Evidence map›Paper›PMID 31703602›Full record

ArticleJournal for immunotherapy of cancer2019

Distinct tumor microenvironments of lytic and blastic bone metastases in prostate cancer patients.

Claire L Ihle, Meredith D Provera, Desiree M Straign, E Erin Smith, Susan M Edgerton, Adrie Van Bokhoven, M Scott Lucia, Philip Owens

Open 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. Cited by 48 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 6 pooled it
7.0field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 6 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Review
  8. Review
  9. Article
  10. Advances in Spatial Transcriptomics in Bone.Current osteoporosis reports · 2026
    Review
  11. Review
  12. Review
  13. Article
  14. Osteoblast-Derived ECM1 Promotes Anti-Androgen Resistance in Bone Metastatic Prostate Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  15. Review
  16. Article
  17. Review
  18. Macrophage heterogeneity in bone metastasis.Journal of bone oncology · 2024
    Article
  19. Review
  20. 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 3 institutions in 1 country.

Claire L IhleCancer Biology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Meredith D ProveraDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Desiree M StraignDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
E Erin SmithDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Susan M EdgertonDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Adrie Van BokhovenDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
M Scott LuciaDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Philip OwensDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA. philip.owens@cuanschutz.edu.ORCID 0000-0002-1452-9285
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Cancer Center · USVA Eastern Colorado Health Care System · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Targeting the BMP pathway in metastatic cancerIK2BX002929 · VA · VETERANS HEALTH ADMINISTRATION · PI OWENS, PHILIP · 2016 to 2021
–
BLRD VA IK2 BX002929BLRD VA IS1 BX003572NCI NIH HHS P30 CA046934
6 · The paper itself

Abstract

The most common metastatic lesions of prostate cancer are in bone and can be classified into three distinct pathology subtypes: lytic, blastic, and an indeterminate mixture of both. We investigated a cohort of decalcified formalin-fixed and paraffin-embedded (FFPE) patient specimens from the bone that contained metastatic prostate cancer with lytic or blastic features. These tissue sections were utilized for immunohistochemistry (IHC) staining, isolation of RNA for gene expression, and Digital Spatial Profiling (DSP) of changes in both the tumor and microenvironment. A diverse set of unique immune cell populations and signaling pathways to both lytic and blastic types of prostate cancer metastases were present. In blastic lesions immune cells were enriched for pSTAT3 and components of the JAK-STAT pathway. In lytic-type lesions, immune cells were enriched for pAKT activity and components of the PI3K-AKT pathway. Enrichment for immune checkpoints including PD-L1, B7-H4, OX40L, and IDO-1 were identified in blastic prostate cancer, providing new therapeutic targets for patients with bone metastases. Biopsies could guide selection of patients into appropriate therapeutic interventions based on protein levels and RNA expression of desired targets in metastatic disease. Molecular pathology has been an excellent complement to the diagnosis, treatment, and management of primary tumors and could be successfully extended to patients with metastatic lesions.

Indexed as

Tumor MicroenvironmentBiomarkersBone NeoplasmsComputational BiologyGene Expression ProfilingHumansImmunohistochemistryMaleProstatic NeoplasmsSignal TransductionBiomarkersBone metastasesDigital spatial profilingProstateTumor microenvironment

Identifiers

PMID31703602
PMCPMC6839115
OpenAlexW2984216098

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.