Evidence map›Paper›PMID 18488220›Full record

ArticleCancer immunology, immunotherapy : CII2009

Systemic immune effects of adjuvant chemotherapy with 5-fluorouracil, epirubicin and cyclophosphamide and/or radiotherapy in breast cancer: a longitudinal study.

Fariba Mozaffari, Christina Lindemalm, Aniruddha Choudhury, Helena Granstam-Björneklett, Mats Lekander, Bo Nilsson, Marja-Leena Ojutkangas, Anders Osterborg, Leif Bergkvist, Håkan Mellstedt

Open access · greenAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
0.9field-weighted citation impact, top 25% 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.

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

23 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
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  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Immunotherapy Approaches for Breast Cancer Patients in 2023.Cold Spring Harbor perspectives in medicine · 2023
    Review
  11. Rintatolimod (AmpligenCancers · 2022
    Article
  12. Review
  13. Article
  14. Analysis of the Heterogeneity of CD4Journal of immunology research · 2020
    Article
  15. Review
  16. Anti-Folate Receptor Alpha-Directed Antibody Therapies Restrict the Growth of Triple-negative Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2018
    Article
  17. Molecular and clinical oncology · 2017
    Article
  18. Article
  19. Trajectories of Stress, Depressive Symptoms, and Immunity in Cancer Survivors: Diagnosis to 5 Years.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  20. Article
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

10 authors at 4 institutions in 1 country.

Fariba MozaffariImmune and Gene Therapy Laboratory, Cancer Centre Karolinska, Karolinska University Hospital Solna, Stockholm, Sweden.
Christina Lindemalm
Aniruddha Choudhury
Helena Granstam-Björneklett
Mats Lekander
Bo Nilsson
Marja-Leena Ojutkangas
Anders Osterborg
Leif Bergkvist
Håkan Mellstedt
Karolinska University Hospital · SEUppsala University Hospital · SEKarolinska Institutet · SESophiahemmet Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunotherapy is being increasingly utilized for adjuvant treatment for breast cancer (BC). We have previously described immune functions during primary therapy for BC. The present study describes immune recovery patterns during long-term, unmaintained follow-up after completion of adjuvant therapy.A group of patients with primary BC had been treated with adjuvant radio-chemotherapy (RT + CT) 5-fluorouracil, epirubicin and cyclophosphamide (FEC) (n = 21) and another group with radiotherapy (RT) (n = 20) alone. Immunological testing of NK and T-cell functions was performed initially at the end of adjuvant treatment and repeated after 2, 6 and 12 months. NK cell cytotoxicity was significantly higher (P < 0.05) at all time-points in patients than in age-matched controls and did not differ between the two treatments groups during one year observation. In contrast, lower numbers of CD4 T-cells and lower expression of CD28 on T-cells was observed particularly in RT + CT patients and did not normalize during the observation period. The numbers of T(reg) cells (CD4(+)CD25(high)) were low in the RT + CT group during follow-up, as well as expression of TCRxi, Zap70, p56(lck), P59(fyn) and PI3 k in CD4(+) cells. In contrast, expression of intracellular cytokines (IFN-gamma, IL-2, IL-4) in CD4 and CD8 T cells were significantly higher in RT + CT patients than in the RT group and the difference increased during follow-up. In conclusion, NK-cell cytotoxicity increased during unmaintained long-term follow-up whereas CD4 and regulatory T cells as well as signal transduction molecules remained low following adjuvant radio-chemotherapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsChemotherapy, AdjuvantAdultAgedAged, 80 and overCombined Modality TherapyCyclophosphamideEpirubicinFemaleFlow CytometryFluorouracilFollow-Up StudiesHumansImmunotherapyKiller Cells, NaturalCyclophosphamideEpirubicinFluorouracil

Identifiers

PMID18488220
PMCPMC11030212
OpenAlexW2017271198

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.