Evidence map›Paper›PMID 30997535›Full record

ArticleCancer immunology, immunotherapy : CII2019

Age and sex have no impact on expression levels of markers of immune cell infiltration and immune checkpoint pathways in patients with muscle-invasive urothelial carcinoma of the bladder treated with radical cystectomy.

Bradley C Holland, Akshay Sood, Kristin Delfino, Danuta I Dynda, Sophia Ran, Natalie Freed, Shaheen Alanee

Abstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Observational
  2. Article
  3. Bladder cancer, inflammageing and microbiomes.Nature reviews. Urology · 2022
    Review
  4. Article
  5. Article
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  7. Article
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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

7 authors.

Bradley C HollandDepartment of Surgery, Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Akshay SoodVCORE-Center for Outcomes Research, Analytics, and Evaluation, Vattikuti Urology Institute, Henry Ford Hospital, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.
Kristin DelfinoDepartment of Surgery, Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Danuta I DyndaDepartment of Surgery, Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Sophia RanDepartment of Medical Microbiology, Immunology and Cell Biology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Natalie FreedPathology Associates of Central Illinois, Springfield, IL, USA.
Shaheen AlaneeDepartment of Surgery, Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA. salanee1@hfhs.org.ORCID http://orcid.org/0000-0002-1585-4557

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAdvanced age and female sex have been associated with worse outcomes in patients undergoing radical cystectomy for muscle-invasive bladder cancer. A reduced immune response has been implicated as a mechanism. The objective of our study was to analyze the expression patterns of various cellular proteins active in bladder cancer immune pathways, and assess the correlation between age, sex, and the expression of these immune markers.

methodsWe obtained surgical tissue samples from equally distributed male/female patients with/without lymph node metastasis who had undergone radical cystectomy for urothelial carcinoma (UC) of the bladder (n = 50). Immunohistochemistry (IHC) for CD3 (cluster of differentiation), CD4, CD8, CD56, LAG-3 (lymphocyte-activation gene), TIM-3 (T-cell immunoglobulin and mucin-domain), PD-1 (programmed death) and PD-L1 molecules was performed and scored by a single pathologist (high versus low). Spearman's correlation and Chi square tests investigated the association between age, sex, and IHC results.

resultsMean age at surgery was 67 years (range 50-78 years); all patients were Caucasians. The following percent of patients scored high for a stain: 18% CD3, 10% CD4, 0% CD8, 0% CD56, 20% LAG-3, 4% TIM-3, 0% PD-1 and 0% PD-L1. There was no association between patients' age, sex, and the expression of any of the immune markers (p > 0.05 for all).

conclusionsThe association between advanced age, female sex, and worse outcomes in bladder cancer may be independent of the immune pathways active in the disease that we examined in this study.

Indexed as

AgedAntigens, CDB7-H1 AntigenBiomarkers, TumorCarcinoma, Transitional CellCystectomyFemaleHumansImmunohistochemistryLymphocytes, Tumor-InfiltratingMaleMiddle AgedMusclesProgrammed Cell Death 1 ReceptorSignal TransductionUrinary Bladder NeoplasmsAntigens, CDB7-H1 AntigenBiomarkers, TumorCD274 protein, humanProgrammed Cell Death 1 ReceptorAgeBladderCancerImmunohistochemistrySex

Identifiers

PMID30997535
PMCPMC11028177

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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.