Evidence map›Paper›PMID 30187676›Full record

ArticleCancer science2018

PD-1+ TIM-3+ T cells in malignant ascites predict prognosis of gastrointestinal cancer.

Michitaka Nakano, Mamoru Ito, Risa Tanaka, Kyoko Yamaguchi, Hiroshi Ariyama, Kenji Mitsugi, Tomoyasu Yoshihiro, Hirofumi Ohmura, Nobuhiro Tsuruta, Fumiyasu Hanamura and 8 more

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Cancer science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.5field-weighted citation impact, top 14% 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.

NCT04540146 completednot on this mapstarted 2020, after this paper: background citation

Evaluation of T Helper Cytokines in Intraabdominal Ascites in End Stage Colorectal Cancers

TypeobservationalSponsorIstanbul Training and Research HospitalRan2020 to 2020Enrolled40ConditionsColorectal CancerArmsFlow-Cytometric analysis
NCT04540159 completednot on this mapstarted 2022, after this paper: background citation

Measurement of Immune Checkpoints in Intraabdominal Ascites Fluid in Patients With Advanced Colorectal Cancer

TypeobservationalSponsorIstanbul Training and Research HospitalRan2022 to 2022Enrolled50ConditionsColorectal CancerArmsFlow-cytometric analysis
NCT04566848 completednot on this mapstarted 2020, after this paper: background citation

Determination of Immune Check Point Levels in Paracentesis Samples of Gastrointestinal System Malignancy Cases

TypeobservationalSponsorIstanbul Training and Research HospitalRan2020 to 2022Enrolled50ConditionsGastrointestinal CancerArmsFlow cytometric analysis
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. CD4Cancer biology & medicine · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. PD-1 involvement in CD8+ tumor-infiltrating lymphocytes in patients with colonic-derived peritoneal adenocarcinoma.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. CD4 T-Cell Exhaustion: Does It Exist and What Are Its Roles in Cancer?Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    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

18 authors at 2 institutions in 1 country.

Michitaka NakanoDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Mamoru ItoDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Risa TanakaDepartment of Medical Oncology, Hamanomachi Hospital, Fukuoka, Japan.
Kyoko YamaguchiDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Hiroshi AriyamaDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Kenji MitsugiDepartment of Medical Oncology, Hamanomachi Hospital, Fukuoka, Japan.
Tomoyasu YoshihiroDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Hirofumi OhmuraDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Nobuhiro TsurutaDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Fumiyasu HanamuraDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Kosuke SagaraDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Yuta OkumuraDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Kenta NioDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Kenji TsuchihashiDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Shuji AritaFaculty of Medical Sciences, Department of Comprehensive Clinical Oncology, Kyushu University, Fukuoka, Japan.
Hitoshi KusabaDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Koichi AkashiDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Eishi BabaDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.ORCID http://orcid.org/0000-0001-9428-6772
Kyushu University · JPHamanomachi Hospital · JP

Funding

Japan Society for the Promotion of Science; Grant-in-Aid for Scientific Research (C) #15K08970
6 · The paper itself

Abstract

The liquid biopsy of ascites fluid could be an excellent source of tumor and microenvironment for the study of prognostic biomarkers because of its accessibility. Tumor-infiltrating lymphocytes (TILs) can predict prognosis in multiple malignancies, including the response to immune checkpoint inhibitors, a breakthrough cancer therapy. However, TILs' profiles from malignant ascites have not been extensively studied. Using flow cytometric analysis, we quantified the proportion of exhausted T cells and memory/naive/effector T-cell subsets, among the CD4+ and CD8+ T-cell populations of paired TILs and peripheral blood T cell samples (n = 22). The correlation between CD4+ and CD8+ subset profiles suggested that the combined analysis of CD4+ and CD8+ cells in malignant ascites was clinically significant. We found that cells positive for the exhaustion markers programmed cell death-1 (PD-1), and T-cell immunoglobulin and mucin domain 3 (TIM-3), and cells coexpressing PD-1 and TIM-3 abundantly exist among malignant ascites TILs. Furthermore, patients with high frequency of PD-1+ TIM-3+ cells among the CD4+ and CD8+ T-cell population showed worse clinical outcome in multivariate analysis (n = 27). We propose that exhausted ascites TILs represent a clinically significant prognostic biomarker in advanced gastrointestinal cancer and represent an important target for immune checkpoint inhibitors.

Indexed as

AdultAgedAscitesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleGastrointestinal NeoplasmsHepatitis A Virus Cellular Receptor 2HumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedPrognosisProgrammed Cell Death 1 ReceptorHAVCR2 protein, humanHepatitis A Virus Cellular Receptor 2PDCD1 protein, humanProgrammed Cell Death 1 Receptorascitesexhaustionimmune checkpointPD-1tumor-infiltrating lymphocytes

Identifiers

PMID30187676
PMCPMC6125472
OpenAlexW2889781548

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.