Evidence map›Paper›PMID 26339391›Full record

ArticleInternational journal of clinical and experimental pathology2015

High intratumoral FOXP3⁺ T regulatory cell (Tregs) density is an independent good prognosticator in nodal negative colorectal cancer.

Tim Hanke, Nathaniel Melling, Ronald Simon, Guido Sauter, Carsten Bokemeyer, Patrick Lebok, Luigi M Terracciano, Jakob R Izbicki, Andreas H Marx

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in International journal of clinical and experimental pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

26 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  5. Tertiary lymphoid structures in colorectal cancer - organization and immune cell interactions.American journal of clinical and experimental immunology · 2024
    Review
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  14. Review
  15. Genetic Variants in the Regulatory T cell-Related Pathway and Colorectal Cancer Prognosis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  16. Article
  17. Article
  18. Review
  19. Treatment-induced changes of lymphocyte subsets in patients with adenoid cystic carcinoma of the head and neck.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Article
  20. Article
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 2 countries.

Tim HankeCenter for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Nathaniel MellingDepartment of Surgery, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Ronald SimonInstitute of Pathology, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Guido SauterInstitute of Pathology, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Carsten BokemeyerDepartment of Oncology, Hematology, BMT with Section Pneumology, Hubertus Wald Cancer Center, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Patrick LebokInstitute of Pathology, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Luigi M TerraccianoInstitute of Pathology, University Hospital Basel Basel 4001, Switzerland.
Jakob R IzbickiDepartment of Surgery, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Andreas H MarxInstitute of Pathology, University Medical Center Hamburg-Eppendorf Hamburg 20246, Germany.
Universität Hamburg · DEUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunologic profiling of colorectal cancer (CRC) may help to predict the tumors metastatic potential and patients with an aggressive tumor, although not yet metastasized at time of surgery might benefit from adjuvant therapy. In this study we evaluated the prognostic significance of FOXP3(+) T regulatory cells (Tregs), CD3(+) and CD8(+) lymphocyte densities and conventional histopathologic features in nodal negative (n = 820, UICC stage II) CRC. Immunohistochemical studies showed that high expression of FOXP3(+) Tregs is significantly linked to a better clinical outcome (P = 0.0001). In multivariate analysis including tumor stage, tumor grade, type of tumor invasion margin (pushing vs. infiltrating type), lymphovascular invasion (absent vs. present), CD3(+), CD8(+) and FOXP3(+) Tregs expression, only low tumor stage, absence of lymphovascular invasion and high Foxp3 Tregs density showed prognostic significance (P = 0.0132, P = 0.0022 AND P = 0.0234, respectively). Our findings argue towards a clinical utility of FOXP3(+) Tregs immunostaining as an independent good prognostic biomarker in stage II colorectal cancers. FOXP3(+) Tregs immunoscoring, assessment of tumor stage and lymphovascular invasion may help to define stage II cancers with a potentially aggressive behavior and CRC patients who might benefit from adjuvant therapy. A two-scale immunosore related to the median count of FOXP3(+) Tregs proved to be easy and quick to perform.

Indexed as

AgedBiomarkers, TumorColorectal NeoplasmsFemaleForkhead Transcription FactorsGermanyHumansImmunohistochemistryKaplan-Meier EstimateLymphocyte CountLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoplasm GradingNeoplasm InvasivenessNeoplasm StagingBiomarkers, TumorForkhead Transcription FactorsFOXP3 protein, humanColorectal cancerFOXP3+ Tregsimmunoscoreprognosis

Identifiers

PMID26339391
PMCPMC4555719
OpenAlexW1248341630

What OpenQuestion holds

Textmetadata
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.