Evidence map›Paper›PMID 29970101›Full record

ArticleJournal of translational medicine2018

Epstein-Barr virus- and cytomegalovirus-specific immune response in patients with brain cancer.

Zhenjiang Liu, Thomas Poiret, Qingda Meng, Martin Rao, Anna von Landenberg, Esther Schoutrop, Davide Valentini, Ernest Dodoo, Inti Peredo-Harvey, Markus Maeurer

Abstract read
In one paragraph

Article in Journal of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

10 authors.

Zhenjiang LiuDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden.
Thomas PoiretDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden. thomas.poiret@ki.se.ORCID 0000-0003-1965-3522
Qingda MengDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden.
Martin RaoDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden.
Anna von LandenbergDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden.
Esther SchoutropDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden.
Davide ValentiniDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden.
Ernest DodooKarolinska Institutet, Stockholm, Sweden.
Inti Peredo-HarveyKarolinska Institutet, Stockholm, Sweden.
Markus MaeurerDepartment of Laboratory Medicine (LABMED), Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with brain tumor or pancreatic cancer exhibit the poorest prognosis, while immune fitness and cellular immune exhaustion impacts their survival immensely. This work identifies differences in the immune reactivity to the common human pathogens cytomegalovirus (CMV) and Epstein-Barr virus (EBV) between patients with brain tumor in comparison to those with pancreatic cancer and healthy individuals.

methodsWe characterized the humoral and cellular immune responses of patients with brain tumor or pancreatic cancer to cytomegalovirus structural protein pp65 (CMV-pp65) as well as Epstein-Barr nuclear antigen-1 (EBNA-1) by whole-blood assay and ELISA.

resultsAnti-CMV-pp65 plasma immunoglobulin gamma (IgG) titers were significantly lower in patients with brain tumor compared to healthy donors and patients with pancreatic cancer. Among the responding patients with GBM, those with a weak anti-CMV IgG response also had a decreased median overall survival (p = 0.017, 667 vs 419 days) while patients with brain tumor showed a generally suppressed anti-CMV immune-reactivity. Patients with brain tumor exhibited a significantly lower interferon gamma (IFNγ) response to EBNA-1 and CMV-pp65 compared to patients with pancreatic cancer or healthy donors. This antigen-specific response was further amplified in patients with brain tumor upon conditioning of whole blood with IL-2/IL-15/IL-21. Exclusively in this setting, among the responding patients with GBM, those exhibiting a EBV-specific cellular immune response above the median also displayed an increased median overall survival pattern compared to weak responders (753 vs 370 days, p < 0.001).

conclusionsThis report provides (i) a fast and easy assay using common viral antigens and cytokine stimulation to screen for immune fitness/exhaustion of patients with brain tumor in comparison to pancreatic cancer and healthy individuals and (ii) EBV/CMV-induced IFNγ production as a potential marker of survival in patients with brain tumor.

Indexed as

ImmunityAdultAgedAntigens, ViralBrain NeoplasmsCytomegalovirusFemaleHerpesvirus 4, HumanHumansImmunoglobulin GInterferon-gammaInterleukinsKaplan-Meier EstimateMaleMiddle AgedPancreatic NeoplasmsAntigens, Viralcytomegalovirus matrix protein 65kDaImmunoglobulin GInterferon-gammaInterleukinsPhosphoproteinsViral Matrix ProteinsBrain tumorCellular immunityEpstein–Barr virusHuman cytomegalovirusPancreatic cancer

Identifiers

PMID29970101
PMCPMC6029420

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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.