Evidence map›Paper›PMID 29415055›Full record

ArticlePloS one2018

Tissue analyses reveal a potential immune-adjuvant function of FAP-1 positive fibroblasts in non-small cell lung cancer.

Thomas Karsten Kilvaer, Mehrdad Rakaee, Turid Hellevik, Arne Østman, Carina Strell, Roy M Bremnes, Lill-Tove Busund, Tom Dønnem, Inigo Martinez-Zubiaurre

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 8% 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, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. PDGFR-βAging · 2021
    Pooled it
  2. Pooled it
  3. Article
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  5. Review
  6. SNMMI Procedure Standard/EANM Practice Guideline for Fibroblast Activation Protein (FAP) PET.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Article
  7. Review
  8. Article
  9. Article
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  12. Article
  13. Article
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  16. Article
  17. Dermal αSMAThe EMBO journal · 2022
    Article
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  20. 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

9 authors at 3 institutions in 2 countries.

Thomas Karsten KilvaerDepartment of Oncology, University Hospital of Northern Norway, Tromsø, Norway.
Mehrdad RakaeeDepartment of Medical Biology, UiT The Arctic University of Norway, Tromsø, Norway.
Turid HellevikDepartment of Oncology, University Hospital of Northern Norway, Tromsø, Norway.
Arne ØstmanDepartment of Oncology-Pathology Cancer Center Karolinska, Karolinska Institutet, Stockholm, Sweden.
Carina StrellDepartment of Oncology-Pathology Cancer Center Karolinska, Karolinska Institutet, Stockholm, Sweden.
Roy M BremnesDepartment of Oncology, University Hospital of Northern Norway, Tromsø, Norway.
Lill-Tove BusundDepartment of Medical Biology, UiT The Arctic University of Norway, Tromsø, Norway.
Tom DønnemDepartment of Oncology, University Hospital of Northern Norway, Tromsø, Norway.
Inigo Martinez-ZubiaurreDepartment of Clinical Medicine, UiT The Artic University of Norway, Tromsø, Norway.ORCID 0000-0001-5408-9088
University Hospital of North Norway · NOKarolinska Institutet · SEUiT The Arctic University of Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSelective targeting of cancer-associated fibroblasts (CAFs) has been proposed to synergize with immune-checkpoint inhibitors. While the roles of CAFs in cancer development are well described, their immune-regulatory properties remain incompletely understood. This study investigates correlations between CAF and immune-markers in tumor stroma from non-small cell lung cancer (NSCLC) patients, and examines whether a combination of CAF and immune cell scores impact patient prognosis.

methodsTumor specimens from 536 primary operable stage I-III NSCLC patients were organized in tissue microarrays. Expression of protein-markers was evaluated by immunohistochemistry.

resultsFibroblast and stromal markers PDGFRα, PDGFRβ, FAP-1 and vimentin showed weak correlations while αSMA, and Masson's trichrome did not correlate with any of the investigated markers. Hierarchical clustering indicated the existence of different CAF-subsets. No relevant correlations were found between any CAF-marker and the immune-markers CD3, CD4, CD8, CD20, CD68, CD1a, CD56, FoxP3 and CD45RO. High density of fibroblast-activation protein positive mesenchymal cells (CAFFAP) was associated with better prognosis in tumors with high infiltration of CD8 and CD3 T-lymphocytes.

conclusionsThe presented data suggest that CAFs, irrespective of identity, have low influence on the degree of tumor infiltration by inflammatory- and/or immune-cells. However, CAFFAP may exert immuno-adjuvant roles in NSCLC, and targeting CAFs should be cautiously considered.

Indexed as

Biomarkers, TumorCancer-Associated FibroblastsCarcinoma, Non-Small-Cell LungCohort StudiesHumansImmunophenotypingLung NeoplasmsProtein Tyrosine Phosphatase, Non-Receptor Type 13Survival AnalysisTissue Array AnalysisBiomarkers, TumorProtein Tyrosine Phosphatase, Non-Receptor Type 13PTPN13 protein, human

Identifiers

PMID29415055
PMCPMC5802915
OpenAlexW2787529569

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.