Evidence map›Paper›PMID 30534127›Full record

ArticleFrontiers in immunology2018

Renal Cell Carcinoma (RCC) Tumors Display Large Expansion of Double Positive (DP) CD4+CD8+ T Cells With Expression of Exhaustion Markers.

Laurence C Menard, Paul Fischer, Bijal Kakrecha, Peter S Linsley, Erik Wambre, Maochang C Liu, Blake J Rust, Deborah Lee, Becky Penhallow, Nataly Manjarrez Orduno and 1 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2018. 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
–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

37 citing papers in PubMed.

  1. Double Positive CD4Frontiers in immunology · 2019
    Trial
  2. Review
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  5. Article
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  7. The double-positive cells in the tumor microenvironment.Journal of translational internal medicine · 2026
    Article
  8. Functionally heterogeneous intratumoral CD4Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Article
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  17. Upregulated PPP1R14B is connected to cancer progression and immune infiltration in kidney renal clear cell carcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  18. Article
  19. Double Positive CD4Cells · 2023
    Article
  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

11 authors.

Laurence C MenardTranslational Medicine, Bristol-Myers Squibb, Princeton, NJ, United States.
Paul FischerTranslational Medicine, Bristol-Myers Squibb, Princeton, NJ, United States.
Bijal KakrechaTranslational Medicine, Bristol-Myers Squibb, Princeton, NJ, United States.
Peter S LinsleyBenaroya Research Institute at Virginia Mason, Seattle, WA, United States.
Erik WambreBenaroya Research Institute at Virginia Mason, Seattle, WA, United States.
Maochang C LiuBenaroya Research Institute at Virginia Mason, Seattle, WA, United States.
Blake J RustBenaroya Research Institute at Virginia Mason, Seattle, WA, United States.
Deborah LeeTranslational Medicine, Bristol-Myers Squibb, Princeton, NJ, United States.
Becky PenhallowTranslational Medicine, Bristol-Myers Squibb, Princeton, NJ, United States.
Nataly Manjarrez OrdunoTranslational Medicine, Bristol-Myers Squibb, Princeton, NJ, United States.
Steven G NadlerTranslational Medicine, Bristol-Myers Squibb, Princeton, NJ, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Checkpoint inhibitors target the inhibitory receptors expressed by tumor-infiltrating T cells in order to reinvigorate an anti-tumor immune response. Therefore, understanding T cell composition and phenotype in human tumors is crucial. We analyzed by flow cytometry tumor-infiltrating lymphocytes (TILs) from two independent cohorts of patients with different cancer types, including RCC, lung, and colon cancer. In healthy donors, peripheral T cells are usually either CD4+ or CD8+ with a small percentage of CD4+ CD8+ DP cells (<5%). Compared to several other cancer types, including lung, and colorectal cancers, TILs from about a third of RCC patients showed an increased proportion of DP CD4+CD8+ T cells (>5%, reaching 30-50% of T cells in some patients). These DP T cells have an effector memory phenotype and express CD38, 4-1BB, and HLA-DR, suggesting antigen-driven expansion. In fact, TCR sequencing analysis revealed a high degree of clonality in DP T cells. Additionally, there were high levels of PD-1 and TIM-3 expression on DP T cells, which correlated with higher expression of PD-1 and TIM-3 in conventional single positive CD8 T cells from the same patients. These results suggest that DP T cells could be dysfunctional tumor-specific T cells with the potential to be reactivated by checkpoint inhibitors.

Indexed as

AgedAged, 80 and overAntigens, DifferentiationCarcinoma, Renal CellCD4 AntigensCD8 AntigensFemaleGene Expression Regulation, NeoplasticHumansKidney NeoplasmsLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoplasm ProteinsT-LymphocytesAntigens, DifferentiationCD4 AntigensCD8 AntigensNeoplasm ProteinsCD4+CD8+ T cellsclonal expansionPD-1renal cell carcinoma (RCC)T cell dysfunctionTIM-3

Identifiers

PMID30534127
PMCPMC6275222

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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.