Evidence map›Paper›PMID 31118488›Full record

ArticleScientific reports2019

Prognostic value of the association between MHC class I downregulation and PD-L1 upregulation in head and neck squamous cell carcinoma patients.

Shin Hye Yoo, Bhumsuk Keam, Chan-Young Ock, Sehui Kim, Buhm Han, Ji-Won Kim, Keun-Wook Lee, Yoon Kyung Jeon, Kyeong Cheon Jung, Eun-Jae Chung and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Resisting Resistance to Immune Checkpoint Therapy: A Systematic Review.International journal of molecular sciences · 2020
    Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. PD-1/PD-L1 Signaling in Non-ICI Myocarditis.JACC. Basic to translational science · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Elucidating DNA Damage-Dependent Immune System Activation.International journal of molecular sciences · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Longitudinal Molecular Profiling of Circulating Tumor Cells in Metastatic Renal Cell Carcinoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  18. CMTM6 as a master regulator of PD-L1.Cancer immunology, immunotherapy : CII · 2022
    Review
  19. Article
  20. Review
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

14 authors at 4 institutions in 2 countries.

Shin Hye YooDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Bhumsuk KeamDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. bhumsuk@snu.ac.kr.ORCID http://orcid.org/0000-0001-8196-4247
Chan-Young OckDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Sehui KimDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Buhm HanDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-2266-5164
Ji-Won KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.ORCID http://orcid.org/0000-0001-6426-9074
Keun-Wook LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.
Yoon Kyung JeonDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-8466-9681
Kyeong Cheon JungDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Eun-Jae ChungDepartment of Otorhinolaryngology, Seoul National University Hospital, Seoul, Republic of Korea.
Seong Keun KwonDepartment of Otorhinolaryngology, Seoul National University Hospital, Seoul, Republic of Korea.
Soon-Hyun AhnDepartment of Otorhinolaryngology, Seoul National University Hospital, Seoul, Republic of Korea.
Myung-Whun SungDepartment of Otorhinolaryngology, Seoul National University Hospital, Seoul, Republic of Korea.
Dae Seog HeoDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seoul National University Hospital · KRSeoul National University · KRSeoul National University Bundang Hospital · KRCancer Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to evaluate the prognostic impact of major histocompatibility complex (MHC) class I expression and programmed death-ligand 1 (PD-L1) expression in patients with head and neck squamous cell carcinoma (HNSCC). A total of 158 patients with HNSCC were evaluated retrospectively. The expression of MHC class I and PD-L1 was analyzed in tumor specimens using immunohistochemistry. The association between MHC class I/PD-L1 expression and clinical outcome was evaluated by Kaplan-Meier and Cox regression analyses. Among 158 patients, 103 (65.2%) showed positive PD-L1 expression, and 20 (12.7%) showed no detectable expression of MHC class I. The frequency of PD-L1 positive expression with concomitant MHC class I loss was 7.0%. In the PD-L1-positive group, MHC class I loss was associated with a significantly worse survival compared with MHC class I positivity (median overall survival 39.3 months vs. not reached; P = 0.005), whereas MHC class I status provided no prognostic impact in the PD-L1 negative group. Neither PD-L1 nor MHC class I alone showed a significant difference in overall survival. The loss of MHC class I expression in PD-L1-positive HNSCC was associated with a poor clinical outcome. This suggested that MHC class I expression status might be useful for the prognosis of tumor progression in HNSCC when combined with PD-L1 expression status. External validation with enough numbers of participants in such subgroup should be needed for validation.

Indexed as

AdultAgedAged, 80 and overB7-H1 AntigenCyclin-Dependent Kinase Inhibitor p16Down-RegulationFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticGenes, MHC Class IHistocompatibility Antigens Class IHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm ProteinsB7-H1 AntigenCD274 protein, humanCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Histocompatibility Antigens Class INeoplasm Proteins

Identifiers

PMID31118488
PMCPMC6531443
OpenAlexW2945183690

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.