Evidence map›Paper›PMID 28657901›Full record

ArticleOncotarget2017

Increased intraepithelial CD3+ T-lymphocytes and high PD-L1 expression on tumor cells are associated with a favorable prognosis in esophageal squamous cell carcinoma and allow prognostic immunogenic subgrouping.

Moritz Jesinghaus, Katja Steiger, Julia Slotta-Huspenina, Enken Drecoll, Nicole Pfarr, Petra Meyer, Björn Konukiewitz, Marcus Bettstetter, Kathrin Wieczorek, Katja Ott and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
8.4field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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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

15 authors at 5 institutions in 2 countries.

Moritz JesinghausInstitute of Pathology, Technical University of Munich, Munich, Germany.
Katja SteigerInstitute of Pathology, Technical University of Munich, Munich, Germany.
Julia Slotta-HuspeninaInstitute of Pathology, Technical University of Munich, Munich, Germany.
Enken DrecollInstitute of Pathology, Technical University of Munich, Munich, Germany.
Nicole PfarrInstitute of Pathology, Technical University of Munich, Munich, Germany.
Petra MeyerInstitute of Pathology, Technical University of Munich, Munich, Germany.
Björn KonukiewitzInstitute of Pathology, Technical University of Munich, Munich, Germany.
Marcus BettstetterMolecular Pathology South-Bavaria, Munich, Germany.
Kathrin WieczorekInstitute of Pathology, University of Heidelberg, Heidelberg, Germany.
Katja OttRoMED Surgical Clinic, Rosenheim, Germany.
Markus FeithDepartment of Surgery, Technical University of Munich, Munich, Germany.
Rupert LangerInstitute of Pathology, University of Bern, Bern, Switzerland.
Wilko WeichertInstitute of Pathology, Technical University of Munich, Munich, Germany.
Katja SpechtInstitute of Pathology, Technical University of Munich, Munich, Germany.
Melanie BoxbergInstitute of Pathology, Technical University of Munich, Munich, Germany.
Technical University of Munich · DEDeutschen Konsortium für Translationale Krebsforschung · DEHeidelberg University · DERoMed Kliniken · DEUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Esophageal squamous cell carcinoma (ESCC) is the most common esophageal cancer associated with poor prognosis and additional therapeutic strategies must be implemented to optimize ESCC treatment. Meanwhile, the important biologic role and potential prognostic and therapeutic implications of a tumors immunologic microenvironment (IM) have been recognized in various cancers.In order to investigate the contexture and the prognostic relevance of the IM in ESCC, we immunohistochemically evaluated the extent of overall/intraepithelial TILs (CD3+/CD8+) and of PD-1 / PD-L1 expression in a cohort of 125 therapy-naive ESCCs, additionally assessing PD-L1 copy number status via fluorescence in-situ hybridization.High intraepithelial CD3+ TILs (CD3ihigh) and high PD-L1 expression on tumor cells (PD-L1high) were each significantly associated with improved overall- (OS) (CD3+: p = 0.019; PD-L1: p = 0.028), disease specific- (DSS) (CD3+: p = 0.05; PD-L1: p = 0.006) and disease free survival (DFS) (CD3+: p = 0.009; PD-L1: p < 0.001). CD3ihigh- and PD-L1high cases were significantly associated with one another (p < 0.001). Subgrouping of ESCC revealed decreased OS (p = 0.031), DSS (p = 0.012) and DFS (p < 0.001) for CD3ilow/PD-L1low cancers.Our data not only associate CD3ihigh- and PD-L1high ESCC with a beneficial outcome, but also demonstrate PD-L1high- and CD3ihigh status to be closely intertwined. Furthermore, our study demarcates a prognostically unfavorable, "non-immunoreactive" CD3ilow / PD-L1low ESCC-subgroup, potentially forming the basis for an immune-based stratification of ESCC.

Indexed as

B7-H1 AntigenBiomarkers, TumorCarcinoma, Squamous CellCD3 ComplexDNA Copy Number VariationsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaFemaleGene Expression Regulation, NeoplasticHumansLymphocytes, Tumor-InfiltratingMaleNeoplasm GradingNeoplasm StagingPrognosisProgrammed Cell Death 1 ReceptorB7-H1 AntigenBiomarkers, TumorCD274 protein, humanCD3 ComplexProgrammed Cell Death 1 Receptoresophageal squamous cell carcinomaimmunologic microenvironmentintraepithelial CD3Pathology SectionPD-L1tumor infiltrating lymphocytes

Identifiers

PMID28657901
PMCPMC5564521
OpenAlexW2685552098

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.