Evidence map›Paper›PMID 26867783›Full record

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

Plasma cells in primary melanoma. Prognostic significance and possible role of IgA.

Francesca M Bosisio, James S Wilmott, Nathalie Volders, Marjorie Mercier, Jasper Wouters, Marguerite Stas, Willeke Am Blokx, Daniela Massi, John F Thompson, Richard A Scolyer and 2 more

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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 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

55 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
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  4. Humoral immunity in cancer.Signal transduction and targeted therapy · 2026
    Review
  5. Article
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  7. Article
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  15. Article
  16. Article
  17. Review
  18. The tumor immune microenvironment in primary cutaneous melanoma.Archives of dermatological research · 2025
    Review
  19. Article
  20. Advances in tumor-infiltrating B lymphocytes.Central-European journal of immunology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 4 countries.

Francesca M BosisioLaboratory of Translational Cell and Tissue Research, University of Leuven, KUL, Leuven, Belgium.
James S WilmottMelanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.
Nathalie VoldersLaboratory of Translational Cell and Tissue Research, University of Leuven, KUL, Leuven, Belgium.
Marjorie MercierLudwig Institute for Cancer Research and de Duve Institute, Université Catholique de Louvain, Brussels, Belgium.
Jasper WoutersLaboratory of Translational Cell and Tissue Research, University of Leuven, KUL, Leuven, Belgium.ORCID http://orcid.org/0000-0002-7129-2990
Marguerite StasDepartment of Surgical Oncology, UZ Gasthuisberg and KU Leuven, Leuven, Belgium.
Willeke Am BlokxRadboud University Medical Center, Nijmegen, The Netherlands.
Daniela MassiDepartment of Surgery and Translational Medicine, University of Florence, Florence, Italy.
John F ThompsonMelanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.
Richard A ScolyerMelanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.
Nicolas van BarenLudwig Institute for Cancer Research and de Duve Institute, Université Catholique de Louvain, Brussels, Belgium.
Joost J van den OordLaboratory of Translational Cell and Tissue Research, University of Leuven, KUL, Leuven, Belgium.
KU Leuven · BEThe University of Sydney · AULudwig Cancer Research · BERadboud University Nijmegen · NLUniversitair Ziekenhuis Leuven · BEUniversity of Florence · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Melanoma is not only one of the most immunogenic cancers but also one of the most effective cancers at subverting host immunity. The role of T lymphocytes in tumor immunity has been extensively studied in melanoma, whereas less is known about the importance of B lymphocytes. The effects of plasma cells (PCs), in particular, are still obscure. The aim of this study was to characterize pathological features and clinical outcome of primary cutaneous melanomas associated with PCs. Moreover, we investigated the origins of the melanoma-associated PCs. Finally, we studied the outcome of patients with primary melanomas with PCs. We reviewed 710 melanomas to correlate the presence of PCs with histological prognostic markers. Immunohistochemistry for CD138 and heavy and light chains was performed in primary melanomas (PM) and in loco-regional lymph nodes (LN), both metastatic and not metastatic. In three PM and nine LN with frozen material, VDJ-rearrangement was analyzed by Gene Scan Analysis. Survival analysis was performed on a group of 85 primary melanomas >2 mm in thickness. Forty-one cases (3.7%) showed clusters/sheets of PCs. PC-rich melanomas occurred at an older age and were thicker, more often ulcerated and more mitotically active (P<0.05). PCs were polyclonal and often expressed IgA in addition to IgG. In LN, clusters/sheets of IgA+ PCs were found both in the sinuses and subcapsular areas. Analysis of VDJ-rearrangements showed the IgA to be oligoclonal. Melanomas with clusters/sheets of PCs had a significantly worse survival compared with melanomas without PCs while, interestingly, melanomas with sparse PCs were associated with a better clinical outcome (P=0.002). In conclusion, melanomas with sheets/clusters of PCs are associated with worse prognosis. IgG and IgA are the isotypes predominantly produced by these PCs. IgA oligoclonality suggests an antigen-driven response that facilitates melanoma progression by a hitherto unknown mechanism.

Indexed as

AdolescentAdultAgedAged, 80 and overChildFemaleHumansImmunoglobulin AImmunohistochemistryKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMaleMelanomaMiddle AgedPlasma CellsPrognosisImmunoglobulin A

Identifiers

PMID26867783
OpenAlexW2252919733

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.