Evidence map›Paper›PMID 11481031›Full record

ArticleBMC cancer2001

Local and distant recurrences in rectal cancer patients are predicted by the nonspecific immune response; specific immune response has only a systemic effect--a histopathological and immunohistochemical study.

I D Nagtegaal, C A Marijnen, E K Kranenbarg, A Mulder-Stapel, J Hermans, C J van de Velde, J H van Krieken

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC cancer, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06940388 (Total Neoadjuvant Treatment With or Without Tislelizumab for Locally Advanced Rectal Cancer), which is not on this map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% of its field
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.

NCT06940388 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Total Neoadjuvant Treatment With or Without Tislelizumab for Locally Advanced Rectal Cancer: An Open-label Randomized Controlled Phase II Study (The TOTAL Trial)

TypeinterventionalSponsorbrenner baruchRan2025 to 2030Enrolled134ConditionsLocally Advanced Rectal Cancer (LARC)ArmsTislelizumab, Total neoadjuvant therapy (TNT)
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.

  1. Pooled it
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  7. Eosinophils in solid cancers: sentinels, predictors, and therapeutic allies.Journal of experimental & clinical cancer research : CR · 2026
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  17. IL-36β promotes anti-tumor effects in CD8Annals of translational medicine · 2021
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7 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

I D NagtegaalDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands. I.Nagtegaal@pathol.azn.nl
C A Marijnen
E K Kranenbarg
A Mulder-Stapel
J Hermans
C J van de Velde
J H van Krieken
Leiden University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasion and metastasis is a complex process governed by the interaction of genetically altered tumor cells and the immunological and inflammatory host response. Specific T-cells directed against tumor cells and the nonspecific inflammatory reaction due to tissue damage, cooperate against invasive tumor cells in order to prevent recurrences. Data concerning involvement of individual cell types are readily available but little is known about the coordinate interactions between both forms of immune response. PATIENTS AND

methodsThe presence of inflammatory infiltrate and eosinophils was determined in 1530 patients with rectal adenocarcinoma from a multicenter trial. We selected 160 patients to analyze this inflammatory infiltrate in more detail using immunohistochemistry. The association with the development of local and distant relapses was determined using univariate and multivariate log rank testing.

resultsPatients with an extensive inflammatory infiltrate around the tumor had lower recurrence rates (3.4% versus 6.9%, p = 0.03), showing the importance of host response against tumor cells. In particular, peritumoral mast cells prevent local and distant recurrence (44% versus 15%, p = 0.007 and 86% versus 21%, p < 0.0001, respectively), with improved survival as a consequence. The presence of intratumoral T-cells had independent prognostic value for the occurrence of distant metastases (32% versus 76%, p < 0.0001).

conclusionsWe showed that next to properties of tumor cells, the amount and type of inflammation is also relevant in the control of rectal cancer. Knowledge of the factors involved may lead to new approaches in the management of rectal cancer.

Indexed as

AdenocarcinomaCD3 ComplexCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChemotaxis, LeukocyteEosinophilsGranulocytesHumansImmunity, InnateImmunohistochemistryInflammationMacrophagesNeoplasm Recurrence, LocalNeoplasm StagingNeutrophil InfiltrationNeutrophilsCD3 Complex

Identifiers

PMID11481031
PMCPMC35356
OpenAlexW1757498404

What OpenQuestion holds

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Read underepoch 390

Registered trials

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 OpenQuestion graph.