Evidence map›Paper›PMID 34572849›Full record

ArticleCancers2021

Lower Survival and Increased Circulating Suppressor Cells in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma with Deficit of Vitamin D Levels Using R-GDP Plus Lenalidomide (R2-GDP): Results from the R2-GDP-GOTEL Trial.

Carlos Jiménez-Cortegana, Pilar M Sánchez-Martínez, Natalia Palazón-Carrión, Esteban Nogales-Fernández, Fernando Henao-Carrasco, Alejandro Martín García-Sancho, Antonio Rueda, Mariano Provencio, Luis de la Cruz-Merino, Víctor Sánchez-Margalet

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Machine-learning-based classification of diffuse large B-cell lymphoma patients by a 7-mRNA signature enriched with immune infiltration and cell cycle.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  8. Article
  9. Review
  10. Review
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

10 authors at 4 institutions in 1 country.

Carlos Jiménez-CorteganaClinical Laboratory, Department of Medical Biochemistry and Molecular Biology, School of Medicine, Virgen Macarena University Hospital, University of Seville, 3139 Seville, Spain.
Pilar M Sánchez-MartínezClinical Laboratory, Department of Medical Biochemistry and Molecular Biology, School of Medicine, Virgen Macarena University Hospital, University of Seville, 3139 Seville, Spain.
Natalia Palazón-CarriónOncology Service, Department of Medicines, School of Medicine, Virgen Macarena University Hospital, University of Seville, 3139 Seville, Spain.
Esteban Nogales-FernándezOncology Service, Department of Medicines, School of Medicine, Virgen Macarena University Hospital, University of Seville, 3139 Seville, Spain.
Fernando Henao-CarrascoClinical Laboratory, Department of Medical Biochemistry and Molecular Biology, School of Medicine, Virgen Macarena University Hospital, University of Seville, 3139 Seville, Spain.
Alejandro Martín García-SanchoDepartment of Hematology, Hospital Universitario de Salamanca, Instituto de Investigación Biomédica de Salamanca (IBSAL), Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), 37001 Salamanca, Spain.ORCID 0000-0001-6330-1028
Antonio RuedaDepartment of Hematology or Clinical Oncology, Costa del Sol Hospital, Málaga, 29600 Marbella, Spain.
Mariano ProvencioDepartment of Clinical Oncology, Puerta de Hierro University Hospital, Majadahonda, 28001 Madrid, Spain.ORCID 0000-0001-6315-7919
Luis de la Cruz-MerinoOncology Service, Department of Medicines, School of Medicine, Virgen Macarena University Hospital, University of Seville, 3139 Seville, Spain.
Víctor Sánchez-MargaletClinical Laboratory, Department of Medical Biochemistry and Molecular Biology, School of Medicine, Virgen Macarena University Hospital, University of Seville, 3139 Seville, Spain.ORCID 0000-0001-8638-8680
Hospital Universitario Virgen Macarena · ESHospital Costa del Sol · ESHospital Universitario Puerta de Hierro Majadahonda · ESInstituto de Investigación Biomédica de Salamanca · ES

Funding

GOTEL SCReN,PT13/PT17/0017/0012
6 · The paper itself

Abstract

The search of prognostic factors is a priority in diffuse large B-cell lymphoma (DLBCL) due to its aggressiveness. We have recently found that the level of circulating MDSCs is a good marker of survival in a translational study based on a trial (EudraCT Number: 2014-001620-29), using lenalidomide combined with R-GDP (rituximab plus gemcitabine, cisplatin, and dexamethasone). Since Vitamin D is a known immunomodulator, we have studied blood levels of these cell populations comparing patients with deficit of vitamin D levels (<15 ng/mL with those with normal levels >15 ng/mL. Mann-Whitney U test was used to compare cells distributions between groups, Wilcoxon test to compare cells distribution at different times and Spearman test to measure the association between cell populations. Patients with vitamin D deficit maintained the increased level of immune suppressor cells, whereas we observed a depletion of all immune suppressor cells in patients with normal vitamin D levels. In conclusion, we have confirmed the importance of vitamin D in the response to treatment in R/R DLBCL, suggesting that vitamin D deficit may be involved in the immune deficit of these patients, and thus, vitamin D supplementation in these patients may help to obtain a better response, warranting further investigation.

Indexed as

diffuse large B-cell lymphomaimmune systemimmunosuppressionlenalidomideMDSCPD-1Tregvitamin D

Identifiers

PMID34572849
PMCPMC8471526
OpenAlexW3200260748

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.