Evidence map›Paper›PMID 26461054›Full record

ArticleBritish journal of cancer2015

Major histocompatibility complex class I expression impacts on patient survival and type and density of immune cells in biliary tract cancer.

Benjamin Goeppert, Lena Frauenschuh, Manuela Zucknick, Stephanie Roessler, Arianeb Mehrabi, Mohammadreza Hafezi, Albrecht Stenzinger, Arne Warth, Anita Pathil, Marcus Renner and 2 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
4.7field-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

44 citing papers in PubMed, 65 citations in OpenAlex.

  1. Advances in Immunotherapy for Intrahepatic Cholangiocarcinoma.International journal of molecular sciences · 2026
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  15. Role of immune escape in different digestive tumours.World journal of clinical cases · 2021
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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

12 authors at 3 institutions in 1 country.

Benjamin GoeppertInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Lena FrauenschuhInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Manuela ZucknickDivision of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg D-69120, Germany.
Stephanie RoesslerInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Arianeb MehrabiDepartment of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Mohammadreza HafeziDepartment of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Albrecht StenzingerInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Arne WarthInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Anita PathilDepartment of Internal Medicine IV, Gastroenterology and Hepatology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Marcus RennerInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Peter SchirmacherInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Wilko WeichertInstitute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
University Hospital Heidelberg · DEHeidelberg University · DENational Center for Tumor Diseases · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiliary tract cancers (BTC) are rare malignant tumours with a poor prognosis. Previously, we have presented a detailed characterisation of the inflammatory infiltrate in BTC. Here, we analysed the impact of the expression of major histocompatibility complex class I (MHC I) on patient survival and the quantity, as well as the quality of tumour-infiltrating immune cell types in BTC.

methodsMHC I expression was assessed semi-quantitatively in 334 BTC, including extrahepatic (n=129) and intrahepatic cholangiocarcinomas (n=146), as well as adenocarcinomas of the gallbladder (n=59). In addition, 71 high-grade biliary intraepithelial lesions (BilIN 3) were included. Results were correlated with data on antitumour inflammation and investigated with respect to their association with clinicopathological variables and patient survival.

resultsBTC showed a wide spectrum of different MHC I expression patterns ranging from complete negativity in some tumours to strong homogenous expression in others. In BilIN 3, significantly higher MHC I expression levels were seen compared to invasive tumours (P=0.004). Patients with strong tumoural MHC I expression had a significantly higher overall survival probability (median survival benefit: 8 months; P=0.006). MHC I expression strongly correlated with the number of tumour-infiltrating T-lymphocytes (CD4(+) and CD8(+)) and macrophages.

conclusionsDifferences of MHC I expression predict patient outcome and show correlations with specific components of the inflammatory infiltrate in BTC. These findings contribute to a better understanding of immune response and immune escape phenomena in cholangiocarcinogenesis.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overBiliary TractFemaleGallbladder NeoplasmsHistocompatibility Antigens Class IHumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedPrognosisHistocompatibility Antigens Class I

Identifiers

PMID26461054
PMCPMC4815783
OpenAlexW2223273945

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.