Evidence map›Paper›PMID 27221038›Full record

ArticleOncotarget2016

Tumor-infiltrating immune cell subpopulations influence the oncologic outcome after intravesical Bacillus Calmette-Guérin therapy in bladder cancer.

Renate Pichler, Josef Fritz, Claudia Zavadil, Georg Schäfer, Zoran Culig, Andrea Brunner

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
16.6field-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

99 citing papers in PubMed, 166 citations in OpenAlex.

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  17. Review of BCG immunotherapy for bladder cancer.Clinical microbiology reviews · 2025
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39 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

6 authors at 2 institutions in 1 country.

Renate PichlerDepartment of Urology, Division of Experimental Urology, Medical University of Innsbruck, A-6020 Innsbruck, Austria.
Josef FritzDepartment of Medical Statistics, Informatics and Health Economics, Medical University of Innsbruck, A-6020 Innsbruck, Austria.
Claudia ZavadilDepartment of Pathology, Division of General Pathology, Medical University of Innsbruck, A-6020 Innsbruck, Austria.
Georg SchäferDepartment of Pathology, Division of General Pathology, Medical University of Innsbruck, A-6020 Innsbruck, Austria.
Zoran CuligDepartment of Urology, Division of Experimental Urology, Medical University of Innsbruck, A-6020 Innsbruck, Austria.
Andrea BrunnerDepartment of Pathology, Division of General Pathology, Medical University of Innsbruck, A-6020 Innsbruck, Austria.
Innsbruck Medical University · ATUniversität Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although Bacillus Calmette-Guérin (BCG) is the most successful immunotherapy for high-risk non-muscle-invasive bladder cancer, approximately 30% of patients are unresponsive to treatment. New biomarkers are important to identify patients who will benefit most from BCG during a worldwide BCG shortage. Local immune cell subsets were measured on formalin-fixed, paraffin-embedded tissue sections of bladder cancer by immunohistochemistry, using monoclonal antibodies to tumor-associated macrophages (TAMs; CD68, CD163), B-lymphocytes (CD20) and T-lymphocyte subsets (CD3, CD4, CD8, GATA3, T-bet, FOXP3 and CD25). Cell densities in the lamina propria without invasion, at the invasive front if present, in the papillary tumor stroma, and in the neoplastic urothelium were calculated. Twenty-nine (72.5%) of 40 patients were classified as BCG responders after a mean follow-up of 35.3 months. A statistically significant association was observed for BCG failure with low density of CD4+ and GATA3+ T-cells, and increased expression of FOXP3+ and CD25+ regulatory T-cells (Tregs) as well as CD68+ and CD163+ TAMs. Survival analysis demonstrated prolonged recurrence-free survival (RFS) in patients with an increased count of CD4+ and GATA3+ T-cells. TAMs, Tregs and T-bet+ T-cells were inversely correlated with RFS. Thus, the tumor microenvironment seems to influence the therapeutic response to BCG, permitting an individualized treatment.

Indexed as

Administration, IntravesicalAdultAgedAged, 80 and overAntibodies, MonoclonalAntineoplastic AgentsBCG VaccineBiomarkers, TumorCD4-Positive T-LymphocytesDisease-Free SurvivalFemaleHumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoplasm InvasivenessAntibodies, MonoclonalAntineoplastic AgentsBCG VaccineBiomarkers, TumorBCG immunotherapybladder cancerlymphocytestumor-associated macrophagestumor microenvironment

Identifiers

PMID27221038
PMCPMC5129981
OpenAlexW2395763454

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.