Evidence map›Paper›PMID 34069452›Full record

ArticleJournal of clinical medicine2021

Prognostic Role of Immune Checkpoint Regulators in Cholangiocarcinoma: A Pilot Study.

Lu Cao, Prashanth Prithviraj, Ritu Shrestha, Revati Sharma, Matthew Anaka, Kim R Bridle, George Kannourakis, Darrell H G Crawford, Aparna Jayachandran

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Advances in Immunotherapy for Intrahepatic Cholangiocarcinoma.International journal of molecular sciences · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. CD73 and PD-L1 as Potential Therapeutic Targets in Gallbladder Cancer.International journal of molecular sciences · 2022
    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.

Lu CaoGallipoli Medical Research Institute, Greenslopes Private Hospital, Brisbane, QLD 4120, Australia.
Prashanth PrithvirajFiona Elsey Cancer Research Institute, Ballarat, VIC 3350, Australia.
Ritu ShresthaGallipoli Medical Research Institute, Greenslopes Private Hospital, Brisbane, QLD 4120, Australia.ORCID 0000-0002-6033-6169
Revati SharmaFiona Elsey Cancer Research Institute, Ballarat, VIC 3350, Australia.
Matthew AnakaDepartment of Medical Oncology, University of Alberta, Edmonton, AB T6G 1Z2, Canada.
Kim R BridleGallipoli Medical Research Institute, Greenslopes Private Hospital, Brisbane, QLD 4120, Australia.
George KannourakisFiona Elsey Cancer Research Institute, Ballarat, VIC 3350, Australia.
Darrell H G CrawfordGallipoli Medical Research Institute, Greenslopes Private Hospital, Brisbane, QLD 4120, Australia.
Aparna JayachandranGallipoli Medical Research Institute, Greenslopes Private Hospital, Brisbane, QLD 4120, Australia.

Funding

Reginald Ferguson Research Fellowship 2018001864
6 · The paper itself

Abstract

Cholangiocarcinoma (CCA) is a hepatobiliary malignancy associated with steadily increasing incidence and poor prognosis. Ongoing clinical trials are assessing the effectiveness and safety of a few immune checkpoint inhibitors (ICIs) in CCA patients. However, these ICI treatments as monotherapies may be effective for a proportion of patients with CCA. The prevalence and distribution of other immune checkpoints (ICs) in CCA remain unclear. In this pilot study, we screened databases of CCA patients for the expression of 19 ICs and assessed the prognostic significance of these ICs in CCA patients. Notably, expression of immune modulator IDO1 and PD-L1 were linked with poor overall survival, while FASLG and NT5E were related to both worse overall survival and progression-free survival. We also identified immune modulators IDO1, FASLG, CD80, HAVCR2, NT5E, CTLA-4, LGALS9, VTCN1 and TNFRSF14 that synergized with PD-L1 and correlated with worse patient outcomes. In vitro studies revealed that the expression of ICs was closely linked with aggressive CCA subpopulations, such as cancer stem cells and cells undergoing TGF-β and TNF-α-mediated epithelial-to-mesenchymal transition. These findings suggest that the aforementioned IC molecules may serve as potential prognostic biomarkers and drug targets in CCA patients, leading to lasting and durable treatment outcomes.

Indexed as

cancer stem cellsCD73cholangiocarcinomaEMTGalectin-9IDO1immune checkpointsPD-L1

Identifiers

PMID34069452
PMCPMC8159105

What OpenQuestion holds

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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.