Evidence map›Paper›PMID 29744662›Full record

ArticleJournal of cancer research and clinical oncology2018

Co-expression of NGF and PD-L1 on tumor-associated immune cells in the microenvironment of Merkel cell carcinoma.

Ulrike Wehkamp, Sophie Stern, Sandra Krüger, Michael Weichenthal, Axel Hauschild, Christoph Röcken, Friederike Egberts

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Ulrike WehkampDepartment of Dermatology, University-Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany. uwehkamp@dermatology.uni-kiel.de.ORCID http://orcid.org/0000-0002-7398-4261
Sophie SternDepartment of Dermatology, University-Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Sandra KrügerInstitute of Pathology, Christian-Albrechts-University, Kiel, Germany.
Michael WeichenthalDepartment of Dermatology, University-Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Axel HauschildDepartment of Dermatology, University-Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Christoph RöckenInstitute of Pathology, Christian-Albrechts-University, Kiel, Germany.
Friederike EgbertsDepartment of Dermatology, University-Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
University Hospital Schleswig-Holstein · DEChristian-Albrechts-Universität zu Kiel · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMerkel cell carcinoma (MCC) is a malignant neuroendocrine skin tumor with known viral association. The microenvironment and its interaction with the tumor via the programmed cell death protein 1 (PD-1) pathway are crucial for response to anti-PD-1/anti-PD-L1 treatments. However, not all patients respond, which is suggestive of additional mechanisms for tumor growth and/or persistence. We previously detected tropomyosin receptor kinase A (TrkA) expression on MCC tumor cells and, therefore, gained interest in the expression of its ligand nerve growth factor (NGF).

methodsThirty-nine patients from our department were studied for immunohistochemical NGF, PD-1, and PD-L1 expression and clinico-pathological correlation.

resultsPD-L1 was expressed on the tumor cells in 42%. In 95%, PD-L1 expression was also found on CD68+ spindle cells at the tumor border, which co-expressed NGF in 71%. 66% contained PD-1+ tumor infiltrating lymphocytes. PD-1, PD-L1, and NGF expression seems to correlate with a worse outcome.

conclusionsThe present study shows that PD-L1 and NGF are co-expressed on spindle cells in the microenvironment. The expression of NGF might be a link of the microenvironment to the TrkA-positive tumor cells. Whether this mechanism is critical for tumor growth and lack of response to anti-PD-1/L1 treatment has to be investigated in further studies.

Indexed as

AgedAged, 80 and overB7-H1 AntigenCarcinoma, Merkel CellFemaleHumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedNerve Growth FactorSkin NeoplasmsTumor MicroenvironmentB7-H1 AntigenCD274 protein, humanNerve Growth FactorNGF protein, humanMerkel cell carcinomaNGFPD-1PD-L1TrkA

Identifiers

PMID29744662
PMCPMC11813430
OpenAlexW2800698537

What OpenQuestion holds

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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.