Evidence map›Paper›PMID 28931051›Full record

ArticlePloS one2017

Interleukin-17-positive mast cells influence outcomes from BCG for patients with CIS: Data from a comprehensive characterisation of the immune microenvironment of urothelial bladder cancer.

Alexander C Dowell, Ellen Cobby, Kaisheng Wen, Adam J Devall, Vinnie During, Jane Anderson, Nicholas D James, Kar K Cheng, Maurice P Zeegers, Richard T Bryan and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  11. Frontiers in oncology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Alexander C DowellInstitute of Immunology & Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, United Kingdom.ORCID http://orcid.org/0000-0002-1909-7047
Ellen CobbyRoyal Shrewsbury Hospital, Shrewsbury, Shropshire, United Kingdom.
Kaisheng WenUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Adam J DevallBirmingham Clinical Trials Unit (BCTU), Institute of Applied Health Research, Public Health Building, University of Birmingham, Edgbaston, United Kingdom.
Vinnie DuringUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Jane AndersonUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Nicholas D JamesUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Kar K ChengSchool of Health and Population Sciences, University of Birmingham, Birmingham, United Kingdom.
Maurice P ZeegersNutrition and Translational Research in Metabolism (School NUTRIM), and Care and Public Health Research Institute (School CAPHRI), Maastricht University, The Netherlands.
Richard T BryanInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, United Kingdom.
Graham S TaylorInstitute of Immunology & Immunotherapy, University of Birmingham, Vincent Drive, Birmingham, United Kingdom.
University of Birmingham · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBMaastricht University · NLRoyal Shrewsbury Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tumour immune microenvironment is considered to influence cancer behaviour and outcome. Using a panel of markers for innate and adaptive immune cells we set out to characterise and understand the bladder tumour microenvironment of 114 patients from a prospective multicentre cohort of newly-diagnosed bladder cancer patients, followed-up for 4.33±1.71 years. We found IL-17-positive cells were significantly increased in primary and concomitant carcinoma in situ (CIS), p<0.0001, a highly malignant lesion which is the most significant single risk factor for disease progression. Further characterisation of the tumour immunophenotype identified IL-17+ cells as predominantly mast cells rather than T-cells, in contrast to most other tumour types. Expression of the IL-17-receptor in bladder tumours, and functional effects and gene expression changes induced by IL-17 in bladder tumour cells in vitro suggest a role in tumour behaviour. Finally, we assessed the effects of IL-17 in the context of patient outcome, following intravesical BCG immunotherapy which is the standard of care; higher numbers of IL-17+ cells were associated with improved event-free survival (p = 0.0449, HR 0.2918, 95% CI 0.08762-0.9721) in patients with primary and concomitant CIS (n = 41), we propose a model of IL-17+ Mast cells mechanism of action. Thus, in the context of bladder CIS, IL-17+ mast cells predict favourable outcome following BCG immunotherapy indicative of a novel mechanism of BCG immunotherapy in UBC and could form the basis of a stratified approach to treatment.

Indexed as

ImmunotherapyBCG VaccineCarcinoma in SituCell MovementCell ProliferationDisease ProgressionHumansInterleukin-17Mast CellsProspective StudiesTumor Cells, CulturedTumor MicroenvironmentUrinary Bladder NeoplasmsBCG VaccineInterleukin-17

Identifiers

PMID28931051
PMCPMC5607173
OpenAlexW2755503860

What OpenQuestion holds

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LicenceCC BY
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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.