Evidence map›Paper›PMID 33492612›Full record

ArticlePituitary2021

Immune profiling of pituitary tumors reveals variations in immune infiltration and checkpoint molecule expression.

Yu Mei, Wenya Linda Bi, James Agolia, Changchen Hu, Alexandra M Giantini Larsen, David M Meredith, Sally Al Abdulmohsen, Tejus Bale, Gavin P Dunn, Malak Abedalthagafi and 1 more

Abstract read
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In one paragraph

Article in Pituitary, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  12. Tumour microenvironment and pituitary tumour behaviour.Journal of endocrinological investigation · 2023
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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 6 institutions in 3 countries.

Yu Mei *Center for Skull Base and Pituitary Surgery, Department of Neurosurgery, Harvard Medical School, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, 02115, USA.
Wenya Linda Bi *Center for Skull Base and Pituitary Surgery, Department of Neurosurgery, Harvard Medical School, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, 02115, USA. wbi@bwh.harvard.edu.
James AgoliaCenter for Skull Base and Pituitary Surgery, Department of Neurosurgery, Harvard Medical School, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0001-5357-3871
Changchen HuCenter for Skull Base and Pituitary Surgery, Department of Neurosurgery, Harvard Medical School, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, 02115, USA.
Alexandra M Giantini LarsenDepartment of Neurosurgery, Weill Cornell Hospital, New York, NY, USA.
David M MeredithDepartment of Pathology, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Sally Al AbdulmohsenCenter for Skull Base and Pituitary Surgery, Department of Neurosurgery, Harvard Medical School, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA, 02115, USA.
Tejus BaleDepartment of Neuropathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Gavin P DunnDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, MO, USA.
Malak AbedalthagafiKing Fahad Medical City and King Abdulaziz City for Science and Technology, Riyadh, Saudi Arabia.
Ian F DunnDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, HHDC Suite 4000, 1000 N. Lincoln Blvd, Oklahoma City, OK, 73104, USA. ian-dunn@ouhsc.edu.
Brigham and Women's Hospital · USCornell University · USKing Abdulaziz City for Science and Technology · SAMemorial Sloan Kettering Cancer Center · USUniversity of Oklahoma Health Sciences Center · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePituitary tumors are the second most common primary brain tumors. Functional tumors demonstrate increased PD-L1 expression, but expression of other checkpoint regulators has not been characterized. We sought to characterize the immune microenvironment of human pituitary tumors to identify new treatment opportunities.

methods72 pituitary tumors were evaluated for expression of the immune regulatory markers programmed death ligand 1 (PD-L1), programmed death ligand 2 (PD-L2), V-domain Ig suppressor of T cell activation (VISTA), lymphocyte activation gene 3 (LAG3) and tumor necrosis factor receptor superfamily member 4 (OX40) by immunohistochemistry (IHC). Lymphocyte infiltration, macrophage infiltration, and angiogenesis were analyzed using IHC. Expression of pituitary tumor initiating cell marker CD15 and mismatch repair proteins MutS protein homolog 2 (MSH2) and MutS protein homolog 6 (MSH6) was also assessed.

resultsPituitary tumors were infiltrated by macrophages and T cells, and they expressed varying levels of PD-L1, PD-L2, VISTA, LAG3, and OX40. Functional tumors and tumors with high expression of tumor stem cell markers had higher immune cell infiltration and greater expression of immunosuppressive checkpoint regulators. Increased PD-L1 and LAG3 and reduced VISTA were observed in primary tumors compared to recurrent tumors.

conclusionImmune cell infiltration and checkpoint regulator expression vary depending on functional status and presence of pituitary tumor initiating cells. Functional tumors may have a particularly immunosuppressive microenvironment. Further studies of immune checkpoint blockade of pituitary tumors, particularly functional tumors, are warranted, though combination therapy may be required.

Indexed as

B7-H1 AntigenPituitary NeoplasmsHumansImmunohistochemistryMutS ProteinsNeoplasm Recurrence, LocalTumor MicroenvironmentB7-H1 AntigenMutS ProteinsAngiogenesisCheckpoint inhibitionImmunotherapyMismatch repairPituitary adenomaPituitary tumor stem cell

Identifiers

PMID33492612
OpenAlexW3122630573

What OpenQuestion holds

Textmetadata
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.