Evidence map›Paper›PMID 30368555›Full record

ArticleVirchows Archiv : an international journal of pathology2019

High expression of CCL2 in tumor cells and abundant infiltration with CD14 positive macrophages predict early relapse in breast cancer.

Marja Heiskala, Marjut Leidenius, Kristiina Joensuu, Päivi Heikkilä

Open access · greenAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

37 citing papers in PubMed, 59 citations in OpenAlex.

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  5. Circulating CD3Cancer medicine · 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

4 authors at 2 institutions in 1 country.

Marja HeiskalaDepartment of Pathology and HUSLAB, Helsinki University Hospital and University of Helsinki, FIN-00290, Helsinki, Finland.
Marjut LeideniusBreast Surgery Unit, Comprehensive Cancer Center Helsinki University Hospital, P.O Box 163 , 00290 HUS, Helsinki, Finland University of Helsinki, Central Hospital, FIN-00290, Helsinki, Finland.
Kristiina JoensuuDepartment of Pathology and HUSLAB, Helsinki University Hospital and University of Helsinki, FIN-00290, Helsinki, Finland. kristiina.joensuu@helsinki.fi.
Päivi HeikkiläDepartment of Pathology and HUSLAB, Helsinki University Hospital and University of Helsinki, FIN-00290, Helsinki, Finland.
Helsinki University Hospital · FIUniversity of Helsinki · FI

Funding

Helsinki University Central Hospital Research Foundation TYH2016214
6 · The paper itself

Abstract

Macrophages are important for the function of the innate immune system, and in solid tumors, they represent a significant proportion of the tumor mass. Tumor-associated macrophages (TAM) have a M2 phenotype and show a multitude of pro-tumoral functions, promoting tumor cell survival, proliferation, and dissemination. CCL2, synthesized by tumor and stromal cells, initiates a chemokine cascade inducing these processes. We studied by immunohistochemistry (IHC) the frequency of TAMs and CCL2 expressing cells in three groups of primary tumor (PT)-recurrence (R) pairs, where relapse was recorded within 2 years (group 1), between 5 and 10 years (group 2), and after 10 years (group 3). In our study all established breast cancers were heavily infiltrated by CD68 positive cells. Both in PTs and in R lesions the infiltration was more abundant in the peritumoral than in the intratumoral stroma. The mean frequency of M2 marker and CD14 positive cells in the intratumoral stroma and CCL2 expressing tumor cells was higher in the Rs as compared to the corresponding PTs. In PTs, a high frequency of CD14 positive cells and a high expression of CCL2 by tumor cells was associated with an early recurrence. The findings support the current understanding of immune cell orchestrated development, progression and metastatic spread of breast cancer. Our study showed that a high frequency of CCL2 positive tumor cells and CD14 positive TAMs are significant risk factors for rapid tumor recurrence. Potential targets for intervention are discussed.

Indexed as

Cell MovementNeoplasm Recurrence, LocalBiomarkers, TumorBiopsy, NeedleBreast NeoplasmsChemokine CCL2FemaleHumansImmunohistochemistryLipopolysaccharide ReceptorsMacrophagesMiddle AgedPhenotypePredictive Value of TestsRisk FactorsStromal CellsBiomarkers, TumorCCL2 protein, humanChemokine CCL2Lipopolysaccharide ReceptorsBreast cancerCCL2CD14 positive macrophagesInnate immunityPrognostic markers in breast cancer

Identifiers

PMID30368555
OpenAlexW2898271264

What OpenQuestion holds

Textmetadata
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.