Evidence map›Paper›PMID 29362129›Full record

ArticleOral oncology2018

Proportion of CD4 and CD8 tumor infiltrating lymphocytes predicts survival in persistent/recurrent laryngeal squamous cell carcinoma.

Rebecca Hoesli, Andrew C Birkeland, Andrew J Rosko, Mohamad Issa, Kelsey L Chow, Nicole L Michmerhuizen, Jacqueline E Mann, Steven B Chinn, Andrew G Shuman, Mark E Prince and 5 more

Open access · greenAbstract read
In one paragraph

Article in Oral oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 6% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Tumor Hypoxia and CD8Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Prognosis to Radiation Unlocked: How Hypoxia Methylome May Hold the Key in HNSCC.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Prognostic value of CD103Oral oncology · 2022
    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

15 authors at 2 institutions in 1 country.

Rebecca HoesliDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Andrew C BirkelandDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Andrew J RoskoDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Mohamad IssaDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Kelsey L ChowDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Nicole L MichmerhuizenDepartment of Otolaryngology-Head and Neck Surgery, Department of Pharmacology, University of Michigan Medical School, Ann Arbor, MI, United States.
Jacqueline E MannDepartment of Otolaryngology-Head and Neck Surgery, Department of Pathology, University of Michigan Medical School, Ann Arbor, MI, United States.
Steven B ChinnDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Andrew G ShumanDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Mark E PrinceDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Gregory T WolfDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Carol R BradfordDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Jonathan B McHughDepartment of Pathology, University of Michigan Medical School, Ann Arbor, MI, United States.
J Chad BrennerDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Matthew E SpectorDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States. Electronic address: mspector@med.umich.edu.
Michigan Medicine · USUniversity of Michigan–Ann Arbor · US

Funding

Proteogenomics of Cancer Training ProgramT32CA140044 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RAO, ARVIND, SARTOR, MAUREEN AGNES · 2010 to 2024
$3.9M
Dissecting Co-Dependent Pathways in Oral CancersU01DE025184 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BRENNER, JOHN CHADWICK, CAREY, THOMAS E. · 2015 to 2018
$3.7M
Advanced Research Training in OtolaryngologyT32DC005356 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CORFAS, GABRIEL · 2002 to 2021
$3.5M
Advancing Mechanistic Concepts of FGFR1-Regulated Adaptive PDL1 Expression in HNSCCF31DE027600 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MANN, JACQUELINE · 2017 to 2019
$99k
NCI NIH HHS T32 CA140044NIDCD NIH HHS T32 DC005356NIDCR NIH HHS F31 DE027600NIDCR NIH HHS U01 DE025184
6 · The paper itself

Abstract

Tumor infiltrating lymphocytes (TILs) have been shown to be an important prognostic factor in patients with previously untreated head and neck cancer. After organ preservation therapy for laryngeal cancer and subsequent persistence/recurrence, the prognostic value of TILs is unknown. Our goal was to determine if TILs have value as a prognostic biomarker in patients with surgically salvageable persistent/recurrent laryngeal squamous cell carcinoma. Levels of TILs were quantified on tissue microarrays from 183 patients undergoing salvage total laryngectomy for persistent/recurrent laryngeal cancer after radiation or chemoradiation between 1997 and 2014. Demographic and clinical data were abstracted. Immunohistology evaluation included CD4, CD8, PDL-1, p16, CD31, Vimentin, EGFR, and p53. Elevated levels of either CD8 or CD4 positive TILs were associated with improved disease specific survival (CD8: HR 0.46, 95% CI 0.24-0.88, CD4: HR 0.43; 95% CI 0.21-0.89) and disease free survival (CD8: HR 0.53, 95% CI 0.29-0.94, CD4: HR 0.52; 95% CI 0.27-0.99). Levels of CD8 (HR 0.74; 95% CI 0.47-1.17) or CD4 (HR 0.66; 95% CI 0.40-1.08) TILs were not significantly associated with overall survival. In bivariate analysis, patients with elevated CD4 and/or CD8 TILs had significantly improved disease specific survival (HR 0.42; 95% CI 0.21-0.83) and disease free survival (HR 0.45; 95% CI 0.24-0.84) compared to patients with low levels of CD4 and CD8. PDL-1, p16, CD31, Vimentin, EGFR, and p53 were not significant prognostic factors. On multivariate analysis, elevated CD8 TILs were associated with improved disease specific survival (HR 0.35; 95% CI 0.14-0.88, p = .02) and disease free survival (HR 0.41; 95% CI 0.17-0.96, p = .04). CD8, and possibly CD4, positive TILs are associated with favorable disease free and disease specific survival for recurrent/persistent laryngeal cancer.

Indexed as

CD4-CD8 RatioKaplan-Meier EstimateNeoplasm Recurrence, LocalBiomarkers, TumorCarcinoma, Squamous CellFemaleHumansLaryngeal NeoplasmsLymphocytes, Tumor-InfiltratingMaleMiddle AgedPrognosisBiomarkers, TumorCD4CD8Head and neck cancerLaryngectomyPrognosisRecurrenceSalvageSurvivalTumor infiltrating lymphocytes

Identifiers

PMID29362129
PMCPMC5897103
OpenAlexW2778422223

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.