Evidence map›Paper›PMID 31137694›Full record

ArticleJournal of clinical medicine2019

Expression of PD-1 and CTLA-4 Are Negative Prognostic Markers in Renal Cell Carcinoma.

Andreas Kahlmeyer, Christine G Stöhr, Arndt Hartmann, Peter J Goebell, Bernd Wullich, Sven Wach, Helge Taubert, Franziska Erlmeier

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.6field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 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

8 authors at 2 institutions in 1 country.

Andreas KahlmeyerDepartment of Urology and Pediatric Urology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. andreas.kahlmeyer@uk-erlangen.de.
Christine G StöhrInstitute of Pathology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. christine.stoehr@uk-erlangen.de.ORCID 0000-0001-7501-4886
Arndt HartmannInstitute of Pathology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. arndt.hartmann@uk-erlangen.de.
Peter J GoebellDepartment of Urology and Pediatric Urology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. peter.goebell@uk-erlangen.de.
Bernd WullichDepartment of Urology and Pediatric Urology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. bernd.wullich@uk-erlangen.de.
Sven WachDepartment of Urology and Pediatric Urology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. sven.wach@uk-erlangen.de.
Helge TaubertDepartment of Urology and Pediatric Urology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. helge.taubert@uk-erlangen.de.ORCID 0000-0002-9077-1727
Franziska ErlmeierInstitute of Pathology, University Hospital Erlangen, Friedrich Alexander-University Erlangen-Nuernberg, 91054 Erlangen, Germany. f.erlmeier@icloud.com.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immuno-oncological therapy with checkpoint inhibition (CI) has become a new standard treatment in metastatic renal cell carcinoma (RCC), but the prognostic value of the expression of CI therapy target molecules is still controversial. 342 unselected consecutive RCC tumor samples were analyzed regarding their PD-1, PD-L1, and CTLA-4 expression by immunohistochemistry (IHC). The prognostic values for cancer-specific survival (CSS) and overall survival (OS) were analyzed for those not exposed to CI therapy. The expression of PD-1 in tumor-infiltrating mononuclear cells (TIMC) and PD-L1 in tumor cells was detected in 9.4% and 12.3%, respectively (Immune reactive score (IRS) > 0). Furthermore, PD-L1 expression in TIMC (IRS > 0) and CTLA-4 expression in TIMC (>1% positive cells) was detected in 4.8% and 6.3%. PD-1 expression and CTLA-4 expression were significantly associated with a worse OS and CSS in log rank survival analysis and univariate Cox regression analysis. CTLA-4 expression is a prognostic marker that is independently associated with a worse outcome in multivariate Cox regression analysis in the whole cohort (OS:

Indexed as

CTLA-4immunohistochemistrymortalitiyPD-1PD-L1prognostic markerrenal cell carcinoma

Identifiers

PMID31137694
PMCPMC6572544
OpenAlexW2945191104

What OpenQuestion holds

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LicenceCC BY
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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.