Evidence map›Paper›PMID 23734221›Full record

ArticlePloS one2013

High myeloperoxidase positive cell infiltration in colorectal cancer is an independent favorable prognostic factor.

Raoul A Droeser, Christian Hirt, Serenella Eppenberger-Castori, Inti Zlobec, Carsten T Viehl, Daniel M Frey, Christian A Nebiker, Raffaele Rosso, Markus Zuber, Francesca Amicarella and 8 more

Abstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

73 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  7. Targeting neutrophils for cancer therapy.Nature reviews. Drug discovery · 2025
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13 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

18 authors.

Raoul A DroeserDepartment of Surgery, University Hospital Basel, Switzerland. rdroeser@uhbs.ch
Christian Hirt
Serenella Eppenberger-Castori
Inti Zlobec
Carsten T Viehl
Daniel M Frey
Christian A Nebiker
Raffaele Rosso
Markus Zuber
Francesca Amicarella
Giandomenica Iezzi
Giuseppe Sconocchia
Michael Heberer
Alessandro Lugli
Luigi Tornillo
Daniel Oertli
Luigi Terracciano
Giulio C Spagnoli

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) infiltration by adaptive immune system cells correlates with favorable prognosis. The role of the innate immune system is still debated. Here we addressed the prognostic impact of CRC infiltration by neutrophil granulocytes (NG).

methodsA TMA including healthy mucosa and clinically annotated CRC specimens (n = 1491) was stained with MPO and CD15 specific antibodies. MPO+ and CD15+ positive immune cells were counted by three independent observers. Phenotypic profiles of CRC infiltrating MPO+ and CD15+ cells were validated by flow cytometry on cell suspensions derived from enzymatically digested surgical specimens. Survival analysis was performed by splitting randomized data in training and validation subsets.

resultsMPO+ and CD15+ cell infiltration were significantly correlated (p<0.0001; r = 0.76). However, only high density of MPO+ cell infiltration was associated with significantly improved survival in training (P = 0.038) and validation (P = 0.002) sets. In multivariate analysis including T and N stage, vascular invasion, tumor border configuration and microsatellite instability status, MPO+ cell infiltration proved an independent prognostic marker overall (P = 0.004; HR = 0.65; CI:±0.15) and in both training (P = 0.048) and validation (P = 0.036) sets. Flow-cytometry analysis of CRC cell suspensions derived from clinical specimens showed that while MPO+ cells were largely CD15+/CD66b+, sizeable percentages of CD15+ and CD66b+ cells were MPO-.

conclusionsHigh density MPO+ cell infiltration is a novel independent favorable prognostic factor in CRC.

Indexed as

AdultAgedAged, 80 and overAntigens, CDAntigens, Differentiation, MyelomonocyticCD68 MoleculeCell Adhesion MoleculesColorectal NeoplasmsFemaleFlow CytometryFucosyltransferasesGPI-Linked ProteinsHumansImmunohistochemistryLewis X AntigenMaleAntigens, CDAntigens, Differentiation, MyelomonocyticCD68 antigen, humanCD68 MoleculeCEACAM8 protein, humanCell Adhesion MoleculesFCGR3B protein, humanFucosyltransferasesFUT4 protein, humanGPI-Linked ProteinsLewis X AntigenPeroxidaseReceptors, IgG

Identifiers

PMID23734221
PMCPMC3667167

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Registered trials

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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.