Evidence map›Paper›PMID 31730502›Full record

ArticleJournal for immunotherapy of cancer2019

The density and spatial tissue distribution of CD8

Daniela Massi, Eliana Rulli, Mara Cossa, Barbara Valeri, Monica Rodolfo, Barbara Merelli, Francesco De Logu, Romina Nassini, Michele Del Vecchio, Lorenza Di Guardo and 19 more

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 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.4field-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

44 citing papers in PubMed, 65 citations in OpenAlex.

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  10. Cutaneous melanoma.Nature reviews. Disease primers · 2025
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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

29 authors at 14 institutions in 2 countries.

Daniela MassiSection of Pathological Anatomy, Department of Health Sciences, University of Florence, Florence, Italy.
Eliana RulliDepartment of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Mara CossaUnit of Immunotherapy of Human Tumors, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Barbara ValeriDepartment of Pathology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Monica RodolfoUnit of Immunotherapy of Human Tumors, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Barbara MerelliUnit of Medical Oncology, Department of Oncology and Hematology, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Francesco De LoguUnit of Clinical Pharmacology and Oncology, Department of Health Sciences, University of Florence, Florence, Italy.
Romina NassiniUnit of Clinical Pharmacology and Oncology, Department of Health Sciences, University of Florence, Florence, Italy.
Michele Del VecchioUnit of Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Lorenza Di GuardoUnit of Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Roberta De PenniDepartment of Oncology, Hematology, and Respiratory Diseases, University Hospital of Modena, Modena, Italy.
Michele GuidaDepartment of Medical Oncology and Molecular Genetics Laboratory, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Vanna Chiarion SileniMelanoma and Esophageal Cancer Unit, Istituto Oncologico Veneto-IRCCS, Department of Medical Oncology, Padua, Italy.
Anna Maria Di GiacomoMedical Oncology and Immunotherapy, Center for Immuno-Oncology, University Hospital of Siena, Istituto Toscano Tumori, Siena, Italy.
Marco TucciMedical Oncology Unit, Department of Biomedical Sciences and Human Oncology, University of Bari 'Aldo Moro', Bari, Italy.
Marcella OccelliAzienda Ospedaliera Santa Croce e Carle di Cuneo SC Oncologia, Cuneo, Italy.
Francesca PortelliSection of Pathological Anatomy, Department of Health Sciences, University of Florence, Florence, Italy.
Viviana VallacchiUnit of Immunotherapy of Human Tumors, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Francesca ConsoliDepartment of Oncology, ASST Spedali Civili, Brescia, Italy.
Pietro QuaglinoDepartment of Medical Sciences, Section of Dermatology, University of Turin, Turin, Italy.
Paola QueiroloUnit of Medical Oncology, Ospedale Policlinico San Martino, Genoa, Italy.
Gianna BaroniSection of Pathological Anatomy, Department of Health Sciences, University of Florence, Florence, Italy.
Fabrizio Carnevale-SchiancaMedical Oncology Candiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Laura CattaneoDivision of Pathological Anatomy, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Alessandro MinisiniDepartment of Oncology, Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Giuseppe PalmieriUnit of Cancer Genetics, Institute of Biomolecular Chemistry, National Research Council, Sassari, Italy.
Licia RivoltiniUnit of Immunotherapy of Human Tumors, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. licia.rivoltini@istitutotumori.mi.it.
Mario MandalàUnit of Medical Oncology, Department of Oncology and Hematology, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Italian Melanoma Intergroup
Fondazione IRCCS Istituto Nazionale dei Tumori · ITOspedale Papa Giovanni XXIII · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITMario Negri Institute for Pharmacological Research · ITOspedale Policlinico San Martino · ITUniversity of Florence · ITCandiolo Cancer Institute · ITIstituto Oncologico Veneto · ITNational Research Council · ITOspedale Santa Maria della Misericordia di Udine · ITUniversity of Bari Aldo Moro · ITUniversity of Modena and Reggio Emilia · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical response to MAPK inhibitors in metastatic melanoma patients is heterogeneous for reasons still needing to be elucidated. As the patient immune activity contributes to treatment clinical benefit, the pre-existing level of immunity at tumor site may provide biomarkers of disease outcome to therapy. Here we investigated whether assessing the density and spatial tissue distribution of key immune cells in the tumor microenvironment could identify patients predisposed to respond to MAPK inhibitors.

methodsPretreatment tumor biopsies from a total of 213 patients (158 for the training set and 55 for the validation set) treated with BRAF or BRAF/MEK inhibitors within the Italian Melanoma Intergroup were stained with selected immune markers (CD8, CD163, β-catenin, PD-L1, PD-L2). Results, obtained by blinded immunohistochemical scoring and digital image analysis, were correlated with clinical response and outcome by multivariate logistic models on response to treatment and clinical outcome, adjusted for American Joint Committee on Cancer stage, performance status, lactate dehydrogenase and treatment received.

resultsPatients with high intratumoral, but not peritumoral, CD8

conclusionsAnalysis of the spatially constrained distribution of CD8

Indexed as

AgedAntigens, CDAntigens, Differentiation, MyelomonocyticB7-H1 Antigenbeta CateninCD163 AntigenCD8 AntigensFemaleHumansKaplan-Meier EstimateMaleMAP Kinase Kinase KinasesMelanomaMiddle AgedProgrammed Cell Death 1 Ligand 2 ProteinProtein Kinase InhibitorsAntigens, CDAntigens, Differentiation, MyelomonocyticB7-H1 Antigenbeta CateninCD163 AntigenCD274 protein, humanCD8 AntigensCTNNB1 protein, humanMAP Kinase Kinase KinasesPDCD1LG2 protein, humanProgrammed Cell Death 1 Ligand 2 ProteinProtein Kinase InhibitorsProto-Oncogene Proteins B-rafReceptors, Cell SurfaceMelanoma prognosisMicroenvironmentMyeloid cellsT lymphocytes

Identifiers

PMID31730502
PMCPMC6858711
OpenAlexW2989280842

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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.