Evidence map›Paper›PMID 26879675›Full record

ArticleHead & neck2016

Tumor infiltrating lymphocytes and survival in patients with head and neck squamous cell carcinoma.

Nghia Nguyen, Emily Bellile, Daffyd Thomas, Jonathan McHugh, Laura Rozek, Shama Virani, Lisa Peterson, Thomas E Carey, Heather Walline, Jeffery Moyer and 8 more

Abstract read
In one paragraph

Article in Head & neck, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 200 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 12 pooled it
–field-weighted citation impact
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

200 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  4. Prognostic significance of tumor-infiltrating lymphocytes and macrophages in nasopharyngeal carcinoma: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
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140 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

18 authors.

Nghia NguyenDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Emily BellileCenter for Cancer Biostatistics, Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.
Daffyd ThomasDepartment of Pathology, University of Michigan Medical School, Ann Arbor, Michigan.
Jonathan McHughDepartment of Pathology, University of Michigan Medical School, Ann Arbor, Michigan.
Laura RozekDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan.
Shama ViraniDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan.
Lisa PetersonDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Thomas E CareyDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Heather WallineDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Jeffery MoyerDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Matthew SpectorDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Daniel PerimDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Mark PrinceDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Scott McLeanDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Carol R BradfordDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Jeremy M G TaylorCenter for Cancer Biostatistics, Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.
Gregory T WolfDepartment of Otolaryngology, University of Michigan Medical School, Ann Arbor, Michigan.
Head and Neck SPORE Program Investigators

Funding

Therapeutic Potential and Mechanism of Action of Potent Small Molecule InhibitorsP50CA097248 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLF, GREGORY T · 2002 to 2013
$25.3M
Advanced Research Training in OtolaryngologyT32DC005356 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CORFAS, GABRIEL · 2002 to 2021
$3.5M
NCI NIH HHS P50 CA097248NIDCD NIH HHS T32 DC005356
6 · The paper itself

Abstract

backgroundBecause immune responses within the tumor microenvironment are important predictors of tumor biology, correlations of types of tumor infiltrating lymphocytes (TILs) with clinical outcomes were determined in 278 patients with head and neck squamous cell carcinoma (HNSCC).

methodsInfiltrating levels of CD4 (helper T cells), CD8 (cytotoxic/suppressor T cells), FoxP3 (regulatory T cells), CD68 (myeloid-derived suppressor cells,) and CD1a (Langerhans) cells were measured in tissue microarrays (TMAs). Cox models tested associations with patient outcomes after adjusting for all known prognostic factors. Median follow-up was 36.6 months.

resultsHigher CD4 and CD8 TIL levels were associated with improved overall survival (OS; hazard ratio [HR] = 0.77; 95% confidence interval [CI]  = 0.65-0.93; p = .005 and HR = 0.77; 95% CI = 0.64-0.94; p = .008, respectively), and relapse-free survival (RFS; p = .03 and .05, respectively). After controlling for prognostic factors, higher CD4 levels predicted improved OS and disease-specific survival (DSS; p = .003 and p = .004, respectively).

conclusionThe findings suggest that TILs are a significant independent prognostic factor for HNSCC that differ by treatment. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1074-1084, 2016.

Indexed as

AdultAgedAged, 80 and overBiomarkersCarcinoma, Squamous CellCohort StudiesCombined Modality TherapyDisease-Free SurvivalFemaleHead and Neck NeoplasmsHumansKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMaleMiddle AgedMultivariate AnalysisBiomarkerscancerprognosistumor infiltrating lymphocytes

Identifiers

PMID26879675
PMCPMC4900934

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.