Evidence map›Paper›PMID 20482675›Full record

ArticleJournal of cutaneous pathology2010

The biologic importance of tumor-infiltrating lymphocytes.

F Stephen Hodi, Glenn Dranoff

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Journal of cutaneous pathology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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.

NCT02591615 phase2completednot on this mapstarted 2016, after this paper: background citation

Randomized Phase II Trial Evaluating the Optimal Sequencing of PD-1 Inhibition With Pembrolizumab (MK-3475) and Standard Platinum-based Chemotherapy in Patients With Chemotherapy Naive Stage IV Non-small Cell Lung Cancer

TypeinterventionalSponsorAlliance Foundation Trials, LLC.Ran2016 to 2020Enrolled91ConditionsNon-Small Cell Lung CancerArmsMK-3475, Carboplatin, Paclitaxel, Pemetrexed
NCT02906332 phase2terminatednot on this mapstarted 2016, after this paper: background citation

A Phase II Trial of the Anti -PD-1 Monoclonal Antibody Pembrolizumab (MK-3475) + Lenalidomide + Dexamethasone as Post Autologous Transplant Consolidation in Patients With High-risk Multiple Myeloma

TypeinterventionalSponsorHackensack Meridian HealthRan2016 to 2022Enrolled12ConditionsMultiple MyelomaArmsPembrolizumab, Lenalidomide, Dexamethasone
NCT03447678 phase2unknown statusnot on this mapstarted 2018, after this paper: background citation

Phase II Study to Test Pembrolizumab (MK-3475) in First Line Treatment of Advanced NSCLC Patients With PD-L1 Low Tumors (<50%)_ PEOPLE TRIAL (Pembrolizumab in Pd-L1 Low Expressors).

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2018 to 2022Enrolled65ConditionsNon Small Cell Lung Cancer (NSCLC)ArmsPembrolizumab
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Immunotherapies for locally aggressive cancers.Advanced drug delivery reviews · 2024
    Review
  6. Article
  7. Advances in Targeted Immunotherapy for Hepatobiliary Cancers.International journal of molecular sciences · 2022
    Review
  8. The role of tumor-infiltrating lymphocytes in cholangiocarcinoma.Journal of experimental & clinical cancer research : CR · 2022
    Review
  9. Review
  10. Cytokines: Signalling Improved Immunotherapy?Current oncology reports · 2021
    Review
  11. Review
  12. Article
  13. Perspective on immune oncology with liquid biopsy, peripheral blood mononuclear cells, and microbiome with non-invasive biomarkers in cancer patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

2 authors at 1 institution in 1 country.

F Stephen HodiDepartment of Medical Oncology and Cancer Vaccine Center, Dana-Farber Cancer Institute, Boston, MA, USA.
Glenn Dranoff
Brigham and Women's Hospital · US

Funding

Targeting Myeloma Cell-Host Bone Marrow InteractionsP01CA078378 · NCI · DANA-FARBER CANCER INSTITUTE · PI RITZ, JEROME · 1998 to 2014
$26.2M
Targeting MFG-E8 as Melanoma ImmunotherapyR01CA143083 · NCI · DANA-FARBER CANCER INST · PI DRANOFF, GLENN · 2010 to 2014
$1.6M
NCI NIH HHS P01 CA078378NCI NIH HHS R01 CA143083
6 · The paper itself

Abstract

Detailed pathologic analysis has delineated a close association between intratumoral CD 8(+) cytotoxic T cells and favorable clinical outcomes in diverse cancers. Conversely, the presence at tumor sites of negative immune regulatory elements, such as FoxP 3(+) T cells (Tregs) and PD-1/PD-L1 co-stimulatory molecules, is closely associated with inferior patient survival. Together, these results indicate the importance of the balance between cytotoxic and regulatory pathways in the tumor microenvironment as a critical determinant of prognosis. This immune index also provides a framework for devising therapeutic strategies to enlarge the population of antitumor cytotoxic T cells and attenuate immune regulation. Among these approaches, vaccination with irradiated, autologous tumor cells engineered to secrete granulocyte-macrophage colony-stimulating factor (GM-CSF) followed by antibody blockade of cytotoxic T-lymphocyte associated antigen-4 (CTLA-4) provides clinical benefits for some advanced-course melanoma patients. The extent of tumor necrosis in post-treatment biopsies is linearly related to the natural logarithm of the ratio of CD 8(+) T cells to FoxP 3(+) Tregs. These findings show a concordance between the immune signature of tumor protection in endogenous and therapy-induced responses, strongly supporting Martin Mihm's original insights.

Indexed as

ImmunotherapyMelanomaSkin NeoplasmsAntigens, CDBiopsyCancer VaccinesCD8-Positive T-LymphocytesCTLA-4 AntigenGranulocyte-Macrophage Colony-Stimulating FactorHumansPrognosisT-Lymphocytes, CytotoxicAntigens, CDCancer VaccinesCTLA-4 AntigenCTLA4 protein, humanGranulocyte-Macrophage Colony-Stimulating Factor

Identifiers

PMID20482675
PMCPMC3905324
OpenAlexW2016967304

What OpenQuestion holds

Textmetadata
LicenceTDM
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.