Evidence map›Paper›PMID 32552719›Full record

ArticleBMC women's health2020

The disease stage-associated imbalance of Th1/Th2 and Th17/Treg in uterine cervical cancer patients and their recovery with the reduction of tumor burden.

Wei Lin, Hua-Ling Zhang, Zhao-Yuan Niu, Zhen Wang, Yan Kong, Xing-Sheng Yang, Fang Yuan

Abstract read
In one paragraph

Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. A prospective clinical study on the effectiveness ofJournal of traditional and complementary medicine · 2026
    Article
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  7. Observational
  8. miRNAs and T cell-mediated Immune Response in Disease.The Yale journal of biology and medicine · 2025
    Review
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  17. International journal of general medicine · 2023
    Article
  18. Review
  19. The Immune-related ceRNA Network in Prognosis of Cervical Cancer.Asian Pacific journal of cancer prevention : APJCP · 2022
    Article
  20. 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.

Wei LinDepartment of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Hua-Ling ZhangDepartment of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Zhao-Yuan NiuDepartment of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Zhen WangDepartment of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Yan KongDepartment of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China.
Xing-Sheng YangDepartment of Obstetrics and Gynecology, Qi Lu Hospital of Shandong University, Jinan, People's Republic of China. yangxingsheng2018@163.com.
Fang YuanDepartment of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, People's Republic of China. 421026833@qq.com.ORCID 0000-0002-1144-434X

Funding

Department of Health of Shandong Province 2014WS0178
6 · The paper itself

Abstract

backgroundNearly all uterine cervical cancer (UCC) cases result from human papillomavirus (HPV) infection. After high-risk HPV infection, most HPV infections are naturally cleared by humoral and cell-mediated immune responses. Thus, cervical lesions of only few patients progress into cervical cancer via cervical intraepithelial neoplasia (CIN) and lead to persistent oncogenic HPV infection. This suggests that immunoregulation plays an instrumental role in the carcinogenesis. However, there was a few studies on the relation between the immunologic dissonance and clinical characteristics of UCC patients.

methodWe examined the related immune cells (Th1, Th2, Th17, and Treg cells) by flow cytometric analysis and analyzed their relations with UCC stages, tumor size, differentiation, histology type, lymph node metastases, and vasoinvasion. Next, we quantified the Th1, Th2, Th17, and Treg cells before and after the operation both in UCC and CIN patients.

resultsWhen compared with stage I patients, decreased levels of circulating Th1 cells and elevated levels of Th2, Th17, and Treg cells were detected in stage II patients. In addition, the imbalance of Th1/Th2 and Th17/Treg cells was related to the tumor size, lymph node metastases, and vasoinvasion. We found that immunological cell levels normalized after the operations. In general, immunological cell levels in CIN patients normalized sooner than in UCC patients.

conclusionsOur findings suggested that peripheral immunological cell levels reflect the patient's condition.

Indexed as

AdultCytokinesFemaleFlow CytometryHumansMiddle AgedNeoplasm StagingTh17 CellsTh1 CellsTh2 CellsT-Lymphocytes, RegulatoryTumor BurdenUterine Cervical DysplasiaUterine Cervical NeoplasmsCytokinesImmunologic dissonanceTh 17TregUterine cervical cancer

Identifiers

PMID32552719
PMCPMC7301485

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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.