Evidence map›Paper›PMID 33457085›Full record

ArticleOncoimmunology2020

Osteosarcoma and soft-tissue sarcomas with an immune infiltrate express PD-L1: relation to clinical outcome and Th1 pathway activation.

Jay S Wunder, Minji J Lee, Junghyun Nam, Beatrice Y Lau, Brendan C Dickson, Dushanthi Pinnaduwage, Shelley B Bull, Peter C Ferguson, Andrew Seto, Nalan Gokgoz and 1 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 37 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

11 authors at 3 institutions in 1 country.

Jay S WunderUniversity of Toronto Musculoskeletal Oncology Unit, Sinai Health System, Toronto, ON, Canada.
Minji J LeeLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Junghyun NamLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Beatrice Y LauDepartment of Pathology and Laboratory Medicine, Sinai Health System, Toronto, ON, Canada.
Brendan C DicksonUniversity of Toronto Musculoskeletal Oncology Unit, Sinai Health System, Toronto, ON, Canada.
Dushanthi PinnaduwageLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Shelley B BullLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Peter C FergusonUniversity of Toronto Musculoskeletal Oncology Unit, Sinai Health System, Toronto, ON, Canada.
Andrew SetoLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Nalan GokgozLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Irene L AndrulisLunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada.
Sinai Health System · CALunenfeld-Tanenbaum Research Institute · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint proteins, such as PD-L1 and PD-1, are important in several cancers; however, their role in osteosarcoma (OSA) and soft tissue sarcoma (STS) remains unclear. Our aims were to determine whether subsets of OSA/STS harbor tumor-infiltrating lymphocytes (TILs) and express PD-L1, and how PD-L1 expression is related to clinical outcome. Tissue sections of 25 cases each of untreated undifferentiated pleomorphic sarcoma (UPS), myxofibrosarcoma (MFS), liposarcoma (LPS) and 24 of leiomyosarcoma (LMS) were subjected to immunohistochemistry (IHC) for immune cells, PD-L1 and PD-1. RT-qPCR was utilized to quantify levels of PD-L1 mRNA from 33 UPS, 57 MFS and 79 OSA primary-untreated specimens. PD-L1 mRNA levels were tested for their correlation with overall survival in patients presenting without metastases. Transcriptome analysis evaluated biological pathway differences between high and low PD-L1 expressers. A subset of UPS and MFS contained TILs and expressed PD-L1 and PD-1; LMS and LPS did not. PD-L1 levels by IHC and RT-qPCR were positively correlated. PD-L1 over-expression was associated with better survival for UPS and OSA, but not MFS. The Th1 pathway was significantly activated in UPS with high levels of PD-L1 and improved survival. Some sarcoma subtypes harbor TILs and express PD-L1. Patients with UPS and OSA with high levels of PD-L1 had better overall survival than those with low expression levels. Important biological pathways distinguish PD-L1 high and low groups. The stratification of patients with OSA/STS with respect to potential immune therapies may be improved through investigation of the expression of immune cells and checkpoint proteins.

Indexed as

Bone NeoplasmsOsteosarcomaSarcomaSoft Tissue NeoplasmsAdultB7-H1 AntigenHumansB7-H1 AntigenosteosarcomaPD-L1soft tissue sarcomasurvivaltumor-infiltrating lymphocytes

Identifiers

PMID33457085
PMCPMC7790526
OpenAlexW3010990547

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.