Evidence map›Paper›PMID 25689070›Full record

ArticlePloS one2015

Impaired function of CD4+ T follicular helper (Tfh) cells associated with hepatocellular carcinoma progression.

Yiqiong Jia, Zhen Zeng, Yuanyuan Li, Zhiwei Li, Lei Jin, Zheng Zhang, Lifeng Wang, Fu-Sheng Wang

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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.

NCT03895970 phase2completednot on this mapstarted 2019, after this paper: background citation

Lenvatinib Combined Pembrolizumab as a Second-line Treatment in Advanced Hepatobiliary Tumors: a Single-center, Single-arm, Non-randomized Clinical Study

TypeinterventionalSponsorPeking Union Medical College HospitalRan2019 to 2021Enrolled32ConditionsLiver Neoplasm Malignant Primary, Cholangiocarcinoma, Combinational Immunotherapy, BiomarkerArmsLenvatinib plus Pembrolizumab
NCT04010071 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Axitinib Plus Toripalimab as Second-line Treatment in Hepatobiliary Malignant Tumors: a Single-arm, Non-randomized, Single-center Phase II Trial

TypeinterventionalSponsorPeking Union Medical College HospitalRan2020 to 2024Enrolled60ConditionsHepatobiliary Neoplasm, Liver Neoplasm, Biliary Tract NeoplasmsArmsaxitinib plus toripalimab
NCT04368078 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Lenvatinib Combined Toripalimab in Advanced Hepatocellular Carcinoma: a Single-center, Single-arm, Non-randomized Clinical Study

TypeinterventionalSponsorPeking Union Medical College HospitalRan2020 to 2025Enrolled76ConditionsHepatocellular CarcinomaArmsToripalimab plus Lenvatinib
NCT05048017 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

Regorafenib Combined With PD-1 Inhibitor Therapy for Second-line Treatment of Hepatocellular Carcinoma: A Single Arm, Nonrandomized, Single Center Clinical Study

TypeinterventionalSponsorPeking Union Medical College HospitalRan2021 to 2025Enrolled20ConditionsHepatocellular Carcinoma, Regorafenib, PD-1 InhibitorArmsRegorafenib, PD-1 inhibitor
NCT05166239 phase2completednot on this mapstarted 2022, after this paper: background citation

Hepatic Arterial Infusion Chemotherapy Combine With Lenvatinib and PD-1 Inhibitors for Advanced Hepatocellular Carcinoma With Portal Vein Tumor Thrombosis.

TypeinterventionalSponsorPeking UniversityRan2022 to 2025Enrolled66ConditionsHepatocellular Carcinoma, Portal Vein ThrombosisArmsHAIC, Lenvatinib 1, PD-1 Inhibitors, Lenvatinib 2, PD-1 inhibitors 2
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Yiqiong JiaResearch Center for Biological Therapy, 302 Military Hospital of China-Peking University Teaching Hospital, Beijing, 100039, P. R. China.
Zhen ZengResearch Center for Biological Therapy, Beijing 302 Hospital, Beijing, 100039, P. R. China.
Yuanyuan LiResearch Center for Biological Therapy, Beijing 302 Hospital, Beijing, 100039, P. R. China.
Zhiwei LiResearch Center for Biological Therapy, Beijing 302 Hospital, Beijing, 100039, P. R. China.
Lei JinResearch Center for Biological Therapy, Beijing 302 Hospital, Beijing, 100039, P. R. China.
Zheng ZhangResearch Center for Biological Therapy, Beijing 302 Hospital, Beijing, 100039, P. R. China.
Lifeng WangResearch Center for Biological Therapy, Beijing 302 Hospital, Beijing, 100039, P. R. China.
Fu-Sheng WangResearch Center for Biological Therapy, 302 Military Hospital of China-Peking University Teaching Hospital, Beijing, 100039, P. R. China; Research Center for Biological Therapy, Beijing 302 Hospital, Beijing, 100039, P. R. China.
302 Military Hospital of China · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsCD4+ T follicular helper (Tfh) cells, a new subset of immune cells, have been demonstrated to be involved in the development and prognosis of tumors. However, their functional role in human hepatocellular carcinoma (HCC) is relatively unknown, and the detailed mechanisms in HCC development remain to be described.

methodsA total of 85 HCC patients with hepatitis B virus (HBV) infection, 25 HBV-relative liver cirrhosis (LC) patients, and 20 healthy controls (HC) were randomly enrolled. Flow cytometric analysis, immunohistochemical staining, and relative function (i.e., cytokine secretion, B cell maturation) assays were used to analyze the properties of CXCR5+CD4+ T cells. In addition, the relationship between the frequency of CXCR5+CD4+ T cells and overall survival rates or disease-free survival rates was also analyzed by the Kaplan-Meier method.

resultsThe frequency of circulating CXCR5+CD4+ T cells was significantly decreased in HCC patients compared with HBV-relative liver cirrhosis (LC) patients and healthy controls, and the decrease in circulating CXCR5+CD4+ T cells correlated with disease progression. The proportion of infiltrated CXCR5+CD4+ T cells was significantly decreased in tumor regions compared with nontumor regions. Furthermore, compared with healthy controls, the function of circulating CXCR5+CD4+ T cells in HCC was impaired, with reduced IL-21 secretion and dysfunction in promoting B cell maturation. Importantly, follow-up data indicated that a decreased frequency of circulating CXCR5+CD4+ T cells was also associated with reduced disease-free survival time in HCC patients.

conclusionsImpairment of CD4+ T follicular helper cells may influence the development of HBV-associated HCC. Decreased CD4+ T follicular helper cells may represent a potential prognostic marker and serve as a novel therapeutic target for HCC patients.

Indexed as

AdultAgedalpha-FetoproteinsB-LymphocytesCarcinoma, HepatocellularCD4 AntigensDisease-Free SurvivalDisease ProgressionFemaleHepatitis BHumansInterferon-gammaInterleukin-21InterleukinsLeukocytes, MononuclearLiveralpha-FetoproteinsCD4 AntigensInterferon-gammaInterleukin-21InterleukinsReceptors, CXCR5

Identifiers

PMID25689070
PMCPMC4331507
OpenAlexW2019032815

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.