Evidence map›Paper›PMID 29197137›Full record

ArticleOral diseases2018

Immunohistopathological characterization and the impact of topical immunomodulatory therapy in oral chronic graft-versus-host disease: A pilot study.

Acf Motta, Q Zhan, A Larson, M Lerman, S-B Woo, R J Soiffer, G F Murphy, N S Treister

Abstract read
In one paragraph

Article in Oral diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Review
  7. Observational
  8. Article
  9. Targeting of CD163International journal of molecular sciences · 2020
    Review
  10. Oral Complications of Chronic Graft-Versus-Host Disease.Journal of the National Cancer Institute. Monographs · 2019
    Review
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

8 authors at 5 institutions in 2 countries.

Acf MottaDepartment of Stomatology, Public Oral Health and Forensic Dentistry, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirao Preto, SP, Brazil.ORCID http://orcid.org/0000-0002-3887-9239
Q ZhanDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
A LarsonDepartment of Dermatology, Boston University School of Medicine, Boston, MA, USA.
M LermanDepartment of Diagnostic Sciences, Tufts University School of Dental Medicine, Boston, MA, USA.
S-B WooDepartment of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.
R J SoifferDivision of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, MA, USA.
G F MurphyDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
N S TreisterDepartment of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.
Brigham and Women's Hospital · USBoston University · USDana-Farber Cancer Institute · USTufts University · USUniversidade de Ribeirão Preto · BR

Funding

Project 3: Humoral Targets and B Cell Biology in Chronic Graft-vs.-Host DiseaseP01CA142106 · NCI · DANA-FARBER CANCER INST · PI CUTLER, COREY S · 2009 to 2019
$17.5M
Manipulation of Immune Responsiveness after Hematopoietic Cell TransplantationR01CA183559 · NCI · DANA-FARBER CANCER INST · PI RITZ, JEROME, SOIFFER, ROBERT JON · 2013 to 2017
$3.7M
NCI NIH HHS P01 CA142106NCI NIH HHS R01 CA183559
6 · The paper itself

Abstract

objectiveTo characterize the immunohistopathological features of oral chronic graft-versus-host disease (cGVHD), and the impact of topical immunomodulatory therapy on the infiltrating cells. MATERIAL AND

methodsPaired oral cGVHD biopsies obtained before (n = 12) and 1 month after treatment (n = 12) with topical dexamethasone (n = 8) or tacrolimus (n = 4) were characterized by immunohistochemistry using a panel of CD1a, CD3, CD4, CD8, CD20, CD31, CD62E, CD103, CD163, c-kit, and FoxP3. Controls included acute GVHD (aGVHD; n = 3), oral lichen planus (OLP; n = 5), and normal tissues (n = 5).

resultsOral cGVHD specimens prior to treatment were mainly characterized by basal cell squamatization, lichenoid inflammation, sclerosis, apoptosis, and lymphocytic exocytosis. The infiltrating cells in oral cGVHD primarily consisted of CD3

conclusionThe high expression of CD3, CD4, CD8, CD103, CD163, and FoxP3 confirms that oral cGVHD is largely T-cell-driven with macrophage participation. The impact of topical immunomodulatory therapy was variable, reducing histological inflammatory features, but with a weak clinicopathological correlation. Topical dexamethasone reduced the expression of CD4 and CD103, which may offer novel therapeutic targets.

Indexed as

Administration, TopicalAdultAgedAntigens, CDDexamethasoneFemaleForkhead Transcription FactorsGlucocorticoidsGraft vs Host DiseaseHumansImmunohistochemistryImmunomodulationImmunosuppressive AgentsMacrophagesMaleMiddle AgedAntigens, CDDexamethasoneForkhead Transcription FactorsFOXP3 protein, humanGlucocorticoidsImmunosuppressive AgentsTacrolimusbiomarkerschronic graft-versus-host diseaseoral mucosatopical therapy

Identifiers

PMID29197137
PMCPMC5902645
OpenAlexW2772462801

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.