PMCPMC13257369

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.