Evidence map›Paper›PMID 30454021›Full record

ArticleJournal for immunotherapy of cancer2018

RAS status and neoadjuvant chemotherapy impact CD8+ cells and tumor HLA class I expression in liver metastatic colorectal cancer.

Fanny Ledys, Quentin Klopfenstein, Caroline Truntzer, Laurent Arnould, Julie Vincent, Leila Bengrine, Romain Remark, Romain Boidot, Sylvain Ladoire, Francois Ghiringhelli and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.3field-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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Fanny LedysCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France.
Quentin KlopfensteinCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France.
Caroline TruntzerCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France.
Laurent ArnouldCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France.
Julie VincentDepartment of Medical Oncology, Centre Georges-François Leclerc, Dijon, France.
Leila BengrineDepartment of Medical Oncology, Centre Georges-François Leclerc, Dijon, France.
Romain RemarkInnate Pharma, 117 Avenue de Luminy, Marseille, France.
Romain BoidotCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France.
Sylvain LadoireCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France.
Francois GhiringhelliCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France. fghiringhelli@cgfl.fr.
Valentin DerangereCancer Biology Research Platform, Centre Georges-François Leclerc, Dijon, France. vderangere@cgfl.fr.ORCID 0000-0002-6311-5628
Centre Georges François Leclerc · FRInserm · FRUniversité de Bourgogne · FRInnate Pharma (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundT lymphocytes and HLA expression on tumor cell both influence prognostic of localized colorectal cancer, but their role following chemotherapy in patients with liver metastatic colorectal cancer (mCRC) was not addressed.

methodsOne hundred fourteen patients treated in curative intend of liver mCRC were included in this retrospective study. Patients were either untreated or treated with neoadjuvant therapy containing an anti-EGFR, bevacizumab or oxaliplatin. Immune densities were quantified in the tumor core and in invasive margin of metastases, using Qupath software or a pathologist's quantification. CD8, NKp46, Foxp3, CD163, HLA, PD-L1 were analyzed and were correlated with progression free survival (PFS) and overall survival (OS) using multivariable Cox proportional hazards models.

resultsIn the whole cohort only a high CD8+ cells infiltrate, a high HLA-I expression and wild-type RAS/RAF status were associated with a better overall survival in both univariate and multivariate model. Moreover, CD8+ cells immune infiltrate at invasive margin combined to HLA expression in cancer cell could increase patient's outcome prediction. RAS status but not immune cell infiltrate was associated with HLA expression on tumor cells. In comparison to untreated patients, neoadjuvant chemotherapy induced CD8+ cells recruitment and increased PD-L1 staining in immune infiltrates only for WT RAS patients. In this context, anti-EGFR and oxaliplatin based chemotherapy are the most powerful to induce CD8+ cells mobilization within the metastatic site.

conclusionsWhile CD8 infiltrate and HLA expression appear to be prognostic for mCRC, CD8 and PD-L1 infiltrate are enhanced by neoadjuvant chemotherapy in mCRC under RAS status dependence.

Indexed as

CD8-Positive T-LymphocytesColorectal NeoplasmsFemaleHistocompatibilityHumansImmunohistochemistryLiver NeoplasmsMaleNeoadjuvant TherapyProto-Oncogene Proteins p21(ras)Retrospective StudiesProto-Oncogene Proteins p21(ras)CD8Colorectal cancerHLALiver metastases

Identifiers

PMID30454021
PMCPMC6245855
OpenAlexW2900857942

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.