Evidence map›Paper›PMID 27260189›Full record

ArticleBreast cancer research and treatment2016

Prognostic and predictive impacts of tumor-infiltrating lymphocytes differ between Triple-negative and HER2-positive breast cancers treated with standard systemic therapies.

Akira I Hida, Yasuaki Sagara, Daisuke Yotsumoto, Shuichi Kanemitsu, Junko Kawano, Shinichi Baba, Yoshiaki Rai, Yumi Oshiro, Kenjiro Aogi, Yoshiaki Sagara and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Circulating CD3Cancer medicine · 2025
    Article
  9. Article
  10. Article
  11. Implications of tumor-infiltrating lymphocytes in early-stage triple-negative breast cancer: clinical oncologist perspectives.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Protein-based immune profiles of basal-like vs. luminal breast cancers.Laboratory investigation; a journal of technical methods and pathology · 2021
    Article
  18. Observational
  19. Review
  20. Article
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

11 authors at 3 institutions in 1 country.

Akira I HidaDepartment of Pathology, Matsuyama Red Cross Hospital, 1 Bunkyo, Matsuyama, Ehime, 790-8524, Japan. gbears@matsuyama.jrc.or.jp.
Yasuaki SagaraDepartment of Breast Surgical Oncology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
Daisuke YotsumotoDepartment of Breast Surgical Oncology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
Shuichi KanemitsuDepartment of Breast Surgical Oncology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
Junko KawanoDepartment of Breast Surgical Oncology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
Shinichi BabaDepartment of Breast Surgical Oncology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
Yoshiaki RaiDepartment of Breast Surgical Oncology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
Yumi OshiroDepartment of Pathology, Matsuyama Red Cross Hospital, 1 Bunkyo, Matsuyama, Ehime, 790-8524, Japan.
Kenjiro AogiDepartment of Breast Oncology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Ehime, Japan.
Yoshiaki SagaraDepartment of Breast Surgical Oncology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
Yasuyo OhiDepartment of Pathology, Hakuaikai Sagara Hospital, Kagoshima, Japan.
National Sagamihara Hospital · JPMatsuyama Red Cross Hospital · JPShikoku Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor-infiltrating lymphocytes (TILs) have potential value for stratifying the treatment of breast cancer (BC), though their precise use remains unclear. We aimed to investigate the utility of TILs using an alternative approach in different settings. We reviewed patients with triple-negative (TN) or human epithelial growth factor receptor 2 (HER2)-positive invasive ductal carcinomas from a single institutional cohort and classified archived hematoxylin-eosin-stained samples in terms of TIL score as low (<10 %), intermediate, and high (>50 %). The prognostic and predictive values of TILs were analyzed retrospectively in both adjuvant and neo-adjuvant settings. In the adjuvant setting, the presence of TILs at primary surgery was a significant favorable prognostic factor among 154 TNBCs [relapse-free survival (RFS): p = 0.015], but not among 183 HER2+ BCs (RFS: p = 0.097). The TNBC low-TIL group tended to relapse earlier. In the neo-adjuvant setting, detection of TILs on biopsy before primary systemic therapy was associated with the ratio of patients achieving pathological complete response among 48 TNBCs (p = 0.024), but not among 58 HER2+ BCs (p = 0.30). The presence of TILs in surgical specimens after systemic therapy had prognostic value in HER2+ BC (RFS: p = 0.007). The impact of TILs differs between patients with TN and HER2+ BC treated with standard therapies. Our three-grade scale for TILs may contribute to our understanding of the importance of the tumor microenvironment in routine practice. TILs after primary systemic therapy may be useful for the further stratification of treatment of HER2+ BC.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsCarcinoma, Ductal, BreastErb-b2 Receptor Tyrosine KinasesFemaleHumansLymphocytes, Tumor-InfiltratingMiddle AgedPrognosisRetrospective StudiesSurvival AnalysisTreatment OutcomeTriple Negative Breast NeoplasmsYoung AdultERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesBreast cancerHER2-positiveTriple-negativeTumor-infiltrating lymphocyte

Identifiers

PMID27260189
PMCPMC4937092
OpenAlexW2470345540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.