Evidence map›Paper›PMID 30261082›Full record

ArticlePloS one2018

Prediction of intravesical recurrence of non-muscle-invasive bladder cancer by evaluation of intratumoral Foxp3+ T cells in the primary transurethral resection of bladder tumor specimens.

Ryosuke Murai, Yasushi Itoh, Susumu Kageyama, Misako Nakayama, Hirohito Ishigaki, Kazuo Teramoto, Mitsuhiro Narita, Tetsuya Yoshida, Keiji Tomita, Ken-Ichi Kobayashi and 5 more

Abstract readEvaluation Study
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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
  2. Article
  3. [Pirfenidone inhibits bladder cancer xenograft growth in mice by regulating regulatory T cells].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article
  4. Review
  5. Review
  6. The CD8PeerJ · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Genome-Scale Methylation Analysis Identifies Immune Profiles and Age Acceleration Associations with Bladder Cancer Outcomes.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  11. Review
  12. Inflammation in Urological Malignancies: The Silent Killer.International journal of molecular sciences · 2023
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. The Tumor Microenvironment of Bladder Cancer.Advances in experimental medicine and biology · 2020
    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

15 authors.

Ryosuke MuraiDepartment of Pathology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Yasushi ItohDepartment of Pathology, Shiga University of Medical Science, Otsu, Shiga, Japan.ORCID 0000-0001-7462-2193
Susumu KageyamaDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Misako NakayamaDepartment of Pathology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Hirohito IshigakiDepartment of Pathology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Kazuo TeramotoDepartment of Pathology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Mitsuhiro NaritaDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Tetsuya YoshidaDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Keiji TomitaDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Ken-Ichi KobayashiDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Akinori WadaDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Masayuki NagasawaDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.ORCID 0000-0003-1299-6354
Shigehisa KubotaDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Kazumasa OgasawaraDepartment of Pathology, Shiga University of Medical Science, Otsu, Shiga, Japan.
Akihiro KawauchiDepartment of Urology, Shiga University of Medical Science, Otsu, Shiga, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with a history of non-muscle-invasive bladder cancer sometimes have recurrence of tumors after transurethral resection of bladder tumor treatment. To find factors related to the recurrence of non-muscle-invasive bladder cancer, we examined tissue specimens taken at transurethral resection of bladder tumor as an initial treatment. We revealed the association between prognosis of non-muscle-invasive bladder cancer and infiltration of Foxp3+ T cells that suppress anti-tumor immunity in 115 primary non-muscle-invasive bladder cancer patients retrospectively identified and followed for at least 3 months after primary transurethral resection. In immunohistological staining, we counted the number of cells positive for CD3 and positive for CD3 and Foxp3 together and calculated the percentage of Foxp3+ T cells among the CD3+ T cells. The recurrence-free survival rate was calculated by the Kaplan-Meier method, and a Cox regression analysis of recurrence factors was performed. The median (interquartile range) percentage of Foxp3+ T cells in all cases was 17.1% (11.9, 11.4-23.3%). Compared by risk stratification, it was 11.4% (10.4, 7.8-18.2%) in the low-risk group (n = 32), 16.8% (12.6, 11.6-24.2%) in the intermediate-risk group (n = 45), and 22.0% (9.7, 16.4-26.1%) in the high-risk group (n = 38). The Kaplan-Meier survival analysis indicated that the Foxp3+ T cell high group (≥ 17.1%) had a worse RFS rate than did the low group (< 17.1%) (P = 0.006). In multivariate analysis, the percentage of Foxp3+ T cells was an independent risk factor for intravesical recurrence (hazard ratio 2.25). Thus, peritumoral Foxp3+ T cell infiltration was correlated to risk stratification and recurrence-free survival. Therefore, the percentage of Foxp3+ T cells in tumor specimens may predict a risk for intravesical recurrence.

Indexed as

Neoplasm Recurrence, LocalT-Lymphocytes, RegulatoryUrinary Bladder NeoplasmsAdultAgedAged, 80 and overDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk FactorsSurvival Rate

Identifiers

PMID30261082
PMCPMC6160186

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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.