Evidence map›Paper›PMID 26769139›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2016

The immune microenvironment of breast ductal carcinoma in situ.

Elizabeth Thompson, Janis M Taube, Hillary Elwood, Rajni Sharma, Alan Meeker, Hind Nassar Warzecha, Pedram Argani, Ashley Cimino-Mathews, Leisha A Emens

Open access · bronzeAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 1 pooled it
10.1field-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

90 citing papers in PubMed, 1 synthesis or guideline pooled it, 148 citations in OpenAlex.

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  16. Multi-omics portrait of ductal carcinoma in situ in young women.Breast cancer research and treatment · 2024
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30 more citing papers are in PubMed but not listed here.

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 2 countries.

Elizabeth ThompsonDepartment of Pathology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Janis M TaubeDepartment of Pathology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Hillary ElwoodDepartment of Pathology, University of New Mexico, Albuquerque, NM, USA.
Rajni SharmaDepartment of Pathology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Alan MeekerDepartment of Pathology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Hind Nassar WarzechaDepartment of Pathology, University of Tuebingen, Tuebingen, Baden-Wurttenberg, Germany.
Pedram ArganiDepartment of Pathology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Ashley Cimino-MathewsDepartment of Pathology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Leisha A EmensDepartment of Oncology, Sidney Kimmel Cancer Center, The Johns Hopkins Hospital, Baltimore, MD, USA.
Johns Hopkins Hospital · USSidney Kimmel Comprehensive Cancer Center · USUniversity of New Mexico · USUniversity of Tübingen · DE

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

The host immune response has a key role in breast cancer progression and response to therapy. However, relative to primary invasive breast cancers, the immune milieu of breast ductal carcinoma in situ (DCIS) is less understood. Here, we profile tumor infiltrating lymphocytes and expression of the immune checkpoint ligand programmed death ligand 1 (PD-L1) in 27 cases of DCIS with known estrogen receptor (ER), progesterone receptor, and human epidermal growth factor 2 (HER-2) expression using tissue microarrays. Twenty-four cases were pure DCIS and three had associated invasive ductal carcinoma. Tumors were stained by immunohistochemistry for PD-L1, as well as the lymphocyte markers CD3, CD4, CD8, FoxP3, and CD20. The expression of PD-L1 by DCIS carcinoma cells and tumor infiltrating lymphocytes was determined, and the average tumor infiltrating lymphocytes per high power field were manually scored. None of the DCIS cells expressed PD-L1, but 81% of DCIS lesions contained PD-L1+ tumor infiltrating lymphocytes. DCIS with moderate-diffuse tumor infiltrating lymphocytes was more likely to have PD-L1+ tumor infiltrating lymphocytes (P=0.004). Tumor infiltrating lymphocytes with high levels of PD-L1 expression (>50% cells) were seen only in triple-negative DCIS (P=0.0008), and PD-L1-tumor infiltrating lymphocytes were seen only in ER+/HER-2-DCIS (P=0.12). The presence of PD-L1+ tumor infiltrating lymphocytes was associated with a younger mean patient age (P=0.01). Further characterization of the DCIS immune microenvironment may identify useful targets for immune-based therapy and breast cancer prevention.

Indexed as

AdolescentAdultAgedBiomarkers, TumorBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingFemaleHumansImmunohistochemistryLymphocytes, Tumor-InfiltratingMiddle AgedTissue Array AnalysisTumor MicroenvironmentYoung AdultBiomarkers, Tumor

Identifiers

PMID26769139
PMCPMC5484584
OpenAlexW2237810057

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.