Evidence map›Paper›PMID 29484464›Full record

ArticleCancer immunology, immunotherapy : CII2018

PD-L1, B7-H3, and PD-1 expression in immunocompetent vs. immunosuppressed patients with cutaneous squamous cell carcinoma.

Vinod Varki, Olga B Ioffe, Soren M Bentzen, Jon Heath, Ashley Cellini, Josephine Feliciano, Dan P Zandberg

Open access · greenAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.6field-weighted citation impact, top 7% 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

33 citing papers in PubMed, 57 citations in OpenAlex.

  1. The tumor microenvironment of cutaneous squamous cell carcinoma in high-risk patient groups: A scoping review.JID innovations : skin science from molecules to population health · 2026
    Review
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  19. Restored CD8Frontiers in oncology · 2022
    Article
  20. Expansion of CD3American journal of cancer research · 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

7 authors at 2 institutions in 1 country.

Vinod VarkiUniversity of Maryland Greenebaum Comprehensive Cancer Center, 22 South Greene Street Room N9E29, Baltimore, MD, 21201, USA.
Olga B IoffeDepartment of Pathology, University of Maryland School of Medicine, Baltimore, MD, USA.
Soren M BentzenUniversity of Maryland Greenebaum Comprehensive Cancer Center, 22 South Greene Street Room N9E29, Baltimore, MD, 21201, USA.
Jon HeathDepartment of Pathology, University of Maryland School of Medicine, Baltimore, MD, USA.
Ashley CelliniDepartment of Pathology, University of Maryland School of Medicine, Baltimore, MD, USA.
Josephine FelicianoJohns Hopkins Sidney Kimmel Cancer Center, Baltimore, MD, USA.
Dan P ZandbergUniversity of Maryland Greenebaum Comprehensive Cancer Center, 22 South Greene Street Room N9E29, Baltimore, MD, 21201, USA. dzandberg@umm.edu.ORCID 0000-0002-1002-8301
University of Maryland, Baltimore · USJohns Hopkins University · US

Funding

UMGCC Paul Calabresi Clinical Oncology Training ProgramK12CA126849 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI SAUSVILLE, EDWARD A. · 2008 to 2013
$4.0M
NCI NIH HHS K12 CA126849
6 · The paper itself

Abstract

backgroundTo characterize the expression of co-signaling molecules PD-L1, PD-1, and B7-H3 in cutaneous squamous cell carcinoma (cSCC) by immune status.

methodsWe retrospectively analyzed 66 cases of cSCC treated with surgical resection from 2012 to 2015. Immunostained tumor sections were analyzed for percent of tumor cells expressing PD-L1 (Tum-PD-L1%), B7-H3 (Tum-B7-H3%), density of peri and intratumoral CD8 T cells (CD8 density), proportion of CD8 T cells expressing PD-1 (CD8-PD-1%) and of tumor-infiltrating immune cells (TII) expressing PD-L1 (TII-PD-L1%).

resultsOf 66 cases, 42 were immunocompetent, 24 immunosuppressed (13 organ transplant, 8 HIV+, 3 other). Defining positive expression at > 5%, 26% of tumors were positive for PD-L1, 85% for B7-H3, 80% had CD8 T cells that expressed PD-1 and 55% had TII that expressed PD-L1. Tum-B7-H3% was significantly higher (median 60 vs. 28%, p = 0.025) in immunocompetent vs. immunosuppressed patients, including when factoring in cause of immunosuppression. No significant difference in Tum-PD-L1%, TII-PD-L1%, CD8 density, or CD8-PD-1% was observed. Tumors from HIV+ patients lacked PD-L1 expression, and had lower B7-H3% (median 2.5 vs. 60%, p = 0.007), and higher CD8 density (median 75% vs. 40%, p = 0.04) compared to immunocompetent patients. Higher tumor grade (R

conclusioncSCC showed expression of PD-L1 on tumor in 26% of cases, and high tumor B7-H3 expression (85%) and PD-1 expression on CD8 TILs (80%). Tumor B7-H3 expression was significantly higher in immunocompetent vs. immunosuppressed patients, largely driven by very low expression in HIV+ patients.

Indexed as

Immunosuppression TherapyAdultAgedAged, 80 and overB7 AntigensB7-H1 AntigenBiomarkers, TumorCarcinoma, Squamous CellCD8-Positive T-LymphocytesFemaleFollow-Up StudiesHumansImmunocompetenceImmunocompromised HostLymphocytes, Tumor-InfiltratingMaleB7 AntigensB7-H1 AntigenBiomarkers, TumorCD274 protein, humanCD276 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorB7-H3CutaneousPD-1PD-L1Squamous cell carcinoma

Identifiers

PMID29484464
PMCPMC11028243
OpenAlexW2793850646

What OpenQuestion holds

Textmetadata
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.