Evidence map›Paper›PMID 34474671›Full record

ArticleWorld journal of surgical oncology2021

Clinical impact of PD-L1 expression in triple-negative breast cancer patients with residual tumor burden after neoadjuvant chemotherapy.

Gizem Oner, Semen Önder, Hüseyin Karatay, Naziye Ak, Mustafa Tükenmez, Mahmut Müslümanoğlu, Abdullah İğci, Ahmet Dincçağ, Vahit Özmen, Adnan Aydiner and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.5field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  5. Immune evasion and resistance in breast cancer.American journal of cancer research · 2025
    Review
  6. High MAL2 expression predicts shorter survival in women with triple-negative breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
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  10. Tumor immune microenvironment components and the other markers can predict the efficacy of neoadjuvant chemotherapy for breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Gizem OnerDepartment of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Semen ÖnderDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Hüseyin KaratayDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Naziye AkDepartment of Medical Oncology, Institute of Oncology, Istanbul University, Istanbul, Turkey.
Mustafa TükenmezDepartment of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Mahmut MüslümanoğluDepartment of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Abdullah İğciDepartment of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ahmet DincçağDepartment of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Vahit ÖzmenDepartment of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Adnan AydinerDepartment of Medical Oncology, Institute of Oncology, Istanbul University, Istanbul, Turkey.
Ekrem YavuzDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Neslihan CabioğluDepartment of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. neslicab@yahoo.com.ORCID http://orcid.org/0000-0002-0989-7411
Istanbul University · TRUniversity of Antwerp · BE

Funding

Bilimsel Araştirma Projeleri Birimi, Istanbul Üniversitesi ID26409/TTU-2017-26409
6 · The paper itself

Abstract

backgroundStudies on PD-L1 expression in breast cancer have gained importance in recent years, especially in triple-negative breast cancer (TNBC). Our aim was to analyze the differential expression of PD-L1 to explore its correlation with response to neoadjuvant chemotherapy (NACT) and patient survival.

methodsPD-L1 expression was evaluated immunohistochemically (Ventana SP263 clone kit) by staining tumor specimen. PD-L1 positivity was defined as membranous staining > 1%, > 5%, > 10%, and > 20% on either tumor cell (TC) and /or immune cell (IC).

resultsFifty patients with locally advanced TNBC, who had a partial response to NACT, were included in the study. PD-L1 staining was observed in TCs in 25 patients (50%) and in ICs in 23 patients (46%) when PD-L1 > 1% was considered positive. Patients with PD-L1 positivity on ICs were more likely to respond to chemotherapy as measured by "MD Anderson Cancer Center Residual Cancer Burden Index" (14/22, 63.6% vs. 10/27, 37%, p = 0.064). The 5-year disease-free survival (DFS) and disease-specific survival (DSS) rates were 46.3% and 51.4%, respectively. A high (> 20%) tumoral PD-L1 positivity was associated with a better DFS and DSS.

conclusionsStudies in the literature mostly focused on PD-L1 expression in inflammatory cells. However, our results suggest that patients with a high PD-L1 expression on TCs were more likely to have a better outcome. Since patients with residual tumor burden who express PD-L1 on TILs were more likely to respond to NACT, an immune checkpoint inhibitor therapy in addition to NACT would be an important option for TNBC with locally advanced disease.

Indexed as

B7-H1 AntigenTriple Negative Breast NeoplasmsHumansLymphocytes, Tumor-InfiltratingNeoadjuvant TherapyNeoplasm, ResidualPrognosisB7-H1 AntigenCD274 protein, humanNeoadjuvant chemotherapy responsePD-L1 expressionPrognosisTriple-negative breast cancer

Identifiers

PMID34474671
PMCPMC8414710
OpenAlexW3159436256

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.