Evidence map›Paper›PMID 33810354›Full record

ArticleCancers2021

Immune Contexture of MMR-Proficient Primary Colorectal Cancer and Matched Liver and Lung Metastases.

Maarit Ahtiainen, Hanna Elomaa, Juha P Väyrynen, Erkki-Ville Wirta, Teijo Kuopio, Olli Helminen, Toni T Seppälä, Ilmo Kellokumpu, Jukka-Pekka Mecklin

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.4field-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

17 citing papers in PubMed, 18 citations in OpenAlex.

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  10. CD3Cancers · 2022
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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

9 authors at 4 institutions in 2 countries.

Maarit AhtiainenDepartment of Education and Research, Hospital Nova of Central Finland, 40620 Jyväskylä, Finland.ORCID 0000-0002-3263-2307
Hanna ElomaaDepartment of Biological and Environmental Science, University of Jyväskylä, 40014 Jyväskylä, Finland.
Juha P VäyrynenDepartment of Pathology, Hospital Nova of Central Finland, 40620 Jyväskylä, Finland.
Erkki-Ville WirtaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, 33520 Tampere, Finland.ORCID 0000-0002-2255-6136
Teijo KuopioDepartment of Education and Research, Hospital Nova of Central Finland, 40620 Jyväskylä, Finland.
Olli HelminenSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital, and University of Oulu, 90014 Oulu, Finland.
Toni T SeppäläDepartment of Surgery, Helsinki University Central Hospital, and University of Helsinki, 00014 Helsin-ki, Finland.ORCID 0000-0002-4940-3498
Ilmo KellokumpuDepartment of Surgery, Hospital Nova of Central Finland, 40620 Jyväskylä, Finland.
Jukka-Pekka MecklinDepartment of Education and Research, Hospital Nova of Central Finland, 40620 Jyväskylä, Finland.
University of Jyväskylä · FIOulu University Hospital · FITampere University Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate immune cell infiltration, the programmed death-1/programmed death ligand-1 (PD-1/PD-L1) expression and their prognostic value in a series of mismatch proficient (pMMR) CRC with matched liver and lung metastases.

methodsFormalin-fixed paraffin-embedded tissue sections stained for CD3, CD8, PD-L1 and PD-1 from 113 primary CRC tumours with 105 liver and 59 lung metastases were analyzed. The amount of CD3 and CD8 positive lymphocytes were combined as immune cell score (ICS). Comparative analyses on immune contexture were performed both between the primary tumour and matched metastases and between the metastatic sites.

resultsIn liver metastases, immune cell infiltration was increased in general compared to primary tumours but did not correlate case by case. On the contrary, ICS between lung metastases and primary tumours correlated well, but the expression of PD-1/PD-L1 was increased in lung metastases. The proportion of tumours with high ICS together with PD-L1-positivity almost doubled in metastases (39%) compared to primary tumours (20%). High ICS (compared to lowest) in patient's least immune-infiltrated metastasis was an independent prognostic marker for disease-specific (HR 9.14, 95%CI 2.81-29.68) and overall survival (HR 6.95, 95%CI 2.30-21.00).

conclusionsOur study confirms the prognostic value of high ICS in least immune-infiltrated metastases in pMMR CRC patients. Major differences observed in immune contexture between primary tumours and metastases may have significance for treatment strategies for patients with advanced CRC.

Indexed as

colorectal cancermetastasesPD-1PD-L1tumour infiltrating lymphocytes

Identifiers

PMID33810354
PMCPMC8037224
OpenAlexW3148409954

What OpenQuestion holds

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LicenceCC BY
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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.