Evidence map›Paper›PMID 29464025›Full record

ArticleOncotarget2018

Microsatellite instability is a biomarker for immune checkpoint inhibitors in endometrial cancer.

Hitomi Yamashita, Kentaro Nakayama, Masako Ishikawa, Kohei Nakamura, Tomoka Ishibashi, Kaori Sanuki, Ruriko Ono, Hiroki Sasamori, Toshiko Minamoto, Kouji Iida and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 2% 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

81 citing papers in PubMed, 2 syntheses or guidelines pooled it, 134 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Deciphering survival disparities in endometrial cancer: a focus on mismatch repair pathway integrity (systematic review and meta-analysis).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Review
  5. Article
  6. Harnessing biomarkers to guide immunotherapy in esophageal cancer: toward precision oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  7. Article
  8. Article
  9. Immune checkpoint inhibitors in gynecologic oncology: Current status and perspectives.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Tumoral programmed cell death 1 (PD1) expression in endometrial carcinoma is a prognostic marker for patient outcome.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2024
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

21 more citing papers are in PubMed but not listed here.

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

13 authors at 1 institution in 1 country.

Hitomi YamashitaDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Kentaro NakayamaDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Masako IshikawaDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Kohei NakamuraDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Tomoka IshibashiDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Kaori SanukiDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Ruriko OnoDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Hiroki SasamoriDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Toshiko MinamotoDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Kouji IidaDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Razia SultanaDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Noriyoshi IshikawaDepartment of Organ Pathology, Shimane University School of Medicine, Izumo, Japan.
Satoru KyoDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Japan.
Shimane University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, it has become evident that tumor cells have immune escape mechanisms, and immune checkpoint inhibitor therapy (anti-PD-1/PD-L1 antibody) has shown benefit in various cancers. In endometrial tumors with microsatellite-instability (MSI), somatic mutations have the potential to encode ''non-self'' immunogenic antigens, and lymphocytes have been shown to infiltrate the tumor. Therefore, immune checkpoint inhibitor therapy might be effective in endometrial cancers with MSI. Expression of mismatch repair (MMR) proteins (MLH1, PMS2, MSH2, and MSH6), the presence of tumor-infiltrating lymphocytes (CD8+), and PD-1/PD-L1 expression were assessed by immunohistochemistry in 149 patients with endometrial cancer. We examined whether tumors with MSI had an enhanced immune microenvironment and whether MSI could be a predictor of the therapeutic effect of PD-1/PD-L1 immunotherapy in endometrial cancer. Loss of MMR protein expression was identified in 42 (28.2%) of 149 patients (MSI group) with endometrial cancer. There was no significant relationship between MSI status and age (

Indexed as

endometrial cancerimmune checkpoint inhibitorimmunohistochemistryImmunologymicrosatellite instabilitymismatch repair protein

Identifiers

PMID29464025
PMCPMC5814165
OpenAlexW2777880635

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.