Evidence map›Paper›PMID 21546504›Full record

ArticleHaematologica2011

High microvessel density determines a poor outcome in patients with diffuse large B-cell lymphoma treated with rituximab plus chemotherapy.

Teresa M Cardesa-Salzmann, Luis Colomo, Gonzalo Gutierrez, Wing C Chan, Dennis Weisenburger, Fina Climent, Eva González-Barca, Santiago Mercadal, Leonor Arenillas, Sergio Serrano and 15 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

69 citing papers in PubMed, 129 citations in OpenAlex.

  1. Trial
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  6. Integrative Multiomics and Single-Cell Profiling Identify TNFRSF1AComputational and structural biotechnology journal · 2026
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  7. The Significance of the Microenvironment in T/Nk-Cell Neoplasms.International journal of molecular sciences · 2025
    Review
  8. Goodbye flat lymphoma biology.FEBS letters · 2025
    Review
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9 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

25 authors at 16 institutions in 5 countries.

Teresa M Cardesa-SalzmannHospital Clinic, University of Barcelona, Barcelona, Spain.
Luis Colomo
Gonzalo Gutierrez
Wing C Chan
Dennis Weisenburger
Fina Climent
Eva González-Barca
Santiago Mercadal
Leonor Arenillas
Sergio Serrano
Ray Tubbs
Jan Delabie
Randy D Gascoyne
Joseph M Connors
Jose L Mate
Lisa Rimsza
Rita Braziel
Andreas Rosenwald
Georg Lenz
George Wright
Elaine S Jaffe
Louis Staudt
Pedro Jares
Armando López-Guillermo
Elias Campo
Universitat de Barcelona · ESNational Institutes of Health · USDuran i Reynals Hospital · ESUniversity of Nebraska Medical Center · USBC Cancer Agency · CABellvitge University Hospital · ESCharité - Universitätsmedizin Berlin · DECleveland Clinic · USHospital Del Mar · ESHospital Universitari Germans Trias i Pujol · ESNorwegian Cancer Society · NOOregon Health & Science University · USUniversitat Pompeu Fabra · ESUniversity of Arizona · USUniversity of British Columbia · CAUniversity of Würzburg · DE

Funding

Lymphoma Disease Discovery and DefintionZIASC000550 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI JAFFE, ELAINE · 2009 to 2025
$16.9M
6 · The paper itself

Abstract

backgroundDiffuse large B-cell lymphoma is a clinically and molecularly heterogeneous disease. Gene expression profiling studies have shown that the tumor microenvironment affects survival and that the angiogenesis-related signature is prognostically unfavorable. The contribution of histopathological microvessel density to survival in diffuse large B-cell lymphomas treated with immunochemotherapy remains unknown. The purpose of this study is to assess the prognostic impact of histopathological microvessel density in two independent series of patients with diffuse large B-cell lymphoma treated with immunochemotherapy. DESIGN AND

methodsOne hundred and forty-seven patients from the Leukemia Lymphoma Molecular Profiling Project (training series) and 118 patients from the Catalan Lymphoma-Study group-GELCAB (validation cohort) were included in the study. Microvessels were immunostained with CD31 and quantified with a computerized image analysis system. The stromal scores previously defined in 110 Leukemia Lymphoma Molecular Profiling Project cases were used to analyze correlations with microvessel density data.

resultsMicrovessel density significantly correlated with the stromal score (r=0.3209; P<0.001). Patients with high microvessel density showed significantly poorer overall survival than those with low microvessel density both in the training series (4-year OS 54% vs. 78%; P=0.004) and in the validation cohort (57% vs. 81%; P=0.006). In multivariate analysis, in both groups high microvessel density was a statistically significant unfavorable prognostic factor independent of international prognostic index [training series: international prognostic index (relative risk 2.7; P=0.003); microvessel density (relative risk 1.96; P=0.002); validation cohort: international prognostic index (relative risk 4.74; P<0.001); microvessel density (relative risk 2.4; P=0.016)].

conclusionsThese findings highlight the impact of angiogenesis in the outcome of patients with diffuse large B-cell lymphoma and the interest of evaluating antiangiogenic drugs in clinical trials.

Indexed as

Tumor MicroenvironmentAdultAgedAged, 80 and overAntibodies, Monoclonal, Murine-DerivedAntineoplastic Combined Chemotherapy ProtocolsFemaleGene Expression ProfilingHumansLymphoma, Large B-Cell, DiffuseMaleMicrovesselsMiddle AgedPlatelet Endothelial Cell Adhesion Molecule-1PrognosisReproducibility of ResultsAntibodies, Monoclonal, Murine-DerivedPlatelet Endothelial Cell Adhesion Molecule-1Rituximab

Identifiers

PMID21546504
PMCPMC3128218
OpenAlexW2066523152

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.