Evidence map›Paper›PMID 31269981›Full record

ArticleWorld journal of surgical oncology2019

Divergent immunohistochemical expression of CD21 and CD23 by follicular dendritic cells with increasing grade of follicular lymphoma.

Fisnik Kurshumliu, Fatlinda Sadiku-Zehri, Ardita Qerimi, Zana Vela, Fisnik Jashari, Samir Bytyci, Vlore Rashiti, Shemsedin Sadiku

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. [Endoscopic characteristics of primary gastric lymphoma and prediction of treatment response].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
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  13. Transcriptome Sequencing Reveals Potential Roles ofFrontiers in cell and developmental biology · 2020
    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

8 authors at 1 institution in 1 country.

Fisnik KurshumliuInstitute of Anatomic Pathology, University Clinical Center/Faculty of Medicine, University of Pristina, Pristina, Kosovo.
Fatlinda Sadiku-ZehriInstitute of Anatomic Pathology, University Clinical Center/Faculty of Medicine, University of Pristina, Pristina, Kosovo.
Ardita QerimiInstitute of Histology, University Clinical Center/Faculty of Medicine, University of Pristina, Pristina, Kosovo.
Zana VelaInstitute of Histology, University Clinical Center/Faculty of Medicine, University of Pristina, Pristina, Kosovo.
Fisnik JashariInstitute of Histology, University Clinical Center/Faculty of Medicine, University of Pristina, Pristina, Kosovo.
Samir BytyciInstitute of Histology, University Clinical Center/Faculty of Medicine, University of Pristina, Pristina, Kosovo.
Vlore RashitiInstitute of Anatomic Pathology, University Clinical Center of Pristina, Pristina, Kosovo.
Shemsedin SadikuHematology Clinic, University Clinical Center/Faculty of Medicine, University of Pristina, Rr.Bulevardi i Dëshmorëve, 10000, Pristina, PN, Kosovo. shemsedin.sadiku@uni-pr.edu.ORCID http://orcid.org/0000-0002-0785-1313
University Clinical Center of Kosovo · XK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltrastructural and immunohistochemical differences have been described in FDCs of primary and secondary follicles, illustrating the highly compartmentalized structure of lymph follicles. Differences in FDC immunophenotype in different grades of FL may reflect some parallelism between reactive and neoplastic conditions in terms of FDC-B cell interaction and may be used as a valuable additional tool for grading FL.

methodsA total of 60 paraffin blocks from patients with follicular lymphoma, 30 cases each of grade 1 and 3, were retrieved from our archive. Immunohistochemical analysis was carried out for CD21, CD23, cyclin A, and Ki-67.

resultsOur study demonstrates that during evaluation, six patterns of FDC distribution were distinguished. The intensity of stain for CD21 was not statistically significant in grade 1 and grade 3 FL (p = 0.340). In contrast, grade 3 FLs exhibited a significant decrease of CD23 expression by the FDCs (p < 0.001). By CD21 stain, there was no significant difference in the distribution of pattern 1 in grades 1 and 3 (p = 0.098). In contrast, in grade 3, this pattern was significantly less observed by CD23 stain (p = 0.016). The same was observed for pattern 2 for CD21 (p = 0.940) and CD23 (p = 0.010) and pattern 4 for CD21 (p = 0.305) and CD23 (p = 0.005), respectively. Distribution of pattern 5 was significantly different between grades 1 and 3 both for CD21 (p = 0.005) and CD23 (p < 0.001). Distribution of patterns 2 and 6 was not significantly different between grades 1 and 3 for CD21 and CD23. The values of cyclin A and Mib-1 were also significantly different between grades 1 and 3 (p < 0.001).

conclusionsThe observed patterns of FDCs lead us to believe that similar to reactive lymph node follicles, neoplastic follicles in FL, at least in early stages, have an organized structure. Hypothetically, with CD21, CD23, and cyclin A immunohistochemistry, the sequence of events in FL progression may be traced.

Indexed as

AdultAgedCyclin ADendritic Cells, FollicularDisease ProgressionFemaleHumansImmunohistochemistryKi-67 AntigenLectins, C-TypeLymph NodesLymphoma, FollicularMaleMiddle AgedNeoplasm GradingPrognosisCR2 protein, humanCyclin AFCER2 protein, humanKi-67 AntigenLectins, C-TypeReceptors, Complement 3dReceptors, IgECD21CD23Follicular lymphomaImmunohistochemistry

Identifiers

PMID31269981
PMCPMC6610797
OpenAlexW2954109288

What OpenQuestion holds

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LicenceCC BY
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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.