Evidence map›Paper›PMID 34158317›Full record

ArticleJournal for immunotherapy of cancer2021

Circulating myeloid-derived suppressor cells and regulatory T cells as immunological biomarkers in refractory/relapsed diffuse large B-cell lymphoma: translational results from the R2-GDP-GOTEL trial.

Carlos Jiménez-Cortegana, Natalia Palazón-Carrión, Alejandro Martin Garcia-Sancho, Esteban Nogales-Fernandez, Fernando Carnicero-González, Eduardo Ríos-Herranz, Fatima de la Cruz-Vicente, Guillermo Rodríguez-García, Rubén Fernández-Álvarez, Antonio Rueda Dominguez and 19 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 61 citations in OpenAlex.

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  5. Elevated circulating CD10Annals of hematology · 2026
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  9. A proof of concept study ofScientific reports · 2025
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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

29 authors at 17 institutions in 1 country.

Carlos Jiménez-CorteganaMedical Biochemistry and Molecular Biology and Immunology, Virgen Macarena University Hospital, Sevilla, Seville, Spain.
Natalia Palazón-Carrión
Alejandro Martin Garcia-SanchoHematology Dept, Hospital Universitario de Salamanca, IBSAL, CIBERONC, Salamanca, Spain.
Esteban Nogales-FernandezClinical Oncology Dept. Medicine Department, University of Seville, Virgen Macarena University Hospital, Seville, Spain.
Fernando Carnicero-GonzálezHematology Dept, San Pedro de Alcántara Hospital, Cáceres, Spain.
Eduardo Ríos-HerranzHematology Dept, Virgen de Valme University Hospital, Seville, Spain.
Fatima de la Cruz-VicenteHematology Dept, Virgen del Rocío University Hospital, Seville, Spain.
Guillermo Rodríguez-GarcíaHematology Dept, Virgen del Rocío University Hospital, Seville, Spain.
Rubén Fernández-ÁlvarezHematology Dept, Cabueñes Hospital, Gijón, Spain.
Antonio Rueda DominguezHematology/ClinicalOncology Dept, Costa del Sol Hospital, Marbella, Málaga, Spain.
Maria Casanova-EspinosaHematology/ClinicalOncology Dept, Costa del Sol Hospital, Marbella, Málaga, Spain.
Natividad Martínez-BanaclochaClinical Oncology Dept, Alicante General University Hospital, Alicante, Spain.
Josep Gumà-PadròClinical Oncology Dept, Sant Joan de Reus University Hospital URV, IISPV, Reus, Spain.
José Gómez-CodinaClinical Oncology Dept, La Fé University Hospital, Valencia, Spain.
Jorge LabradorHematology Dept, Hospital Universitario de Burgos, Burgos, Spain.
Antonio Salar-SilvestreHematology Dept, Hospital del Mar, Barcelona, Spain.
Delvys Rodriguez-AbreuClinical Oncology Dept, Insular University Hospital, Las Palmas de Gran Canaria, Spain.
Laura Galvez-CarvajalUnidad de Gestión Clínica Intercentros de Oncología Médica de Málaga, Hospitales Universitarios Regional y Virgen de la Victoria, Málaga, Spain.
Mariano ProvencioClinical Oncology Dept, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain.
Margarita Sánchez-BeatoLymphoma Research Group, Clinical Oncology Dept, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Majadahonda, Madrid, Spain.ORCID 0000-0002-0058-7599
María Guirado-RisueñoClinical Oncology Dept, Elche General University Hospital General, Elche, Alicante, Spain.
Pablo Espejo-GarcíaClinical Oncology Dept. Medicine Department, University of Seville, Virgen Macarena University Hospital, Seville, Spain.
Marylene LejeunePathology Department, Plataforma de Estudios Histológicos, Citológicos y de Digitalización, Hospital de Tortosa Verge de la Cinta, IISPV, URV, Tortosa, Tarragona, Spain.
Tomás ÁlvaroPathology Dept, Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Institut d'Investigació Sanitària Pere Virgili (IISPV), Tortosa, Tarragona, Spain.
Victor Sánchez-MargaletMedical Biochemistry and Molecular Biology and Immunology, Virgen Macarena University Hospital, Sevilla, Seville, Spain margalet@us.es ldelacruzmerino@gmail.com.ORCID 0000-0001-8638-8680
Luis de la Cruz-MerinoORCID 0000-0002-5333-0535
Spanish Lymphoma Oncology Group (GOTEL) and the Spanish Group for Immunobiotherapy of Cancer (GÉTICA)
Spanish Lymphoma Oncology Group (GOTEL) and the Spanish Group for Immunobiotherapy of Cancer (GÉTICA)
Spanish Lymphoma Oncology Group (GOTEL) and the Spanish Group for Immunobiotherapy of Cancer (GÉTICA)
Hospital Universitario Virgen Macarena · ESHospital Costa del Sol · ESHospital Universitario Virgen del Rocío · ESInstitut de Recerca Biomèdica Catalunya Sud · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital Del Mar · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital General Universitario de Elche · ESHospital San Pedro de Alcántara · ESHospital Universitari de Tortosa Verge de la Cinta · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario de Burgos · ESHospital Universitario De Cabueñes · ESHospital Universitario de Valme · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario Puerta de Hierro Majadahonda · ESInstituto de Investigación Biomédica de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe search for immunological markers with ability of predicting clinical outcome is a priority in lymphomas, and in cancer in general. It is well known that some immunomodulatory cells, such as myeloid derived suppressor cells (MDSCs) or regulatory T cells (Tregs), are recruited by tumors, jeopardizing antitumor immunosurveillance. In this work, we have studied blood levels of these immunosuppressive cells in patients with relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL), prior to and along the course of the experimental rituximab, gemcitabine, dexamethasone, and cisplatin (R2-GDP) schedule, as a translational substudy of the R2-GDP-GOTEL trial (EudraCT Number: 2014-001620-29), which included lenalidomide as an immunomodulator.

methodsBlood samples were taken before treatment, at cycle 3 and end of induction. Samples were analyzed by flow cytometry. Non-parametric tests were used. Mann-Whitney U test was used to compare basal cells distributions, and Wilcoxon test was considered to compare cells distribution at different times. Spearman test was performed to measure the degree of association between cell populations.

resultsIn this study, MDSC and Treg circulating concentration was found increased in all patients compared with a healthy control group and decreased after treatment only in patients with longest overall survival (>24 months), reaching the levels of the healthy group. Likewise, the number of inhibited T lymphocytes expressing Programmed Death-1 (PD-1) were increased in peripheral blood from patients and decreased on the treatment, whereas activated T lymphocytes increased after therapy in those with better overall survival.

conclusionsIn conclusion, blood concentration of MDSCs and Treg cells may be good prognostic markers for overall survival after 2 years in R/R DLBCL. These results point to a possible role of these elements in the immunosuppression of these patients, as assessed by the circulating activated and inhibited T lymphocytes, and therefore, they may be considered as therapeutic targets in DLBCL.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCase-Control StudiesClinical Trials as TopicFemaleGene Expression Regulation, NeoplasticHumansLymphoma, Large B-Cell, DiffuseMaleMiddle AgedMyeloid-Derived Suppressor CellsProgrammed Cell Death 1 ReceptorSurvival AnalysisBiomarkers, TumorPDCD1 protein, humanProgrammed Cell Death 1 ReceptorbiomarkersCellularimmunityimmunomodulationimmunotherapymyeloid-derived suppressor cellstumor

Identifiers

PMID34158317
PMCPMC8728348
OpenAlexW3177202607

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