Evidence map›Paper›PMID 25788491›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2015

Characterization of PD-L1 Expression and Associated T-cell Infiltrates in Metastatic Melanoma Samples from Variable Anatomic Sites.

Harriet M Kluger, Christopher R Zito, Meaghan L Barr, Marina K Baine, Veronica L S Chiang, Mario Sznol, David L Rimm, Lieping Chen, Lucia B Jilaveanu

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 1% 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

129 citing papers in PubMed, 2 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Long-Term Survival of Patients With Melanoma With Active Brain Metastases Treated With Pembrolizumab on a Phase II Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019
    Trial
  6. Article
  7. Article
  8. Review
  9. Article
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  11. New insights on anti-tumor immunity of CD8Journal of translational medicine · 2025
    Review
  12. Review
  13. Article
  14. GP100 expression is variable in intensity in melanoma.Cancer immunology, immunotherapy : CII · 2024
    Article
  15. Article
  16. Article
  17. CD137Journal of translational medicine · 2024
    Article
  18. Article
  19. Article
  20. Article

69 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

9 authors at 2 institutions in 1 country.

Harriet M KlugerDepartment of Medicine, Yale University School of Medicine, New Haven, Connecticut. harriet.kluger@yale.edu.
Christopher R ZitoDepartment of Biology, School of Health and Natural Sciences, University of Saint Joseph, West Hartford, Connecticut.
Meaghan L BarrDepartment of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Marina K BaineDepartment of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Veronica L S ChiangDepartment of Neurosurgery and Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut.
Mario SznolDepartment of Medicine, Yale University School of Medicine, New Haven, Connecticut.
David L RimmDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut.
Lieping ChenDepartment of Immunobiology, Yale University School of Medicine, New Haven, Connecticut.
Lucia B JilaveanuDepartment of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Yale University · USUniversity of Saint Joseph · US

Funding

Yale SPORE in Skin CancerP50CA121974 · NCI · YALE UNIVERSITY · PI DAVID F STERN · 2006 to 2026
$43.9M
Yale University Clinical and Translational Science Award ProgramKL2TR000140 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$2.9M
Models to Predict Prognosis and Benefit from Adjuvant Therapy in Renal Cell CarciR01CA158167 · NCI · YALE UNIVERSITY · PI KLUGER, HARRIET M. · 2011 to 2015
$1.8M
A research and training program for junior clinicians in treating metastatic melaK24CA172123 · NCI · YALE UNIVERSITY · PI KLUGER, HARRIET M. · 2013 to 2017
$780k
NCATS NIH HHS KL2 TR000140NCI NIH HHS K24 CA172123NCI NIH HHS K24CA172123NCI NIH HHS P50 CA121974NCI NIH HHS R01 CA158167
6 · The paper itself

Abstract

purposeProgrammed death ligand-1 (PD-L1) tumor expression represents a mechanism of immune escape for melanoma cells. Drugs blocking PD-L1 or its receptor have shown unprecedented activity in melanoma, and our purpose was to characterize tumor PD-L1 expression and associated T-cell infiltration in metastatic melanomas. EXPERIMENTAL

designWe used a tissue microarray (TMA) consisting of two cores from 95 metastatic melanomas characterized for clinical stage, outcome, and anatomic site of disease. We assessed PD-L1 expression and tumor-infiltrating lymphocyte (TIL) content (total T cells and CD4/CD8 subsets) by quantitative immunofluorescence.

resultsHigh PD-L1 expression was associated with improved survival (P = 0.02) and higher T-cell content (P = 0.0005). Higher T-cell content (total and CD8 cells) was independently associated with improved overall survival; PD-L1 expression was not independently prognostic. High TIL content in extracerebral metastases was associated with increased time to developing brain metastases (P = 0.03). Cerebral and dermal metastases had slightly lower PD-L1 expression than other sites, not statistically significant. Cerebral metastases had less T cells (P = 0.01).

conclusionsT-cell-infiltrated melanomas, particularly those with high CD8 T-cell content, are more likely to be associated with PD-L1 expression in tumor cells, an improved prognosis, and increased time to development of brain metastases. Studies of T-cell content and subsets should be incorporated into trials of PD-1/PD-L1 inhibitors to determine their predictive value. Furthermore, additional studies of anatomic sites with less PD-L1 expression and T-cell infiltrate are needed to determine if discordant responses to PD-1/PD-L1 inhibitors are seen at those sites.

Indexed as

AdultAgedB7-H1 AntigenBiomarkers, TumorBrain NeoplasmsCD8-Positive T-LymphocytesCell Line, TumorFemaleHumansKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMaleMelanomaMiddle AgedProportional Hazards ModelsSkin NeoplasmsB7-H1 AntigenBiomarkers, TumorCD274 protein, human

Identifiers

PMID25788491
PMCPMC4490112
OpenAlexW2103277177

What OpenQuestion holds

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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.