Evidence map›Paper›PMID 34580291›Full record

ArticleNature communications2021

Spatial immunophenotypes predict response to anti-PD1 treatment and capture distinct paths of T cell evasion in triple negative breast cancer.

Dora Hammerl, John W M Martens, Mieke Timmermans, Marcel Smid, Anita M Trapman-Jansen, Renée Foekens, Olga I Isaeva, Leonie Voorwerk, Hayri E Balcioglu, Rebecca Wijers and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 4 pooled it
15.5field-weighted citation impact, top 1% 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

151 citing papers in PubMed, 4 syntheses or guidelines pooled it, 234 citations in OpenAlex.

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  13. The immunology of human breast cancer.Nature reviews. Immunology · 2026
    Review
  14. Article
  15. SPRED2 Negatively Regulates CD8Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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91 more citing papers are in PubMed but not listed here.

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

15 authors at 3 institutions in 3 countries.

Dora HammerlDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
John W M MartensDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-3428-3366
Mieke TimmermansDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Marcel SmidDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0003-0605-1901
Anita M Trapman-JansenDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Renée FoekensDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Olga I IsaevaDivision of Tumor Biology & Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-7377-0944
Leonie VoorwerkDivision of Tumor Biology & Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Hayri E BalciogluDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Rebecca WijersDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Iris NederlofDivision of Tumor Biology & Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-7608-6515
Roberto SalgadoDepartment of Pathology, GZA-ZNA Ziekenhuizen, Antwerp, Belgium.ORCID http://orcid.org/0000-0002-1110-3801
Hugo HorlingsDivision of Tumor Biology & Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-4782-8828
Marleen KokDivision of Tumor Biology & Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands. m.kok@nki.nl.ORCID http://orcid.org/0000-0001-9043-9815
Reno DebetsDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands. j.debets@erasmusmc.nl.ORCID http://orcid.org/0000-0002-3649-807X
Erasmus MC Cancer Institute · NLThe Netherlands Cancer Institute · NLPeter MacCallum Cancer Centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Only a subgroup of triple-negative breast cancer (TNBC) responds to immune checkpoint inhibitors (ICI). To better understand lack of response to ICI, we analyze 681 TNBCs for spatial immune cell contextures in relation to clinical outcomes and pathways of T cell evasion. Excluded, ignored and inflamed phenotypes can be captured by a gene classifier that predicts prognosis of various cancers as well as anti-PD1 response of metastatic TNBC patients in a phase II trial. The excluded phenotype, which is associated with resistance to anti-PD1, demonstrates deposits of collagen-10, enhanced glycolysis, and activation of TGFβ/VEGF pathways; the ignored phenotype, also associated with resistance to anti-PD1, shows either high density of CD163+ myeloid cells or activation of WNT/PPARγ pathways; whereas the inflamed phenotype, which is associated with response to anti-PD1, revealed necrosis, high density of CLEC9A+ dendritic cells, high TCR clonality independent of neo-antigens, and enhanced expression of T cell co-inhibitory receptors.

Indexed as

AdultAntigens, CDAntigens, Differentiation, MyelomonocyticBreastCD163 AntigenCohort StudiesDatasets as TopicDrug Resistance, NeoplasmFemaleHumansImmune Checkpoint InhibitorsImmunophenotypingLymphocytes, Tumor-InfiltratingMastectomyNeoadjuvant TherapyPrognosisAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorReceptors, Cell Surface

Identifiers

PMID34580291
PMCPMC8476574
OpenAlexW3202723367

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.