Evidence map›Paper›PMID 32169871›Full record

ArticleJournal for immunotherapy of cancer2020

Pre-existing inflammatory immune microenvironment predicts the clinical response of vulvar high-grade squamous intraepithelial lesions to therapeutic HPV16 vaccination.

Ziena Abdulrahman, Noel de Miranda, Edith M G van Esch, Peggy J de Vos van Steenwijk, Hans W Nijman, Marij J P Welters, Mariette I E van Poelgeest, Sjoerd H van der Burg

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05405270 (Predicting Response In Cervical Intraepithelial Neoplasia to Topical Imiquimod Treatment), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-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.

NCT05405270 recruitingnot on this mapstarted 2022, after this paper: background citation

Predicting Response In Cervical Intraepithelial Neoplasia to Topical Imiquimod Treatment

Typeobservational_patient_registrySponsorCatharina Ziekenhuis EindhovenRan2022 to 2026Enrolled410ConditionsCervical High Grade Squamous Intraepithelial Lesion, Cervical Intraepithelial Neoplasia Grade 2/3, CIN 2/3, Cervical Intraepithelial NeoplasiaArmsImiquimod, 3x vaginal swab for microbiome analysis, Expectative management, 2x vaginal swab for microbiome analysis
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ziena Abdulrahman'Gynaecology' and 'Pathology', Leiden Universitair Medisch Centrum, Leiden, Zuid-Holland, The Netherlands.
Noel de MirandaPathology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.ORCID 0000-0001-6122-1024
Edith M G van EschGynaecology, Leiden Universitair Medisch Centrum, Leiden, Zuid-Holland, The Netherlands.
Peggy J de Vos van SteenwijkGynaecology, Leiden Universitair Medisch Centrum, Leiden, Zuid-Holland, The Netherlands.
Hans W NijmanGynecology, Universitair Medisch Centrum Groningen, Groningen, The Netherlands.
Marij J P WeltersMedical Oncology, Oncode Institute, Leiden Universitair Medisch Centrum, Leiden, Zuid-Holland, The Netherlands.
Mariette I E van PoelgeestGynaecology, Leiden Universitair Medisch Centrum, Leiden, Zuid-Holland, The Netherlands.
Sjoerd H van der BurgMedical Oncology, Oncode Institute, Leiden Universitair Medisch Centrum, Leiden, Zuid-Holland, The Netherlands shvdburg@lumc.nl.ORCID 0000-0002-6556-0354
Leiden University Medical Center · NLOncode Institute · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVulvar high-grade squamous intraepithelial lesion (vHSIL) is predominantly induced by high-risk human papilloma virus type 16 (HPV16). In two independent trials, therapeutic vaccination against the HPV16 E6 and E7 oncoproteins resulted in objective partial and complete responses (PRs/CRs) in half of the patients with HPV16

methodsTwo novel seven-color multiplex immunofluorescence panels to identify T cells (CD3, CD8, Foxp3, Tim3, Tbet, PD-1, DAPI) and myeloid cells (CD14, CD33, CD68, CD163, CD11c, PD-L1, DAPI) were designed and fully optimized for formalin-fixed paraffin-embedded tissue. 29 prevaccination and 24 postvaccination biopsies of patients with vHSIL, and 27 healthy vulva excisions, were stained, scanned with the Vectra multispectral imaging system, and automatically phenotyped and counted using inForm advanced image analysis software.

resultsHealthy vulvar tissue is strongly infiltrated by CD4 and CD8 T cells expressing Tbet and/or PD-1 and CD14

conclusionA prevaccination inflamed type 1 immune contexture is required for stronger vaccine-induced immune infiltration and is associated with better clinical response. Therapeutic vaccination did not overtly increase immune infiltration of cold lesions.

Indexed as

Cancer VaccinesFemaleHuman papillomavirus 16HumansImmunotherapyNeoplasm GradingPapillomavirus InfectionsSquamous Intraepithelial LesionsTumor MicroenvironmentVulvar NeoplasmsCancer Vaccinesimmunotherapytherapeutic vaccinationtumor microenvironmentvulvar HSIL

Identifiers

PMID32169871
PMCPMC7069269
OpenAlexW3012223268

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.