Evidence map›Paper›PMID 23353989›Full record

ArticleThe Journal of investigative dermatology2013

Vascular E-selectin expression correlates with CD8 lymphocyte infiltration and improved outcome in Merkel cell carcinoma.

Olga K Afanasiev, Kotaro Nagase, William Simonson, Natalie Vandeven, Astrid Blom, David M Koelle, Rachael Clark, Paul Nghiem

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

35 citing papers in PubMed, 57 citations in OpenAlex.

  1. Targeting the Barriers Driving Immune Exclusion.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  2. Review
  3. Article
  4. Tumor-associated CD8Frontiers in immunology · 2024
    Article
  5. Article
  6. Modulation of T cell function and survival by the tumor microenvironment.Frontiers in cell and developmental biology · 2023
    Review
  7. Insights into anti-tumor immunityFrontiers in immunology · 2023
    Review
  8. Review
  9. Review
  10. Adhesion molecules in multiple myeloma oncogenesis and targeted therapy.International journal of hematologic oncology · 2022
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Selective reactivation of STING signaling to target Merkel cell carcinoma.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  16. Migration and Function of Memory CD8The Journal of investigative dermatology · 2020
    Review
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Olga K AfanasievDepartment of Medicine/Dermatology, University of Washington, Seattle, Washington 98109, USA.
Kotaro Nagase
William Simonson
Natalie Vandeven
Astrid Blom
David M Koelle
Rachael Clark
Paul Nghiem
University of Washington · USBenaroya Research InstituteBrigham and Women's Hospital · USFred Hutch Cancer Center · USSaga University · JP

Funding

University of Washington Medical Scientist Training Program: MD/PhDT32GM007266 · NIGMS · UNIVERSITY OF WASHINGTON · PI HORWITZ, MARSHALL S. · 1985 to 2023
$30.4M
Vaccination to generate protective tissue resident T cellsR01AI097128 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN, KUPPER, THOMAS S. · 2011 to 2015
$6.1M
Viral oncoprotein targeted immune therapy for Merkel cell carcinomaR01CA176841 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2013 to 2016
$2.6M
CTCL immunobiology: lessons from alemtuzumabR01AR063962 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN · 2013 to 2017
$1.8M
Pathogenetic and prognostic studies for improved therapy of Merkel cell carcinomaK24CA139052 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2009 to 2018
$1.8M
Humoral and cellular immunity in polyomavirus-linked Merkel cell carcinomaR01CA162522 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2011 to 2015
$1.6M
Targeting MCPyV to Overcome Immune Evasion in Merkel Cell CarcinomaRC2CA147820 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2009 to 2010
$1.0M
Tumor immunity and escape mechanisms in a UV- and virus-associated skin cancerF30ES019463 · NIEHS · UNIVERSITY OF WASHINGTON · PI AFANASIEV, OLGA · 2010 to 2014
$162k
NCI NIH HHS K24 CA139052NCI NIH HHS K24-CA139052NCI NIH HHS R01 CA162522NCI NIH HHS R01CA-162522NCI NIH HHS R01 CA176841NCI NIH HHS RC2 CA147820NCI NIH HHS RC2CA147820NIAID NIH HHS R01 AI097128NIAMS NIH HHS R01 AR063962NIEHS NIH HHS F30 ES019463NIEHS NIH HHS F30ES019463-01NIGMS NIH HHS T32 GM007266PHS HHS R01094019
6 · The paper itself

Abstract

Merkel cell carcinoma (MCC) is an aggressive, polyomavirus-linked skin cancer. Although CD8 lymphocyte infiltration into the tumor is strongly correlated with improved survival, these cells are absent or sparse in most MCCs. We investigated whether specific mechanisms of T-cell migration may be commonly disrupted in MCC tumors with poor CD8 lymphocyte infiltration. Intratumoral vascular E-selectin, critical for T-cell entry into skin, was downregulated in the majority (52%) of MCCs (n=56), and its loss was associated with poor intratumoral CD8 lymphocyte infiltration (P<0.05; n=45). Importantly, survival was improved in MCC patients whose tumors had higher vascular E-selectin expression (P<0.05). Local nitric oxide (NO) production is one mechanism of E-selectin downregulation and it can be tracked by quantifying nitrotyrosine, a stable biomarker of NO-induced reactive nitrogen species (RNS). Indeed, increasing levels of nitrotyrosine within MCC tumors were associated with low E-selectin expression (P<0.05; n=45) and decreased CD8 lymphocyte infiltration (P<0.05, n=45). These data suggest that one mechanism of immune evasion in MCC may be restriction of T-cell entry into the tumor. Existing therapeutic agents that modulate E-selectin expression and/or RNS generation may restore T-cell entry and could potentially synergize with other immune-stimulating therapies.

Indexed as

AgedAntigens, Differentiation, T-LymphocyteBlood VesselsCarcinoma, Merkel CellCD8-Positive T-LymphocytesE-SelectinFemaleHumansImmunotherapy, AdoptiveMaleMembrane GlycoproteinsMiddle AgedSkinSkin NeoplasmsTyrosine3-nitrotyrosineAntigens, Differentiation, T-LymphocyteCTAGE1 protein, humanE-SelectinMembrane GlycoproteinsSELE protein, humanTyrosine

Identifiers

PMID23353989
PMCPMC3644376
OpenAlexW2140637288

What OpenQuestion holds

Textmetadata
LicenceTDM
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.