Evidence map›Paper›PMID 19875479›Full record

ArticleThe Journal of clinical endocrinology and metabolism2010

Tumor infiltrating lymphocytes but not serum pituitary antibodies are associated with poor clinical outcome after surgery in patients with pituitary adenoma.

Isabella Lupi, Luca Manetti, Patrizio Caturegli, Michele Menicagli, Mirco Cosottini, Aldo Iannelli, Giovanni Acerbi, Generoso Bevilacqua, Fausto Bogazzi, Enio Martino

Open access · greenAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

31 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Tumour microenvironment and pituitary tumour behaviour.Journal of endocrinological investigation · 2023
    Review
  6. The hallmarks of cancer… in pituitary tumors?Reviews in endocrine & metabolic disorders · 2023
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Serum Inflammation-based Scores in Endocrine Tumors.The Journal of clinical endocrinology and metabolism · 2021
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. The Pituitary Tumors and Their Tumor-Specific Microenvironment.Advances in experimental medicine and biology · 2020
    Article
  19. Review
  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 2 institutions in 2 countries.

Isabella LupiDepartment of Endocrinology and Metabolism, University of Pisa, 56124 Pisa, Italy.
Luca Manetti
Patrizio Caturegli
Michele Menicagli
Mirco Cosottini
Aldo Iannelli
Giovanni Acerbi
Generoso Bevilacqua
Fausto Bogazzi
Enio Martino
University of Pisa · ITJohns Hopkins University · US

Funding

A new serum test for the differential diagnosis of pituitary massesR21DK080351 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CATUREGLI, PATRIZIO · 2009 to 2010
$490k
NIDDK NIH HHS DK080351NIDDK NIH HHS R21 DK080351
6 · The paper itself

Abstract

contextSerum pituitary antibodies (Pit Abs) and tumor-infiltrating lymphocytes (TILs) have been described in pituitary adenomas, but their clinical significance remains unknown.

objectiveThe objective of the study was to assess Pit Abs and TILs prevalence in pituitary adenomas and their influence on clinical outcome.

designThis was a prevalence case-control study. PATIENTS AND

settingTwo hundred ninety-one pituitary adenoma cases (110 non-secreting, 30 ACTH-69 GH-71 prolactin- and 13 TSH-secreting adenoma; 177 operated and 114 untreated), 409 healthy controls, and 14 autoimmune hypophysitis were enrolled in a tertiary referral center.

interventionPit Abs were measured using immunofluorescence in all cases and controls (n = 714). The presence of TILs was evaluated using CD45 staining in a subset of adenomas surgically treated (n = 72).

main outcome measureClinical response of pituitary adenoma after surgery was evaluated.

resultsPit Abs prevalence was higher in adenomas (5.1%) than healthy subjects (0.7%, P < 0.0001) and lower than in autoimmune hypophysitis patients (57%, P < 0.0001). Similarly, TILs prevalence was higher in adenomas than normal pituitary (P = 0.01) and lower than in autoimmune hypophysitis (P < 0.0001). No correlation between Pit Abs and TILs was found (P = 0.78). A poor clinical outcome was more common in adenoma patients with TILs (11 of 18, 61%) than in those without (17 of 54, 31%, P = 0.026). Multivariate regression analysis identified the presence of TILs as independent prognostic factor for persistence/recurrence of pituitary adenoma.

conclusionsTILs and Pit Abs are present in a significant number of pituitary adenoma patients. Cell-mediated immunity appears to be predictive of a less favorable clinical outcome.

Indexed as

AdenomaAutoantibodiesBiomarkersCase-Control StudiesFemaleHumansImmunity, CellularLymphocyte CountLymphocytes, Tumor-InfiltratingMalePituitary GlandPituitary NeoplasmsPrognosisSeroepidemiologic StudiesTreatment OutcomeAutoantibodiesBiomarkers

Identifiers

PMID19875479
PMCPMC2805498
OpenAlexW2142429061

What OpenQuestion holds

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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.