Evidence map›Paper›PMID 30386679›Full record

ArticleOncoimmunology

Tumor mutational burden is a determinant of immune-mediated survival in breast cancer.

Alexandra Thomas, Eric D Routh, Ashok Pullikuth, Guangxu Jin, Jing Su, Jeff W Chou, Katherine A Hoadley, Cristin Print, Nick Knowlton, Michael A Black and 10 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Oncoimmunology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04033965 (Tumor Mutational Patterns and Infiltrating Lymphocyte Density in Young and Old Patients With Breast Cancer), which is not on this map. Cited by 160 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed, 5 pooled it
14.1field-weighted citation impact, top 1% 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.

NCT04033965 completednot on this map

Tumor Mutational Patterns and Infiltrating Lymphocyte Density in Young and Old Patients With Breast Cancer

TypeobservationalSponsorHellenic Cooperative Oncology GroupRan1997 to 2010Enrolled345ConditionsBreast CancerArmsCorellation of Mutations, TILs and Age in Breast Cancer
3 · Its place in the literature

Who cites it

160 citing papers in PubMed, 5 syntheses or guidelines pooled it, 256 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. CTLA-4 Expression and Its Clinical Significance in Breast Cancer.Archivum immunologiae et therapiae experimentalis · 2021
    Pooled it
  6. Trial
  7. The immunology of human breast cancer.Nature reviews. Immunology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Can neoadjuvant chemotherapy be replaced with immune checkpoint blockade combined with dual anti-HER2 antibodies for HER2-enriched breast cancer?Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Article
  20. Review

100 more citing papers are in PubMed but not listed here.

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

20 authors at 9 institutions in 3 countries.

Alexandra ThomasSection of Hematology and Oncology, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Eric D RouthDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Ashok PullikuthDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Guangxu JinWake Forest Comprehensive Cancer Center, Winston-Salem, NC, USA.
Jing SuDivision of Radiologic Sciences and Center for Bioinformatics and Systems Biology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA.
Jeff W ChouWake Forest Comprehensive Cancer Center, Winston-Salem, NC, USA.
Katherine A HoadleyDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Cristin PrintDepartment of Molecular Medicine and Pathology and Maurice Wilkins Institute, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID 0000-0001-8345-7812
Nick KnowltonDepartment of Molecular Medicine and Pathology and Maurice Wilkins Institute, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Michael A BlackDepartment of Biochemistry, School of Biomedical Sciences, University of Otago, Dunedin, New Zealand.ORCID 0000-0003-1174-6054
Sandra DemariaDepartment of Radiation Oncology and Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
Ena WangDepartment of Tumor Biology, Immunology and Therapy, Division of Translational Medicine, Sidra Medical and Research Center, Doha, Qatar.
Davide BedognettiDepartment of Tumor Biology, Immunology and Therapy, Division of Translational Medicine, Sidra Medical and Research Center, Doha, Qatar.ORCID 0000-0002-5857-773X
Wendell D JonesEA Genomics, Division of Q Solutions, Morrisville, NC.ORCID 0000-0002-9676-5387
Gaurav A MehtaDepartment of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Michael L GatzaDepartment of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.ORCID 0000-0001-6796-7791
Charles M PerouDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
David B PageDepartment of Medicine, Providence Cancer Center, Earle A. Chiles Research Institute, Portland, OR, USA.
Pierre TriozziSection of Hematology and Oncology, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.ORCID 0000-0003-2488-6136
Lance D MillerWake Forest Comprehensive Cancer Center, Winston-Salem, NC, USA.ORCID 0000-0003-3799-2528
Wake Forest University · USAtrium Health Wake Forest Baptist · USRutgers, The State University of New Jersey · USSidra Medical and Research Center · QAUniversity of Auckland · NZUniversity of North Carolina at Chapel Hill · USCornell University · USProvidence Portland Medical Center · USUniversity of Otago · NZ

Funding

Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KATHERINE A. HOADLEY · 1992 to 2026
$59.3M
Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Credentialing Mouse Models for Immune System Therapy ResearchR01CA195740 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEROU, CHARLES M, WONG, KWOK KIN · 2015 to 2017
$1.8M
NCI NIH HHS P30 CA012197NCI NIH HHS P50 CA058223NCI NIH HHS R01 CA195740
6 · The paper itself

Abstract

Mounting evidence supports a role for the immune system in breast cancer outcomes. The ability to distinguish highly immunogenic tumors susceptible to anti-tumor immunity from weakly immunogenic or inherently immune-resistant tumors would guide development of therapeutic strategies in breast cancer. Genomic, transcriptomic and clinical data from The Cancer Genome Atlas (TCGA) and Molecular Taxonomy of Breast Cancer International Consortium (METABRIC) breast cancer cohorts were used to examine statistical associations between tumor mutational burden (TMB) and the survival of patients whose tumors were assigned to previously-described prognostic immune subclasses reflecting favorable, weak or poor immune-infiltrate dispositions (FID, WID or PID, respectively). Tumor immune subclasses were associated with survival in patients with high TMB (TMB-Hi,

Indexed as

breast cancerimmune subtypesmutational burdenprognosissurvival

Identifiers

PMID30386679
PMCPMC6207420
OpenAlexW2885139325

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.