Evidence map›Paper›PMID 29966014›Full record

ArticlePloS one2018

Urothelial bladder cancer may suppress perforin expression in CD8+ T cells by an ICAM-1/TGFβ2 mediated pathway.

Ciputra Adijaya Hartana, Emma Ahlén Bergman, A Ali Zirakzadeh, David Krantz, Malin E Winerdal, Max Winerdal, Markus Johansson, Farhood Alamdari, Tomasz Jakubczyk, Hans Glise and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 35 citations in OpenAlex.

  1. AllergoOncology in Review: Harnessing Allergy in the Field of Oncology to Improve Patient Outcomes.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
  2. Review
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  4. Cytotoxic T Cells: Kill, Memorize, and Mask to Maintain Immune Homeostasis.International journal of molecular sciences · 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 1 country.

Ciputra Adijaya HartanaDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-5443-8292
Emma Ahlén BergmanDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.
A Ali ZirakzadehDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.
David KrantzDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.
Malin E WinerdalDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.
Max WinerdalDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.
Markus JohanssonDepartment of Urology, Sundsvall Hospital, Sundsvall, Sweden.
Farhood AlamdariDepartment of Urology, Västmanland Hospital, Västerås, Sweden.
Tomasz JakubczykDepartment of Urology, Länssjukhuset Ryhov, Jönköping, Sweden.
Hans GliseDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.
Katrine RiklundDepartment of Radiation Sciences, Umeå University, Umeå, Sweden.
Amir SherifDepartment of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University Hospital, Umeå, Sweden.
Ola WinqvistDepartment of Medicine Solna, Unit of Immunology and Allergy, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEUmeå University · SESundsvall Municipality · SEVästmanlands sjukhus Västerås · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immune system plays a significant role in urothelial bladder cancer (UBC) progression, with CD8+ T cells being capable to directly kill tumor cells using perforin and granzymes. However, tumors avoid immune recognition by escape mechanisms. In this study, we aim to demonstrate tumor immune escape mechanisms that suppress CD8+ T cells cytotoxicity. 42 patients diagnosed with UBC were recruited. CD8+ T cells from peripheral blood (PB), sentinel nodes (SN), and tumor were analyzed in steady state and in vitro-stimulated conditions by flow cytometry, RT-qPCR, and ELISA. Mass spectrometry (MS) was used for identification of proteins from UBC cell line culture supernatants. Perforin was surprisingly found to be low in CD8+ T cells from SN, marked by 1.8-fold decrease of PRF1 expression, with maintained expression of granzyme B. The majority of perforin-deficient CD8+ T cells are effector memory T (TEM) cells with exhausted Tc2 cell phenotype, judged by the presence of PD-1 and GATA-3. Consequently, perforin-deficient CD8+ T cells from SN are low in T-bet expression. Supernatant from muscle invasive UBC induces perforin deficiency, a mechanism identified by MS where ICAM-1 and TGFβ2 signaling were causatively validated to decrease perforin expression in vitro. Thus, we demonstrate a novel tumor escape suppressing perforin expression in CD8+ T cells mediated by ICAM-1 and TGFβ2, which can be targeted in combination for cancer immunotherapy.

Indexed as

Gene Expression Regulation, NeoplasticSignal TransductionAgedAged, 80 and overCD8-Positive T-LymphocytesFemaleHumansIntercellular Adhesion Molecule-1MaleMiddle AgedPerforinTransforming Growth Factor beta2Urinary Bladder NeoplasmsIntercellular Adhesion Molecule-1PerforinTransforming Growth Factor beta2

Identifiers

PMID29966014
PMCPMC6028111
OpenAlexW2810104866

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.