Evidence map›Paper›PMID 28984302›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2018

Composite analysis of immunological and metabolic markers defines novel subtypes of triple negative breast cancer.

Thomas A Adams, Paris J Vail, Amanda Ruiz, Mehri Mollaee, Peter A McCue, Erik S Knudsen, Agnieszka K Witkiewicz

Open access · bronzeAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Divide and Conquer-Targeted Therapy for Triple-Negative Breast Cancer.International journal of molecular sciences · 2025
    Review
  6. Annals of surgical treatment and research · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  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

7 authors at 3 institutions in 1 country.

Thomas A AdamsDepartment of Pathology, University of Arizona, Tucson, AZ, USA.
Paris J VailUniversity of Arizona Cancer Center, Tucson, AZ, USA.
Amanda RuizUniversity of Arizona Cancer Center, Tucson, AZ, USA.
Mehri MollaeeDepartment of Pathology, Thomas Jefferson University, Philadelphia, PA, USA.
Peter A McCueDepartment of Pathology, Thomas Jefferson University, Philadelphia, PA, USA.
Erik S KnudsenUniversity of Arizona Cancer Center, Tucson, AZ, USA.
Agnieszka K WitkiewiczDepartment of Pathology, University of Arizona, Tucson, AZ, USA.
University of Arizona · USThomas Jefferson University · USUniversity of Arizona Cancer Center

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
Common Genetically Altered Pathways as Targets for Therapy in Pancreatic CancerR01CA211878 · NCI · UNIVERSITY OF ARIZONA · PI KNUDSEN, ERIK, WITKIEWICZ, AGNIESZKA · 2017 to 2021
$1.9M
Pathway Heterogeneity: Etiology and Treatment of TNBCR01CA188650 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI KNUDSEN, ERIK · 2014 to 2018
$1.7M
NCI NIH HHS P30 CA023074NCI NIH HHS R01 CA188650NCI NIH HHS R01 CA211878
6 · The paper itself

Abstract

Cancer biology is influenced by the tumor microenvironment, which impacts disease prognosis and therapeutic interventions. The inter-relationship of tumor-infiltrating lymphocytes, immune response regulators, and a glycolytic tumor environment was evaluated in a cohort of 183 largely consecutive patients with triple negative breast cancer diagnosis. High levels of tumor-infiltrating lymphocytes were associated with improved survival of triple negative breast cancer cases. However, elevated levels of PD-L1, CD163, and FOXP3 were individually associated with significantly decreased overall survival. These three determinants were significantly correlated, and could serve to differentiate the prognostic significance of tumor-infiltrating lymphocytes. Interestingly, a glycolytic tumor environment, as determined by the expression of MCT4 in the tumor stroma, was associated with the immune evasive environment and poor prognosis. Clustering of all markers defined four distinct triple negative breast cancer subtypes that harbored prognostic significance in multivariate analysis. Immune and metabolic markers stratified triple negative breast cancer into subtypes that have prognostic significance and implications for therapies targeting immune checkpoints and tumor metabolism.

Indexed as

AdultAgedAntigens, CDAntigens, Differentiation, MyelomonocyticB7-H1 AntigenBiomarkers, TumorCD163 AntigenFemaleForkhead Transcription FactorsHumansLymphocytes, Tumor-InfiltratingMiddle AgedPrognosisReceptors, Cell SurfaceSurvival RateTriple Negative Breast NeoplasmsAntigens, CDAntigens, Differentiation, MyelomonocyticB7-H1 AntigenBiomarkers, TumorCD163 AntigenCD274 protein, humanForkhead Transcription FactorsFOXP3 protein, humanReceptors, Cell Surface

Identifiers

PMID28984302
PMCPMC5963501
OpenAlexW2761720249

What OpenQuestion holds

Textmetadata
LicenceTDM
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.