Evidence map›Paper›PMID 29730815›Full record

Observational studyJournal of neuro-oncology2018

PD-1/PD-L1 and immune-related gene expression pattern in pediatric malignant brain tumors: clinical correlation with survival data in Korean population.

Kihwan Hwang, Eun Jung Koh, Eun Jin Choi, Tae Hee Kang, Jung Ho Han, Gheeyoung Choe, Sung-Hye Park, Jennifer Holmes Yearley, Lakshmanan Annamalai, Wendy Blumenschein and 6 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 17% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. From developmental origins to relapse: molecular and therapeutic insights in medulloblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Review
  6. Review
  7. Immunotherapy in central nervous system tumors.International journal of surgery (London, England) · 2025
    Review
  8. Article
  9. Review
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  11. Article
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  13. Article
  14. Article
  15. Review
  16. Article
  17. Immunohistochemical screening for mismatch repair protein deficiency in paediatric high-grade gliomas - institutional experience and review of literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Review
  18. Article
  19. Review
  20. 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

16 authors at 6 institutions in 3 countries.

Kihwan HwangDepartment of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
Eun Jung KohDepartment of Neurosurgery, Dongguk University Ilsan Hospital, Goyang, South Korea.
Eun Jin ChoiDepartment of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
Tae Hee KangDivision of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, South Korea.
Jung Ho HanDepartment of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
Gheeyoung ChoeDepartment of Pathology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Sung-Hye ParkDepartment of Pathology, Seoul National University Hospital, Seoul, South Korea.
Jennifer Holmes YearleyMerck Sharp & Dohme, Kenilworth, NJ, USA.
Lakshmanan AnnamalaiMerck Sharp & Dohme, Kenilworth, NJ, USA.
Wendy BlumenscheinMerck Sharp & Dohme, Kenilworth, NJ, USA.
Manjiri SatheMerck Sharp & Dohme, Kenilworth, NJ, USA.
Terri McClanahanMerck Sharp & Dohme, Kenilworth, NJ, USA.
Hun JungYonsei Song-Dang Institute for Cancer Research, Seoul, South Korea.
Kyu-Chang WangDivision of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, South Korea.
Seung-Ki KimDivision of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, South Korea. nsthomas@snu.ac.kr.
Chae-Yong KimDepartment of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, South Korea. chaeyong@snu.ac.kr.ORCID http://orcid.org/0000-0001-9773-5553
Merck & Co., Inc., Rahway, NJ, USA (United States) · USSeoul National University · KRSeoul National University Bundang Hospital · KRDongguk University Ilsan Hospital · KRSeoul National University Children's Hospital · KRSeoul National University Hospital · KR

Funding

Merck Sharp and Dohme 06-2014-249Merck Sharp and Dohme 06-2015-0060
6 · The paper itself

Abstract

backgroundPD-L1 expression has been evaluated as a predictive biomarker for immunotherapy in numerous tumor types. However, very limited data are available in pediatric brain tumors. The aim of this study was to characterize PD-1 and PD-L1 expressions of four pediatric malignant brain tumors and gene expression profile.

methodsThis study included 89 pediatric patients receiving standard treatment at Seoul National University Children's Hospital and Seoul National University Bundang Hospital between 1990 and 2014: atypical teratoid/rhabdoid tumor (AT/RT) 20; ependymoma (EPN) 20; high grade glioma (HGG) 21; and medulloblastoma (MBL) 28. We performed immunohistochemistry assays for PD-1 and PD-L1. To characterize the gene expression, a custom immune-response focused gene panel was used.

resultsPD-1 expression was positive in 7 (35%) AT/RT, 7 (35%) EPN, 4 (19%) HGG, and 3 (11%) MBL patients. PD-L1 expression was positive in 8 (40%) AT/RT, 4 (20%) EPN, and 4 (19%) HGG; negative in all MBL patients. There was no statistically significant difference in the overall survival of PD-L1 positive patients. The gene expression analysis demonstrated differences in two clustering functional categories: cell-cell signaling and antigen presentation pathway.

conclusionsAT/RT, EPN, and HGG showed a relatively higher expression rate of PD-L1 (19-40%). This suggests these tumor types might be good candidates for PD-1 checkpoint blockade. We determined that gene expression may potentially serve as a molecular tool in predicting which patients will respond to immunotherapy. Further investigation is required to better understand the predictive and prognostic role of PD-L1 in pediatric brain tumors.

Indexed as

AdolescentB7-H1 AntigenBiomarkers, TumorBrainBrain NeoplasmsChildChild, PreschoolEpendymomaFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticGliomaHumansInfantMaleProgrammed Cell Death 1 ReceptorB7-H1 AntigenBiomarkers, TumorCD274 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorRNA, MessengerAtypical teratoid/rhabdoid tumorEpendymomaHigh grade gliomaMedulloblastomaPD-L1

Identifiers

PMID29730815
OpenAlexW2799381938

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.