Evidence map›Paper›PMID 26645238›Full record

ArticleBritish journal of cancer2015

Low stromal Foxp3+ regulatory T-cell density is associated with complete response to neoadjuvant chemoradiotherapy in rectal cancer.

M J McCoy, C Hemmings, T J Miller, S J Austin, M K Bulsara, N Zeps, A K Nowak, R A Lake, C F Platell

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 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

40 citing papers in PubMed, 71 citations in OpenAlex.

  1. Review
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  9. CD11cOncoimmunology · 2023
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  17. Review
  18. Clinical significance of CD8Molecular and clinical oncology · 2021
    Article
  19. Review
  20. Tumor Microenvironment Mediators CD8Journal of gastrointestinal cancer · 2021
    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 4 institutions in 1 country.

M J McCoySt John of God Subiaco Hospital, PO Box 14, Subiaco, WA 6904, Australia.
C HemmingsSt John of God Pathology, PO Box 646, Wembley, WA 6913, Australia.
T J MillerSt John of God Subiaco Hospital, PO Box 14, Subiaco, WA 6904, Australia.
S J AustinSt John of God Subiaco Hospital, PO Box 14, Subiaco, WA 6904, Australia.
M K BulsaraInstitute for Health Research, University of Notre Dame, PO Box 1225, Fremantle, WA 6959, Australia.
N ZepsSt John of God Subiaco Hospital, PO Box 14, Subiaco, WA 6904, Australia.
A K NowakSchool of Medicine and Pharmacology, University of Western Australia, M503, 35 Stirling Highway, Crawley, WA 6009, Australia.
R A LakeSchool of Medicine and Pharmacology, University of Western Australia, M503, 35 Stirling Highway, Crawley, WA 6009, Australia.
C F PlatellSt John of God Subiaco Hospital, PO Box 14, Subiaco, WA 6904, Australia.
University of Western Australia · AUSt John of God Subiaco Hospital · AUSir Charles Gairdner Hospital · AUThe University of Notre Dame Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFoxp3+ regulatory T cells (Tregs) play a vital role in preventing autoimmunity, but also suppress antitumour immune responses. Tumour infiltration by Tregs has strong prognostic significance in colorectal cancer, and accumulating evidence suggests that chemotherapy and radiotherapy efficacy has an immune-mediated component. Whether Tregs play an inhibitory role in chemoradiotherapy (CRT) response in rectal cancer remains unknown.

methodsFoxp3+, CD3+, CD4+, CD8+ and IL-17+ cell density in post-CRT surgical samples from 128 patients with rectal cancer was assessed by immunohistochemistry. The relationship between T-cell subset densities and clinical outcome (tumour regression and survival) was evaluated.

resultsStromal Foxp3+ cell density was strongly associated with tumour regression grade (P=0.0006). A low stromal Foxp3+ cell density was observed in 84% of patients who had a pathologic complete response (pCR) compared with 41% of patients who did not (OR: 7.56, P=0.0005; OR: 5.27, P=0.006 after adjustment for presurgery clinical factors). Low stromal Foxp3+ cell density was also associated with improved recurrence-free survival (HR: 0.46, P=0.03), although not independent of tumour regression grade.

conclusionsRegulatory T cells in the tumour microenvironment may inhibit response to neoadjuvant CRT and may represent a therapeutic target in rectal cancer.

Indexed as

AgedChemotherapy, AdjuvantCombined Modality TherapyFemaleForkhead Transcription FactorsHumansMaleMiddle AgedRadiotherapy, AdjuvantRectal NeoplasmsT-Lymphocytes, RegulatoryTreatment OutcomeForkhead Transcription FactorsFOXP3 protein, human

Identifiers

PMID26645238
PMCPMC4702002
OpenAlexW2191915025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.