Evidence map›Paper›PMID 31980916›Full record

ArticleCancer immunology, immunotherapy : CII2020

Digital pathology-aided assessment of tumor-infiltrating T lymphocytes in advanced stage, HPV-negative head and neck tumors.

Emma J de Ruiter, Reinout H de Roest, Ruud H Brakenhoff, C René Leemans, Remco de Bree, Chris H J Terhaard, Stefan M Willems

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. PD1Biomedicines · 2022
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  12. Evaluation of CD4Dental research journal · 2022
    Article
  13. Prognostic Relevance of CD4Biomedicines · 2021
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. 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

7 authors at 3 institutions in 2 countries.

Emma J de RuiterDepartment of Pathology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. e.j.deruiter-2@umcutrecht.nl.ORCID http://orcid.org/0000-0003-0369-8267
Reinout H de RoestDepartment of Otolaryngology/Head and Neck Surgery, Cancer Center Amsterdam, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Ruud H BrakenhoffDepartment of Otolaryngology/Head and Neck Surgery, Cancer Center Amsterdam, Amsterdam University Medical Center, Amsterdam, The Netherlands.
C René LeemansDepartment of Otolaryngology/Head and Neck Surgery, Cancer Center Amsterdam, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Remco de BreeDepartment of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Chris H J TerhaardDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Stefan M WillemsDepartment of Pathology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Amsterdam University Medical Centers · NLHeidelberg University · DEUniversity Medical Center Utrecht · NL

Funding

KWF Kankerbestrijding A6C 7072
6 · The paper itself

Abstract

aimThis study aimed to evaluate the presence and prognostic value of tumor-infiltrating T cells in the tumor epithelium in advanced stage, HPV-negative head and neck squamous cell carcinoma (HNSCC) patients treated with primary chemoradiotherapy using digital pathology.

methodsPre-treatment biopsies from 80 oropharyngeal, 52 hypopharyngeal, and 29 laryngeal cancer patients were collected in a tissue microarray (TMA) and immunohistochemically stained for T-cell markers CD3, CD4, CD8, FoxP3, and PD1, and for immune checkpoint PD-L1. For each marker, the number of positive tumor-infiltrating lymphocytes (TILs) per mm

resultsThe patient cohort had a 3-year OS of 58%, with a median follow-up of 53 months. None of the T-cell markers showed a correlation with OS, DFS or LRC. A low N stage was correlated to a better prognosis (OS: HR 0.39, p = 0.0028, DFS: HR 0.34, p =  < 0.001, LRC: HR 0.24, p = 0.008). High TIL counts were more often observed in PD-L1-positive tumors (p < 0.05).

conclusionThis study showed an objective, digital pathology-aided method to assess TILs in the tumor epithelium. However, it did not provide evidence for a prognostic role of the presence of CD3 + , CD4 + , CD8 + , FoxP3 + , and PD1 + TILs in the tumor epithelium of advanced stage, HPV-negative HNSCC patients treated with primary chemoradiotherapy.

Indexed as

AgedB7-H1 AntigenBiomarkers, TumorCarcinoma, Squamous CellChemoradiotherapyFemaleHead and Neck NeoplasmsHumansImage Processing, Computer-AssistedKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoplasm StagingPathology, ClinicalPrognosisB7-H1 AntigenBiomarkers, TumorCD274 protein, humanProgrammed Cell Death 1 ReceptorHead and neck squamous cell carcinoma (HNSCC)Prognostic biomarkersT cellsTumor-infiltrating lymphocytes (TILs)

Identifiers

PMID31980916
PMCPMC7113229
OpenAlexW3001025332

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.