Evidence map›Paper›PMID 31937798›Full record

ArticleScientific reports2020

Fibroblasts in urothelial bladder cancer define stroma phenotypes that are associated with clinical outcome.

Artur Mezheyeuski, Ulrika Segersten, Lina Wik Leiss, Per-Uno Malmström, Jiri Hatina, Arne Östman, Carina Strell

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
8.8field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 63 citations in OpenAlex.

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  12. A gene signature of cancer-associated fibroblasts predicts prognosis and treatment response in bladder cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  13. Review
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  15. Bladder cancer.Nature reviews. Disease primers · 2023
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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

7 authors at 3 institutions in 2 countries.

Artur MezheyeuskiDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Ulrika SegerstenDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Lina Wik LeissDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Per-Uno MalmströmDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Jiri HatinaCharles University, Faculty of Medicine in Pilsen, Institut of Biology, Plzen, Czech Republic.
Arne ÖstmanDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Carina StrellDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden. carina.strell@igp.uu.se.
Karolinska Institutet · SEUppsala University · SECharles University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little attention was given to the interaction between tumor and stromal cells in urothelial bladder carcinoma (UBC). While recent studies point towards the existence of different fibroblast subsets, no comprehensive analyses linking different fibroblast markers to UBC patient survival have been performed so far. Through immunohistochemical analysis of five selected fibroblast markers, namely alpha smooth muscle actin (ASMA), CD90/Thy-1, fibroblast activation protein (FAP), platelet derived growth factor receptor-alpha and -beta (PDGFRa,-b), this study investigates their association with survival and histopathological characteristics in a cohort of 344 UBC patients, involving both, muscle-invasive and non-muscle-invasive cases. The data indicates that combinations of stromal markers are more suited to identify prognostic patient subgroups than single marker analysis. Refined stroma-marker-based patient stratification was achieved through cluster analysis and identified a FAP-dominant patient cluster as independent marker for shorter 5-year-survival (HR(95% CI)2.25(1.08-4.67), p = 0.030). Analyses of interactions between fibroblast and CD8a-status identified a potential minority of cases with CD90-defined stroma and high CD8a infiltration showing a good prognosis of more than 80% 5-year-survival. Presented analyses point towards the existence of different stroma-cell subgroups with distinct tumor-modulatory properties and motivate further studies aiming to better understand the molecular tumor-stroma crosstalk in UBC.

Indexed as

ActinsAgedBiomarkers, TumorCD8-Positive T-LymphocytesCluster AnalysisEndopeptidasesFemaleFibroblast Activation Protein AlphaFibroblastsGelatinasesHumansKaplan-Meier EstimateMaleMembrane ProteinsPhenotypePrognosisActinsBiomarkers, TumorEndopeptidasesFibroblast Activation Protein AlphaGelatinasesMembrane ProteinsReceptor, Platelet-Derived Growth Factor alphaSerine EndopeptidasesThy-1 Antigens

Identifiers

PMID31937798
PMCPMC6959241
OpenAlexW2999679351

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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.