Evidence map›Paper›PMID 25555571›Full record

ArticleCancer immunology, immunotherapy : CII2015

Increased proportion of FoxP3+ regulatory T cells in tumor infiltrating lymphocytes is associated with tumor recurrence and reduced survival in patients with glioblastoma.

Elias J Sayour, Pat McLendon, Roger McLendon, Gabriel De Leon, Renee Reynolds, Jesse Kresak, John H Sampson, Duane A Mitchell

Registry-linked trialAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05831631 (Immunophenotype Characterization of Circulating and Tumor Infiltrating Immune Cells in Malignant Brain Tumors.), which is not on this map. Cited by 127 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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.

NCT05831631 recruitingnot on this mapstarted 2022, after this paper: background citation

Immunophenotype Characterization of Circulating and Tumor Infiltrating Immune Cells in Malignant Brain Tumors.

TypeobservationalSponsorPietro Mortini, MD, Prof.Ran2022 to 2029Enrolled200ConditionsBrain Tumor, Primary, Brain Tumor - MetastaticArmsCirculating leukocytes immunophenotype, Tumor sampling
3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 1 synthesis or guideline pooled it, 187 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. CD163 Dominance Within Macrophages/Microglia Reflects a Favorable Prognosis in Patients With Glioblastoma.Neuropathology : official journal of the Japanese Society of Neuropathology · 2026
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  12. Wnt inhibition alleviates resistance to anti-PD1 therapy and improves antitumor immunity in glioblastoma.Proceedings of the National Academy of Sciences of the United States of America · 2025
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67 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

8 authors at 4 institutions in 1 country.

Elias J SayourUniversity of Florida Brain Tumor Immunotherapy Program, Preston A. Wells, Jr. Center for Brain Tumor Therapy, McKnight Brain Institute, Department of Neurosurgery, University of Florida, 1149 South Newell Drive, P.O. Box 100265, Gainesville, FL, 32610, USA, esayour@ufl.edu.
Pat McLendon
Roger McLendon
Gabriel De Leon
Renee Reynolds
Jesse Kresak
John H Sampson
Duane A Mitchell
Duke Medical Center · USUniversity of Florida · USAllen Institute for Brain Science · USDuke University Hospital · US

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
TEMODAR RESISTANCE IN CENTRAL NERVOUS SYSTEMP50CA108786 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2004 to 2009
$12.3M
Clinical Brain Tumor Development of a Cytomegalovirus-targeted Therapeutic with Vaccine pre-conditioning to Validate Novel Predictors of Vaccine EfficacyR01CA235612 · NCI · DUKE UNIVERSITY · PI SAMPSON, JOHN H. · 2019 to 2022
$2.0M
Reversal of CMV-specific Immune Deficits in Patients with GlioblastomaR01NS067037 · NINDS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2009 to 2013
$1.6M
Adoptive Immunotherapy for GBM During Hematopoietic Recovery from TemozolomideR01CA134844 · NCI · DUKE UNIVERSITY · PI MITCHELL, DUANE A. · 2009 to 2012
$1.3M
NCATS NIH HHS UL1 TR001427NCI NIH HHS 5P50-CA108786NCI NIH HHS 5R01-CA134844NCI NIH HHS P50 CA108786NCI NIH HHS R01 CA134844NCI NIH HHS R01 CA235612NCRR NIH HHS UL1 RR024128NCRR NIH HHS UL1RR024128NINDS NIH HHS 5R01-NS067037NINDS NIH HHS R01 NS067037
6 · The paper itself

Abstract

Glioblastoma multiforme (GBM) is an aggressive malignancy associated with profound host immunosuppression mediated in part by FoxP3 expressing regulatory CD4+ T lymphocytes (Tregs) that down-regulate anti-tumor immunity. In order to assess whether FoxP3 was an independent driver differentially expressed in primary versus recurrent GBMs, we stained resected primary and recurrent GBM tumors for CD3, CD4, CD8 and FoxP3 expression using standard immunohistochemistry. Slides were scanned with a high-resolution scanner (ScanScope CS; Aperio), and image analysis software (Aperio ScanScope) was used to enumerate lymphocyte subpopulations allowing for high-throughput analysis and bypassing manual selection bias. As shown in previous studies, enumeration of individual lymphocyte populations did not correlate with clinical outcomes in patients with GBM. However, the CD4+ to regulatory FoxP3+ T cell ratio was diminished in recurrent disease, and increased CD3 and CD8+ to regulatory T cell ratios showed a positive correlation with survival outcomes in primary GBM. These results suggest that while absolute numbers of tumor infiltrating lymphocytes may not be informative for predicting clinical outcomes in patients with GBM, the effective balance of CD3, CD4 and CD8+ T cells to immunosuppressive FoxP3+ regulatory cells may influence clinical outcomes in this patient population.

Indexed as

AdultAgedBiomarkers, TumorBrain NeoplasmsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleFollow-Up StudiesForkhead Transcription FactorsGlioblastomaHumansImmunoenzyme TechniquesLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoplasm Recurrence, LocalBiomarkers, TumorForkhead Transcription FactorsFOXP3 protein, human

Identifiers

PMID25555571
PMCPMC4774199
OpenAlexW2066684749

What OpenQuestion holds

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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.