Evidence map›Paper›PMID 32188412›Full record

ArticleBMC cancer2020

Therapeutic implications of PD-L1 expression in bladder cancer with squamous differentiation.

Ronja Morsch, Michael Rose, Angela Maurer, Maria Angela Cassataro, Till Braunschweig, Ruth Knüchel, Thomas-Alexander Vögeli, Thorsten Ecke, Markus Eckstein, Veronika Weyerer and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 39 citations in OpenAlex.

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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

15 authors at 5 institutions in 1 country.

Ronja MorschDepartment of Urology, University Hospital RWTH Aachen University, Aachen, Germany.
Michael RoseInstitute of Pathology, University Hospital RWTH Aachen University, Aachen, Germany.
Angela MaurerInstitute of Pathology, University Hospital RWTH Aachen University, Aachen, Germany.
Maria Angela CassataroInstitute of Pathology, University Hospital RWTH Aachen University, Aachen, Germany.
Till BraunschweigInstitute of Pathology, University Hospital RWTH Aachen University, Aachen, Germany.
Ruth KnüchelInstitute of Pathology, University Hospital RWTH Aachen University, Aachen, Germany.
Thomas-Alexander VögeliDepartment of Urology, University Hospital RWTH Aachen University, Aachen, Germany.
Thorsten EckeDepartment of Urology, HELIOS Hospital, Bad Saarow, Germany.
Markus EcksteinInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Veronika WeyererInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Irene EspositoInstitute of Pathology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Maximilian AckermannInstitute of Pathology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Günter NiegischDepartment of Urology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Nadine T GaisaInstitute of Pathology, University Hospital RWTH Aachen University, Aachen, Germany. ngaisa@ukaachen.de.
German Study Group of Bladder Cancer (DFBK e.V.)
RWTH Aachen University · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHeinrich Heine University Düsseldorf · DEHelios Hospital Bad Saarow · DEUniversitätsklinikum Aachen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICI) are an integral part of bladder cancer therapy, however, the relevance of ICI treatment for mixed and pure squamous cell carcinoma of the bladder remains poorly studied. Therefore, we analysed the expression of programmed death-ligand 1 (PD-L1) in urothelial carcinomas with squamous differentiation (UC/SCC) and pure squamous cell carcinoma (SCC) of the bladder and studied a UC/SCC patient with ICI therapy.

methodsTissue microarrays of 45 UC/SCC and 63 SCC samples were immunohistochemically stained with four anti-PD-L1 antibodies (28-8, 22C3, SP142 and SP263). PD-L1 expression was determined for tumour cells (TP-Score), immune cells (IC-Score) and combined (CPS, combined positive score). In addition, we present clinical and histological data of an UC/SCC patient with nivolumab therapy.

resultsOverall, positive PD-L1 staining ranged between 4.8 and 61.9% for IC and 0 and 51.2% for TC depending on the used antibody. There were no significant differences between UC/SCC and SCC. According to current FDA guidelines for example for first line therapy of urothelial cancer with pembrolizumab (CPS ≥ 10), a subset of SCC patients up to 20% would be eligible. Finally, our UC/SCC index patient revealed excellent therapy response regarding his lung metastasis.

conclusionsOur data reveal a PD-L1 expression in squamous differentiated carcinomas comparable with current data shown for urothelial tumours. In accordance with the encouraging clinical data of the index patient we suggest ICI treatment also for mixed and pure SCC of the urinary bladder.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalB7-H1 AntigenCarcinoma, Squamous CellFemaleHumansImmunohistochemistryMaleMiddle AgedNivolumabTissue Array AnalysisUrinary Bladder NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalB7-H1 AntigenCD274 protein, humanNivolumabpembrolizumabBladder cancerImmunotherapyPD-L1Squamous cell carcinoma

Identifiers

PMID32188412
PMCPMC7079494
OpenAlexW3011521051

What OpenQuestion holds

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LicenceCC BY
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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.