Evidence map›Paper›PMID 29440463›Full record

ArticleGut2019

Immune activation underlies a sustained clinical response to Yttrium-90 radioembolisation in hepatocellular carcinoma.

Valerie Chew, Yun Hua Lee, Lu Pan, Nurul J M Nasir, Chun Jye Lim, Camillus Chua, Liyun Lai, Sharifah Nur Hazirah, Tony Kiat Hon Lim, Brian K P Goh and 6 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Gut, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06408753 (Plasma Biomarker in Predicting Response and Toxicity in Hepatocellular Carcinoma Patients Treated With Checkpoint Inhibitors With or Without Sterotatic Body Radiotherapy), which is not on this map. Cited by 148 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 1% 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.

NCT06408753 completednot on this map

Plasma Biomarker in Predicting Response and Toxicity in Hepatocellular Carcinoma Patients Treated With Checkpoint Inhibitors With or Without Sterotatic Body Radiotherapy

Typeobservational_patient_registrySponsorThe University of Hong KongRan2019 to 2024Enrolled50ConditionsHepatocellular Carcinoma Non-resectable, Stereotactic Body RadiotherapyArmssterotatic body radiotherapy
3 · Its place in the literature

Who cites it

148 citing papers in PubMed, 2 syntheses or guidelines pooled it, 222 citations in OpenAlex.

  1. Pooled it
  2. Journal of gastrointestinal cancer · 2025
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88 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Commented on by
    Y2023
5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Valerie ChewTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Yun Hua LeeTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Lu PanTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Nurul J M NasirTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Chun Jye LimTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Camillus ChuaTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Liyun LaiTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Sharifah Nur HazirahTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Tony Kiat Hon LimDepartment of Pathology, Singapore General Hospital, Singapore.
Brian K P GohDuke-NUS Medical School, Singapore.
Alexander ChungDuke-NUS Medical School, Singapore.
Richard H G LoDuke-NUS Medical School, Singapore.
David NgDuke-NUS Medical School, Singapore.
Rene L F FilarcaDuke-NUS Medical School, Singapore.
Salvatore Albani *Translational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore.
Pierce K H Chow *Duke-NUS Medical School, Singapore.
SingHealth Duke-NUS Academic Medical Centre · SGSingapore General Hospital · SGDuke-NUS Medical School · SGNational Cancer Centre Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesYttrium-90 (Y90)-radioembolisation (RE) significantly regresses locally advanced hepatocellular carcinoma and delays disease progression. The current study is designed to deeply interrogate the immunological impact of Y90-RE, which elicits a sustained therapeutic response.

designTime-of-flight mass cytometry and next-generation sequencing (NGS) were used to analyse the immune landscapes of tumour-infiltrating leucocytes (TILs), tumour tissues and peripheral blood mononuclear cells (PBMCs) at different time points before and after Y90-RE.

resultsTILs isolated after Y90-RE exhibited signs of local immune activation: higher expression of granzyme B (GB) and infiltration of CD8

conclusionHigh-dimensional analysis of tumour and systemic immune landscapes identified local and systemic immune activation that corresponded to the sustained response to Y90-RE. Potential biomarkers associated with a positive clinical response were identified and a prediction model was built to identify sustained responders prior to treatment.

Indexed as

Yttrium RadioisotopesAntigen-Presenting CellsBiomarkers, TumorCarcinoma, HepatocellularChemokine CCL5Chemokine CXCL16Disease ProgressionFemaleFlow CytometryGranzymesHumansLeukocytes, MononuclearLiver NeoplasmsLymphocytes, Tumor-InfiltratingMaleSingaporeBiomarkers, TumorChemokine CCL5Chemokine CXCL16CXCL16 protein, humanGranzymesTumor Necrosis Factor-alphaYttrium-90Yttrium Radioisotopesbiomarkerschemotaxishepatocellular carcinomaimmune activationTime-of-flight Mass Cytometry (CyTOF)tumor microenvironmentY90 radioembolization

Identifiers

PMID29440463
PMCPMC6352403
OpenAlexW2787039411

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.