Evidence map›Paper›PMID 26504802›Full record

ArticleBioMed research international2015

Prognostic Value of Homotypic Cell Internalization by Nonprofessional Phagocytic Cancer Cells.

Manuela Schwegler, Anna M Wirsing, Hannah M Schenker, Laura Ott, Johannes M Ries, Maike Büttner-Herold, Rainer Fietkau, Florian Putz, Luitpold V Distel

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05642104 (The Detection of Cell-in-cell Structure), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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.

NCT05642104 unknown statusnot on this mapstarted 2021, after this paper: background citation

The Detection of Cell-in-cell Structure (CICs) in Patients With Breast Cancer Undergoing Neoadjuvant Chemotherapy

TypeobservationalSponsorBeijing Shijitan Hospital, Capital Medical UniversityRan2021 to 2024Enrolled175ConditionsBreast NeoplasmsArmsNeoadjuvant therapy
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Entosis in Health and Disease.Advances in experimental medicine and biology · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Homotypic Entosis as a Potential Novel Diagnostic Marker in Breast Cancer.International journal of molecular sciences · 2023
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  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 1 institution in 1 country.

Manuela SchweglerDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Anna M WirsingDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Hannah M SchenkerDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Laura OttDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Johannes M RiesDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Maike Büttner-HeroldDepartment of Pathology, University Hospital Erlangen, 91054 Erlangen, Germany.
Rainer FietkauDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Florian PutzDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Luitpold V DistelDepartment of Radiation Oncology, University Hospital Erlangen, 91054 Erlangen, Germany.
Universitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we investigated the prognostic role of homotypic tumor cell cannibalism in different cancer types.

methodsThe phenomenon of one cell being internalized into another, which we refer to as "cell-in-cell event," was assessed in 416 cases from five head and neck cancer cohorts, as well as one anal and one rectal cancer cohort. The samples were processed into tissue microarrays and immunohistochemically stained for E-cadherin and cleaved caspase-3 to visualize cell membranes and apoptotic cell death.

resultsCell-in-cell events were found in all of the cohorts. The frequency ranged from 0.7 to 17.3 cell-in-cell events per mm(2). Hardly any apoptotic cells were found within the cell-in-cell structures, although apoptotic cell rates were about 1.6 to two times as high as cell-in-cell rates of the same tissue sample. High numbers of cell-in-cell events showed adverse effects on patients' survival in the head and neck and in the rectal cancer cohorts. In multivariate analysis, high frequency was an adverse prognostic factor for overall survival in patients with head and neck cancer (p = 0.008).

conclusionCell-in-cell events were found to predict patient outcomes in various types of cancer better than apoptosis and proliferation and might therefore be used to guide treatment strategies.

Indexed as

AgedAnus NeoplasmsApoptosisCadherinsCaspase 3Cell ProliferationCohort StudiesFemaleHead and Neck NeoplasmsHumansImmunohistochemistryKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisNeoplasmsCadherinsCASP3 protein, humanCaspase 3

Identifiers

PMID26504802
PMCPMC4609350
OpenAlexW1949061701

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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.