Evidence map›Paper›PMID 30633166›Full record

SynthesisMedicine2019

Clinicopathologic and prognostic significance of tumor-infiltrating CD8+ T cells in patients with hepatocellular carcinoma: A meta-analysis.

Xuezhong Xu, Yulin Tan, Yan Qian, Wenbo Xue, Yibo Wang, Jianguo Du, Lei Jin, Wei Ding

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

61 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Observational
  6. New insights on anti-tumor immunity of CD8Journal of translational medicine · 2025
    Review
  7. Article
  8. Article
  9. Relationships Among Serological Indicators andCombinatorial chemistry & high throughput screening · 2025
    Article
  10. Article
  11. Article
  12. CD8JCO precision oncology · 2024
    Review
  13. Article
  14. MRI features and tumor-infiltrating CD8 + T cells-based nomogram for predicting meningioma recurrence risk.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Tumor infiltrating lymphocytes and radiological picture of the tumor.Medical oncology (Northwood, London, England) · 2023
    Review
  20. Article

1 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

8 authors.

Xuezhong XuDepartment of General Surgery, Wujin Hospital Affiliated to Jiangsu University, Changzhou, Jiangsu Province.
Yulin TanDepartment of General Surgery, Wujin Hospital Affiliated to Jiangsu University, Changzhou, Jiangsu Province.
Yan QianDepartment of Respiration, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou, China.
Wenbo XueDepartment of General Surgery, Wujin Hospital Affiliated to Jiangsu University, Changzhou, Jiangsu Province.
Yibo WangDepartment of General Surgery, Wujin Hospital Affiliated to Jiangsu University, Changzhou, Jiangsu Province.
Jianguo DuDepartment of General Surgery, Wujin Hospital Affiliated to Jiangsu University, Changzhou, Jiangsu Province.
Lei JinDepartment of General Surgery, Wujin Hospital Affiliated to Jiangsu University, Changzhou, Jiangsu Province.
Wei DingDepartment of General Surgery, Wujin Hospital Affiliated to Jiangsu University, Changzhou, Jiangsu Province.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with hepatocellular carcinoma (HCC), the clinicopathologic and prognostic roles of tumor-infiltrating CD8+ T cells for survival are still controversial. A meta-analysis was performed to resolve this issue.

methodsWe identified studies from PubMed, Embase, and the Cochrane Library to evaluate the clinicopathologic and prognostic value of tumor-infiltrating CD8+ T cells in patients with HCC. A meta-analysis was conducted to estimate clinicopathologic characteristics, overall survival (OS), and disease-free survival. The hazard ratio (HR) and 95% confidence interval (CI) were calculated employing fixed-effect or random-effect models depending on the heterogeneity of the included trials.

resultsA total of 3509 patients from 21 observational studies were enrolled. The meta-analysis revealed that high levels of intratumoral CD8+ tumor-infiltrating lymphocytes (TILs) were associated with better OS (OS; HR = 0.676, P = .001) and disease-free survival (disease-free survival [DFS]; HR = 0.712, P = .002). The pooled analysis also demonstrated high density of infiltration of CD8+ TILs in margin of tumor (MT) was statistically significant associated with better OS (HR = 0.577; P <.001). Moreover, the patients with low CD8+ TILs infiltration had negative HBSAg (OR = 1.67, P = .02), large tumor size (OR = 1.74, P <.01), and later TNM stage (OR = 1.70, P <.01).

conclusionsOur findings suggested that low levels of CD8+ TILs predict large tumor size, later TNM stage and might be a promising prognostic factor of HCC especially for Asian patients. High-quality randomized controlled trials are needed to determine if CD8+ TILs could serve as targets for immunotherapy in hepatocellular carcinoma.

Indexed as

Carcinoma, HepatocellularCD8-Positive T-LymphocytesHumansLiver NeoplasmsLymphocytes, Tumor-InfiltratingPrognosis

Identifiers

PMID30633166
PMCPMC6336640

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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.