Evidence map›Paper›PMID 26496037›Full record

ArticleOncotarget2015

Mismatch repair gene defects in sporadic colorectal cancer enhance immune surveillance.

Marco Scarpa, Cesare Ruffolo, Fabio Canal, Melania Scarpa, Silvia Basato, Francesca Erroi, Alain Fiorot, Lucia Dall'Agnese, Anna Pozza, Andrea Porzionato and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  13. CD39Oncotarget · 2018
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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

14 authors at 4 institutions in 1 country.

Marco ScarpaSurgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.
Cesare RuffoloGeneral Surgery Unit (IV), "Ca' Foncello" Hospital, Treviso, Italy.
Fabio CanalPathology Unit, "Ca' Foncello" Hospital, Treviso, Italy.
Melania ScarpaSurgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.
Silvia BasatoDepartment of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy.
Francesca ErroiDepartment of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy.
Alain FiorotGeneral Surgery Unit (IV), "Ca' Foncello" Hospital, Treviso, Italy.
Lucia Dall'AgneseDepartment of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy.
Anna PozzaDepartment of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy.
Andrea PorzionatoDepartment of Molecular Medicine, University of Padova, Padova, Italy.
Ignazio CastagliuoloDepartment of Molecular Medicine, University of Padova, Padova, Italy.
Angelo P Dei TosPathology Unit, "Ca' Foncello" Hospital, Treviso, Italy.
Nicolò BassiGeneral Surgery Unit (IV), "Ca' Foncello" Hospital, Treviso, Italy.
Carlo CastoroSurgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.
University of Padua · ITCa' Foncello Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Oncologico Veneto · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is evidence that colorectal cancers (CRC) with DNA mismatch repair deficiency (MMR-D) are associated with a better prognosis than the generality of large bowel malignancies. Since an active immune surveillance process has been demonstrated to influence CRC outcome, we investigated whether MMR-D can enhance the immune response in CRC. PATIENTS AND

methodsA group of 113 consecutive patients operated for CRC (42 stage I or II and 71 with stage III or IV) was retrospectively analyzed. The expression of MMR genes (MSH2, MLH1, MSH6 and PSM2) and co-stimulatory molecule CD80 was assessed by tissue microarray immunohistochemistry. In addition, tumor infiltrating mononuclear cells (TIMC) and T cell subpopulations (CD4, CD8, T-bet and FoxP-3) were quantified. The effect of specific siRNA (siMSH2, siMLH1, siMSH6 and siPSM2) transfection in HT29 on CD80 expression was quantified by flow cytometry. Non parametric statistics and survival analysis were used.

resultsPatients with MMR-D showed a higher T-bet/CD4 ratio (p = 0.02), a higher rate of CD80 expression and CD8 lymphocyte infiltration compared to those with no MMR-D. Moreover, in the MMR-D group, the Treg marker FoxP-3 was not expressed (p = 0.05). MMR-D patients with stage I or II and T-bet expression had a significant better survival (p = 0.009). Silencing of MSH2, MLH1 and MSH6, but not PSM2, significantly increased the rate of CD80+ HT29 cells (p = 0.007, p = 0.023 and p = 0.015, respectively).

conclusionsCRC with MMR-D showed a higher CD80 expression, and CD8+ and Th1 T-cell infiltration. In vitro silencing of MSH2, MLH1 and MSH6 significantly increased CD80+ cell rate. These results suggest an enhanced immune surveillance mechanism in presence of MMR-D.

Indexed as

AgedAged, 80 and overB7-1 AntigenColorectal NeoplasmsDNA Mismatch RepairFemaleFlow CytometryHT29 CellsHumansImmunohistochemistryKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMaleMicrosatellite InstabilityMiddle AgedPolymerase Chain ReactionB7-1 AntigenCD80colorectal cancerimmune surveillancemismatch repair

Identifiers

PMID26496037
PMCPMC4791244
OpenAlexW1880435114

What OpenQuestion holds

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LicenceCC BY
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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.