Evidence map›Paper›PMID 31627744›Full record

ArticleJournal for immunotherapy of cancer2019

Metastatic breast cancers have reduced immune cell recruitment but harbor increased macrophages relative to their matched primary tumors.

Li Zhu, Jessica L Narloch, Sayali Onkar, Marion Joy, Gloria Broadwater, Catherine Luedke, Allison Hall, Rim Kim, Katherine Pogue-Geile, Sarah Sammons and 12 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

66 citing papers in PubMed, 123 citations in OpenAlex.

  1. Trial
  2. The immunology of human breast cancer.Nature reviews. Immunology · 2026
    Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Macrophage heterogeneity in bone metastasis.Journal of bone oncology · 2024
    Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 2 countries.

Li ZhuDepartment of Biostatistics, University of Pittsburgh, Pittsburgh, PA, USA.
Jessica L NarlochClinical Research Training Program, Duke University Medical Center (DUMC), Durham, NC, USA.
Sayali OnkarDepartment of Immunology, University of Pittsburgh, Pittsburgh, PA, USA.
Marion JoyNational Surgical Adjuvant Breast and Bowel Project (NSABP), Pittsburgh, PA, USA.
Gloria BroadwaterDuke Clinical Research Institute, Durham, NC, USA.
Catherine LuedkeDepartment of Pathology, DUMC, Durham, NC, USA.
Allison HallDepartment of Pathology, DUMC, Durham, NC, USA.
Rim KimNational Surgical Adjuvant Breast and Bowel Project (NSABP), Pittsburgh, PA, USA.
Katherine Pogue-GeileNational Surgical Adjuvant Breast and Bowel Project (NSABP), Pittsburgh, PA, USA.
Sarah SammonsBreast Cancer Program, Duke Cancer Institute, DUMC, Durham, NC, USA.
Naema NayyarDivision of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Ugonma ChukwuekeDivision of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Priscilla K BrastianosDivision of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Carey K AndersDivision of Medical Oncology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Adam C SoloffDepartment of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Dario A A VignaliDepartment of Immunology, University of Pittsburgh, Pittsburgh, PA, USA.
George C TsengDepartment of Biostatistics, University of Pittsburgh, Pittsburgh, PA, USA.
Leisha A EmensTumor Microenvironment Center, University of Pittsburgh Medical Center (UPMC) Hillman Cancer Center, Pittsburgh, PA, USA.
Peter C LucasNational Surgical Adjuvant Breast and Bowel Project (NSABP), Pittsburgh, PA, USA.
Kimberly L BlackwellBreast Cancer Program, Duke Cancer Institute, DUMC, Durham, NC, USA.
Steffi OesterreichWomens Cancer Research Center, UPMC Hillman Cancer Center, Magee Womens Research Institute, Pittsburgh, USA.
Adrian V LeeWomens Cancer Research Center, UPMC Hillman Cancer Center, Magee Womens Research Institute, Pittsburgh, USA. leeav@upmc.edu.ORCID 0000-0001-9917-514X
University of Pittsburgh · USCancer Institute (WIA) · INHarvard University · USNSABP Foundation · USDuke Medical Center · USClinical Research Institute · USUniversity of North Carolina at Chapel Hill · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mei-Yin C Polley · 2014 to 2026
$146.4M
Duke CTSA (Composite)TL1TR001116 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$1.2M
NCATS NIH HHS TL1 TR001116NCI NIH HHS P30 CA014236NCI NIH HHS P30 CA047904NCI NIH HHS U10 CA180822
6 · The paper itself

Abstract

The interplay between the immune system and tumor progression is well recognized. However, current human breast cancer immunophenotyping studies are mostly focused on primary tumors with metastatic breast cancer lesions remaining largely understudied. To address this gap, we examined exome-capture RNA sequencing data from 50 primary breast tumors (PBTs) and their patient-matched metastatic tumors (METs) in brain, ovary, bone and gastrointestinal tract. We used gene expression signatures as surrogates for tumor infiltrating lymphocytes (TILs) and compared TIL patterns in PBTs and METs. Enrichment analysis and deconvolution methods both revealed that METs had a significantly lower abundance of total immune cells, including CD8+ T cells, regulatory T cells and dendritic cells. An exception was M2-like macrophages, which were significantly higher in METs across the organ sites examined. Multiplex immunohistochemistry results were consistent with data from the in-silico analysis and showed increased macrophages in METs. We confirmed the finding of a significant reduction in immune cells in brain METs (BRMs) by pathologic assessment of TILs in a set of 49 patient-matched pairs of PBT/BRMs. These findings indicate that METs have an overall lower infiltration of immune cells relative to their matched PBTs, possibly due to immune escape. RNAseq analysis suggests that the relative levels of M2-like macrophages are increased in METs, and their potential role in promoting breast cancer metastasis warrants further study.

Indexed as

AdultBiomarkers, TumorBone NeoplasmsBrain NeoplasmsBreast NeoplasmsCD8-Positive T-LymphocytesDatasets as TopicDendritic CellsFemaleGastrointestinal NeoplasmsHumansImmunohistochemistryImmunophenotypingLymphocytes, Tumor-InfiltratingMacrophagesMiddle AgedBiomarkers, TumorBreast cancerM2 macrophagesMacrophagesMetastatic breast cancer

Identifiers

PMID31627744
PMCPMC6798422
OpenAlexW2980385048

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.