Evidence map›Paper›PMID 27034329›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2016

OX40+ Regulatory T Cells in Cutaneous Squamous Cell Carcinoma Suppress Effector T-Cell Responses and Associate with Metastatic Potential.

Chester Lai, Suzannah August, Amel Albibas, Ramnik Behar, Shin-Young Cho, Marta E Polak, Jeffrey Theaker, Amanda S MacLeod, Ruth R French, Martin J Glennie and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

59 citing papers in PubMed, 80 citations in OpenAlex.

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  6. The OX40-OX40L Co-stimulatory pathway in dermatology: emerging frontiers for therapeutic approaches.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
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  19. Programmed cell death-1 receptor-mediated regulation of TbetProceedings of the National Academy of Sciences of the United States of America · 2023
    Article
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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

12 authors at 3 institutions in 2 countries.

Chester LaiDermatopharmacology, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom. Dermatology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Suzannah AugustDermatopharmacology, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom. Dermatology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Amel AlbibasDermatopharmacology, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Ramnik BeharDermatopharmacology, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Shin-Young ChoDermatopharmacology, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Marta E PolakDermatopharmacology, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Jeffrey TheakerHistopathology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Amanda S MacLeodDermatology, Duke University Medical Center, Durham, North Carolina.
Ruth R FrenchCancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Martin J GlennieCancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Aymen Al-ShamkhaniCancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
Eugene HealyDermatopharmacology, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom. Dermatology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom. ehealy@soton.ac.uk.
University of Southampton · GBUniversity Hospital Southampton NHS Foundation Trust · GBDuke University · US

Funding

ATP in Skin ImmunityK08AR063729 · NIAMS · SCRIPPS RESEARCH INSTITUTE, THE · PI MACLEOD, AMANDA S · 2013 to 2017
$636k
Cancer Research UK 10834Cancer Research UK 13211Cancer Research UK 19502Cancer Research UK 21621NIAMS NIH HHS K08 AR063729Wellcome Trust 100683
6 · The paper itself

Abstract

purposeCutaneous squamous cell carcinoma (cSCC) is the most common human cancer with metastatic potential. Despite T cells accumulating around cSCCs, these tumors continue to grow and persist. To investigate reasons for failure of T cells to mount a protective response in cSCC, we focused on regulatory T cells (Tregs) as this suppressive population is well represented among the infiltrating lymphocytes. EXPERIMENTAL

designFlow cytometry was conducted on cSCC lymphocytes and in vitro functional assays were performed using sorted tumoral T cells. Lymphocyte subsets in primary cSCCs were quantified immunohistochemically.

resultsFOXP3(+) Tregs were more frequent in cSCCs than in peripheral blood (P < 0.0001, n = 86 tumors). Tumoral Tregs suppressed proliferation of tumoral effector CD4(+) (P = 0.005, n = 10 tumors) and CD8(+) T cells (P = 0.043, n = 9 tumors) and inhibited IFNγ secretion by tumoral effector T cells (P = 0.0186, n = 11 tumors). The costimulatory molecule OX40 was expressed predominantly on tumoral Tregs (P < 0.0001, n = 15 tumors) and triggering OX40 with an agonist anti-OX40 antibody overcame the suppression exerted by Tregs, leading to increased tumoral effector CD4(+) lymphocyte proliferation (P = 0.0098, n = 10 tumors). Tregs and OX40(+) lymphocytes were more abundant in primary cSCCs that metastasized than in primary cSCCs that had not metastasized (n = 48 and n = 49 tumors, respectively).

conclusionsTregs in cSCCs suppress effector T-cell responses and are associated with subsequent metastasis, suggesting a key role for Tregs in cSCC development and progression. OX40 agonism reversed the suppressive effects of Tregs in vitro, suggesting that targeting OX40 could benefit the subset of cSCC patients at high risk of metastasis. Clin Cancer Res; 22(16); 4236-48. ©2016 AACR.

Indexed as

BiomarkersCarcinoma, Squamous CellHumansImmunohistochemistryImmunologic MemoryImmunomodulationImmunophenotypingLymphocyte ActivationLymphocyte CountLymphocytes, Tumor-InfiltratingNeoplasm MetastasisPhenotypeReceptors, OX40Skin NeoplasmsT-Lymphocytes, RegulatoryT-Lymphocyte SubsetsBiomarkersReceptors, OX40TNFRSF4 protein, human

Identifiers

PMID27034329
PMCPMC4987192
OpenAlexW2333832884

What OpenQuestion holds

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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.