Evidence map›Paper›PMID 25239411›Full record

ArticleAmerican journal of clinical pathology2014

CD8+ lymphocyte intratumoral infiltration as a stage-independent predictor of Merkel cell carcinoma survival: a population-based study.

Kelly G Paulson, Jayasri G Iyer, William T Simonson, Astrid Blom, Renee M Thibodeau, Miranda Schmidt, Stephanie Pietromonaco, Monica Sokil, E Margaret Warton, Maryam M Asgari and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of clinical pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
3.7field-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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Merkel Cell Carcinoma.Hematology/oncology clinics of North America · 2024
    Review
  7. Review
  8. Characterization of Immunosuppressive Myeloid Cells in Merkel Cell Carcinoma: Correlation with Resistance to PD-1 Pathway Blockade.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  9. Merkel cell polyomavirus-specific and CD39Cell reports. Medicine · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
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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

11 authors at 3 institutions in 1 country.

Kelly G PaulsonFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle;
Jayasri G IyerFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle;
William T SimonsonFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle;
Astrid BlomFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle;
Renee M ThibodeauFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle;
Miranda SchmidtFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle;
Stephanie PietromonacoFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle;
Monica SokilDivision of Research, Kaiser Permanente Northern California, Oakland; and.
E Margaret WartonDivision of Research, Kaiser Permanente Northern California, Oakland; and.
Maryam M AsgariDivision of Research, Kaiser Permanente Northern California, Oakland; and.
Paul NghiemFrom the Departments of Medicine/Dermatology and Pathology at the University of Washington, Seattle; Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle WA. pnghiem@uw.edu.
University of Washington · USKaiser Permanente · USFred Hutch Cancer Center · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Thomas James Lynch · 1985 to 2026
$296.4M
University of Washington Medical Scientist Training Program: MD/PhDT32GM007266 · NIGMS · UNIVERSITY OF WASHINGTON · PI HORWITZ, MARSHALL S. · 1985 to 2023
$30.4M
Viral oncoprotein targeted immune therapy for Merkel cell carcinomaR01CA176841 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2013 to 2016
$2.6M
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
Pathogenetics of Merkel cell cancer: a disease linked to UV damage & a new virusF30ES017385 · NIEHS · UNIVERSITY OF WASHINGTON · PI PAULSON, KELLY GARNESKI · 2009 to 2010
$65k
NCI NIH HHS K24 CA139052NCI NIH HHS K24-CA139052NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA162522NCI NIH HHS R01 CA176841NCI NIH HHS RC2 CA147820NCI NIH HHS RC2CA147820NIEHS NIH HHS F30 ES017385NIEHS NIH HHS F30ES017385NIGMS NIH HHS T32 GM007266
6 · The paper itself

Abstract

objectivesIntratumoral CD8+ lymphocytes (IT-CD8s) have shown promise as a prognostic indicator for Merkel cell carcinoma (MCC). We tested whether IT-CD8s predict survival among a population-based MCC cohort.

methodsOne hundred thirty-seven MCC cases that had not previously been analyzed for IT-CD8s were studied.

resultsThree-year MCC-specific survival rates were 56%, 72%, and 100% for patients with absent (n = 46), low (n = 85), and moderate or strong (n = 6) IT-CD8s, respectively. Increased IT-CD8s were associated with improved MCC-specific survival in a multivariate competing risk-regression analysis including stage, age, and sex (hazard ratio [HR] = 0.5; 95% confidence interval [CI] = 0.3-0.9). Although a similar trend was observed for overall survival, statistical significance was not reached (HR = 0.8; 95% CI = 0.6-1.0), likely because of the high rate of non-MCC deaths among older patients.

conclusionsThis study of prospectively captured MCC cases supports the concept that cellular immunity is important in MCC outcome and that CD8+ lymphocyte infiltration adds prognostic information to conventional staging.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Merkel CellCD8-Positive T-LymphocytesCohort StudiesFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisNeoplasm StagingPrognosisProportional Hazards ModelsProspective StudiesMerkel cell carcinomaSurvivalT cells

Identifiers

PMID25239411
PMCPMC4174450
OpenAlexW2037363625

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.