Evidence map›Paper›PMID 32974852›Full record

ArticleJournal of neuro-oncology2021

Melanoma brain metastases have lower T-cell content and microvessel density compared to matched extracranial metastases.

Sarah A Weiss, Christopher Zito, Thuy Tran, Kazuki Heishima, Veronique Neumeister, John McGuire, Adebowale Adeniran, Harriet Kluger, Lucia B Jilaveanu

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Vascular mimicry as a facilitator of melanoma brain metastasis.Cellular and molecular life sciences : CMLS · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Emerging Studies of Melanoma Brain Metastasis.Current oncology reports · 2022
    Review
  14. Article
  15. Article
  16. 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

9 authors at 3 institutions in 2 countries.

Sarah A WeissDepartment of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-1106-7089
Christopher ZitoDepartment of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT, USA.
Thuy TranDepartment of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT, USA.
Kazuki HeishimaDepartment of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT, USA.
Veronique NeumeisterDepartment of Pathology, Yale University School of Medicine, New Haven, CT, USA.
John McGuireDepartment of Pathology, Yale University School of Medicine, New Haven, CT, USA.
Adebowale AdeniranDepartment of Pathology, Yale University School of Medicine, New Haven, CT, USA.
Harriet KlugerDepartment of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT, USA.
Lucia B JilaveanuDepartment of Medicine (Medical Oncology), Yale University School of Medicine, New Haven, CT, USA. lucia.jilaveanu@yale.edu.
Yale University · USUniversity of Saint Joseph · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale SPORE in Skin CancerP50CA121974 · NCI · YALE UNIVERSITY · PI DAVID F STERN · 2006 to 2026
$43.9M
YALE CANCER CENTER CALABRESI IMMUNO-ONCOLOGY TRAINING PROGRAMK12CA215110 · NCI · YALE UNIVERSITY · PI Harriet M. Kluger · 2018 to 2026
$6.1M
(8) Mechanisms of autoimmune endocrine diseases in patients receiving checkpoint inhibitorsR01CA227473 · NCI · YALE UNIVERSITY · PI HEROLD, KEVAN C, KLUGER, HARRIET M. · 2018 to 2022
$3.2M
Yale Cancer Center Advanced Training Program for Physician-Scientists (YCC-ATPP)T32CA233414 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 2019 to 2026
$3.2M
Renalase inhibition for treatment of unresectable melanomaR01CA216846 · NCI · YALE UNIVERSITY · PI DESIR, GARY V., KLUGER, HARRIET M. · 2017 to 2021
$2.4M
Inherent tropism and/or immune modulation in melanoma brain metastasisR01CA204002 · NCI · YALE UNIVERSITY · PI JILAVEANU, LUCIA BEATRICE · 2017 to 2021
$1.9M
Melanoma Research Alliance Award#308721NCATS NIH HHS UL1 TR001863NCI NIH HHS K12 CA215110NCI NIH HHS K12CA215110NCI NIH HHS P50 CA121974NCI NIH HHS R01 CA204002NCI NIH HHS R01CA204002NCI NIH HHS R01 CA216846NCI NIH HHS R01 CA227473NCI NIH HHS T32 CA233414NIH HHS K12CA215110NIH HHS P50 CA121974NIH HHS R01 CA216846NIH HHS R01 CA227473
6 · The paper itself

Abstract

backgroundAlthough melanoma brain metastases (MBM) tend to respond to systemic therapy concordantly with extracranial metastases, little is known about differences in immune cell and vascular content between the brain and other metastatic sites. Here we studied infiltrating immune cell subsets and microvessel density (MVD) in paired intracerebral and extracerebral melanoma metastases.

methodsPaired intracerebral and extracerebral tumor tissue was obtained from 37 patients with metastatic melanoma who underwent craniotomy between 1997 and 2014. A tissue microarray was constructed to quantify subsets of tumor-infiltrating T-cell, B-cell, and macrophage content, PD-L1 expression, and MVD using quantitative immunofluorescence.

resultsMBM had lower CD3+ (p = 0.01) and CD4+ (p = 0.003) T-cell content, lower MVD (p = 0.006), and a trend for lower CD8+ (p = 0.17) T-cell content compared to matched extracerebral metastases. There were no significant differences in CD20+ B-cell or CD68+ macrophage content, or tumor or stroma PD-L1 expression. Low MVD (p = 0.008) and high CD68+ macrophage density (p = 0.04) in intracerebral metastases were associated with improved 1-year survival from time of first MBM diagnosis.

conclusionsAlthough responses to immune-modulating drugs in the body and the brain tend to be concordant, differences were found in MVD and T-cell content between these sites. Studies of these markers should be incorporated into prospective therapeutic clinical trials to determine their prognostic and predictive value.

Indexed as

AdultAgedBrain NeoplasmsFemaleHumansMaleMelanomaMicrovascular DensityMiddle AgedNeoplasm MetastasisNeovascularization, PathologicBrainImmune markersMelanomaMetastasesMicrovessel densityPD-L1

Identifiers

PMID32974852
PMCPMC7910371
OpenAlexW3089088060

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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.