Evidence map›Paper›PMID 29675791›Full record

ArticleJournal of cancer research and clinical oncology2018

Chemotherapy treatment is associated with altered PD-L1 expression in lung cancer patients.

Lívia Rojkó, Lilla Reiniger, Vanda Téglási, Katalin Fábián, Orsolya Pipek, Attila Vágvölgyi, László Agócs, János Fillinger, Zita Kajdácsi, József Tímár and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
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  5. Clinical and histopathological features of immune checkpoint inhibitor-induced lung toxicity.Virchows Archiv : an international journal of pathology · 2025
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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 4 institutions in 4 countries.

Lívia RojkóVI. Department of Pulmonology, National Korányi Institute of Pulmonology, Pihenő u. 1, Budapest, 1121, Hungary.
Lilla Reiniger1st Department of Pathology and Experimental Cancer Research, Semmelweis University, Üllői út 26, Budapest, 1085, Hungary.
Vanda Téglási1st Department of Pathology and Experimental Cancer Research, Semmelweis University, Üllői út 26, Budapest, 1085, Hungary.
Katalin FábiánDepartment of Pulmonology, Semmelweis University, Diósárok u. 1/C, Budapest, 1125, Hungary.
Orsolya PipekDepartment of Physics of Complex Systems, Eötvös Loránd University, Pázmány Péter sétány 1/A, Budapest, 1117, Hungary.
Attila VágvölgyiDepartment of Thoracic Surgery, National Korányi Institute of Pulmonology, Pihenő u. 1, Budapest, 1121, Hungary.
László AgócsDepartment of Thoracic Surgery, National Institute of Oncology-Semmelweis University, Ráth György u. 7-9, Budapest, 1122, Hungary.
János FillingerDepartment of Pathology, National Korányi Institute of Pulmonology, Pihenő u. 1, Budapest, 1121, Hungary.
Zita KajdácsiDepartment of Pathology, National Korányi Institute of Pulmonology, Pihenő u. 1, Budapest, 1121, Hungary.
József Tímár2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Balázs DömeDepartment of Tumor Biology, National Korányi Institute of Pulmonology-Semmelweis University, Pihenő u. 1, Budapest, 1121, Hungary.
Zoltán SzállásiMTA-SE NAP, Brain Metastasis Research Group, 2nd Department of Pathology, Hungarian Academy of Sciences, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Judit MoldvayVI. Department of Pulmonology, National Korányi Institute of Pulmonology, Pihenő u. 1, Budapest, 1121, Hungary. drmoldvay@hotmail.com.ORCID http://orcid.org/0000-0001-9425-1748
Semmelweis University · HUOrszágos Korányi Tbc és Pulmonológiai Intézet · HUEötvös Loránd University · HUNational Institute of Oncology · HU

Funding

Breast Cancer Research Foundation and the Novo Nordisk Foundation Interdisciplinary Synergy Programme Grant NNF15OC0016584Hungarian Science Foundation OTKA-K112371Hungarian Science Foundation OTKA-K116151Hungarian Science Foundation OTKA-PD115792Research and Technology Innovation Fund KTIA_NAP_13-2014-0021
6 · The paper itself

Abstract

objectivesWhile the predictive value of programmed cell death ligand-1 (PD-L1) protein expression for immune checkpoint inhibitor therapy of lung cancer has been extensively studied, the impact of standard platinum-based chemotherapy on PD-L1 or programmed cell death-1 (PD-1) expression is unknown. The aim of this study was to determine the changes in PD-L1 expression of tumor cells (TC) and immune cells (IC), in PD-1 expression of IC, and in the amount of stromal mononuclear cell infiltration after platinum-based chemotherapy in patients with lung cancer. MATERIALS AND

methodsWe determined the amount of stromal mononuclear cells and PD-L1/PD-1 expressions by immunohistochemistry in bronchoscopic biopsy samples including 20 adenocarcinomas (ADC), 15 squamous cell carcinomas (SCC), 2 other types of non-small cell lung cancer, and 4 small cell lung cancers together with their corresponding surgical resection tissues after platinum-based chemotherapy.

resultsPD-L1 expression of TC decreased in ten patients (24.4%) and increased in three patients (7.32%) after neoadjuvant chemotherapy (p = 0.051). The decrease in PD-L1 expression, however, was significant only in patients who received cisplatin-gemcitabine combination (p = 0.020), while in the carboplatin-paclitaxel group, no similar tendency could be observed (p = 0.432). There was no difference between ADC and SCC groups. Neither PD-1 expression nor the amount of stromal IC infiltration showed significant changes after chemotherapy.

conclusionsThis is the first study, in which both PD-L1 and PD-1 expression were analyzed together with the amount of stromal IC infiltration in different histological subtypes of lung cancer before and after platinum-based chemotherapy. Our results confirm that chemotherapy decreases PD-L1 expression of TC in a subset of patients, therefore, rebiopsy and re-evaluation of PD-L1 expression may be necessary for the indication of immune checkpoint inhibitor therapy.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAdultAgedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenBiopsyBronchoscopyCarboplatinCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellCisplatinDeoxycytidineFemaleGemcitabineHumansB7-H1 AntigenCarboplatinCD274 protein, humanCisplatinDeoxycytidineGemcitabinePaclitaxelPDCD1 protein, humanProgrammed Cell Death 1 ReceptorChemotherapyImmunohistochemistryLung cancerPD-1PD-L1

Identifiers

PMID29675791
PMCPMC11813485
OpenAlexW2802662046

What OpenQuestion holds

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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.