Evidence map›Paper›PMID 26598537›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2016

Prognostic value of programmed-death-1 receptor (PD-1) and its ligand 1 (PD-L1) in testicular germ cell tumors.

Z Cierna, M Mego, V Miskovska, K Machalekova, M Chovanec, D Svetlovska, K Hainova, K Rejlekova, D Macak, S Spanik and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 5 pooled it
14.5field-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

83 citing papers in PubMed, 5 syntheses or guidelines pooled it, 162 citations in OpenAlex.

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  3. The clinicopathological and prognostic value of programmed death-ligand 1 in colorectal cancer: a meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
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  6. Phase II trial of nivolumab monotherapy and biomarker screening in patients with chemo-refractory germ cell tumors.International journal of urology : official journal of the Japanese Urological Association · 2022
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 4 countries.

Z CiernaDepartment of Pathology, Faculty of Medicine.
M Mego2nd Department of Oncology, Faculty of Medicine and National Cancer Institute Translational Research Unit, 2nd Department of Oncology, Faculty of Medicine and National Cancer Institute 1st Department of Oncology, Comenius University, Bratislava misomego@gmail.com.
V MiskovskaFaculty of Medicine, St Elisabeth Cancer Institute, Bratislava.
K MachalekovaDepartment of Pathology, Slovak Medical University and St Elisabeth Cancer Institute, Bratislava.
M Chovanec2nd Department of Oncology, Faculty of Medicine and National Cancer Institute 1st Department of Oncology, Comenius University, Bratislava.
D SvetlovskaTranslational Research Unit, 2nd Department of Oncology, Faculty of Medicine and National Cancer Institute.
K HainovaTranslational Research Unit, 2nd Department of Oncology, Faculty of Medicine and National Cancer Institute Cancer Research Institute, Slovak, Academy of Sciences, Bratislava.
K Rejlekova2nd Department of Oncology, Faculty of Medicine and National Cancer Institute 1st Department of Oncology, Comenius University, Bratislava.
D MacakDepartment of Pathology, National Cancer Institute, Bratislava.
S SpanikFaculty of Medicine, St Elisabeth Cancer Institute, Bratislava.
D OndrusFaculty of Medicine, St Elisabeth Cancer Institute, Bratislava.
K KajoDepartment of Pathology, Slovak Medical University and St Elisabeth Cancer Institute, Bratislava.
J Mardiak2nd Department of Oncology, Faculty of Medicine and National Cancer Institute Translational Research Unit, 2nd Department of Oncology, Faculty of Medicine and National Cancer Institute 1st Department of Oncology, Comenius University, Bratislava.
P BabalDepartment of Pathology, Faculty of Medicine Faculty Hospital with Policlinics Skalica, a.s., Skalica, Slovak Republic.
Cancer Institute (WIA) · INNational Cancer Institute · MYSlovak Medical University · SKSlovak Academy of Sciences · SKUniversity of Central Europe in Skalica · SK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTesticular germ cell tumors (TGCTs) belong to the most chemosensitive solid tumors; however, a small proportion of patients fail to be cured with cisplatin-based chemotherapy. Inhibitors of PD-1/PD-L1 pathways represent a new class of promising drugs in anticancer therapy. The aim of this study was to evaluate expression and prognostic value of PD-1 and PD-L1 in TGCTs. PATIENTS AND

methodsSurgical specimens from 140 patients with TGCTs (131 with primary testicular tumor and 9 with extragonadal GCTs) were included into the translational study. PD-1 and PD-L1 expression was detected in the tumor tissue by immunohistochemistry using monoclonal antibodies, scored by the multiplicative quickscore (QS) method, compared with their expression in normal testicular tissue and correlated with clinicopathological characteristics and clinical outcome.

resultsNone of the GCTs exhibited PD-1 protein, although expression of PD-L1 was significantly higher in GCTs in comparison with normal testicular tissue (mean QS = 5.29 versus 0.32, P < 0.0001). Choriocarcinomas exhibit the highest level of PD-L1 with decreasing positivity in embryonal carcinoma, teratoma, yolk sac tumor and seminoma. PD-L1 expression was associated with poor prognostic features, including ≥3 metastatic sites, increased serum tumor markers and/or non-pulmonary visceral metastases. Patients with low PD-L1 expression had significantly better progression-free survival [hazard ratio (HR) = 0.40, 95% confidence interval (CI) 0.16-1.01, P = 0.008] and overall survival (HR = 0.43, 95% CI 0.15-1.23, P = 0.040) compared with patients with high PD-L1 expression.

conclusionsIn this translational study, we showed, for the first time, the prognostic value of PD-L1 expression in TGCTs and our data imply that the PD-1/PD-L1 pathway could be a novel therapeutic target in TGCTs.

Indexed as

AdolescentAdultAgedAntibodies, MonoclonalAntineoplastic AgentsB7-H1 AntigenBiomarkers, TumorChoriocarcinomaCisplatinDisease-Free SurvivalHumansImmunotherapyMaleMiddle AgedNeoplasms, Germ Cell and EmbryonalProgrammed Cell Death 1 ReceptorAntibodies, MonoclonalAntineoplastic AgentsB7-H1 AntigenBiomarkers, TumorCD274 protein, humanCisplatinPDCD1 protein, humanProgrammed Cell Death 1 Receptorimmunotherapyprognosisprogrammed death-ligand 1programmed death receptor 1testicular germ cell tumors

Identifiers

PMID26598537
PMCPMC4751222
OpenAlexW2172770673

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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.