Evidence map›Paper›PMID 34738707›Full record

ArticleCancer science2022

Clinicopathological significance of CD28 overexpression in adult T-cell leukemia/lymphoma.

Yuma Sakamoto, Takashi Ishida, Ayako Masaki, Morishige Takeshita, Hiromi Iwasaki, Kentaro Yonekura, Yukie Tashiro, Asahi Ito, Shigeru Kusumoto, Shinsuke Iida and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

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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

13 authors at 6 institutions in 1 country.

Yuma SakamotoDepartment of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.ORCID https://orcid.org/0000-0001-9916-4862
Takashi IshidaDepartment of Immunology, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID https://orcid.org/0000-0002-1060-0777
Ayako MasakiDepartment of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Morishige TakeshitaDepartment of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Hiromi IwasakiDepartment of Hematology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Kentaro YonekuraDepartment of Dermatology, Imamura General Hospital, Kagoshima, Japan.
Yukie TashiroDepartment of Pathology, Imamura General Hospital, Kagoshima, Japan.
Asahi ItoDepartment of Hematology and Oncology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Shigeru KusumotoDepartment of Hematology and Oncology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.
Shinsuke IidaDepartment of Hematology and Oncology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.ORCID https://orcid.org/0000-0002-4951-960X
Atae UtsunomiyaDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.
Ryuzo UedaDepartment of Tumor Immunology, School of Medicine, Aichi Medical University, Nagakute, Japan.
Hiroshi InagakiDepartment of Pathology and Molecular Diagnostics, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan.ORCID https://orcid.org/0000-0001-6157-636X
Nagoya City University · JPImamura Hospital · JPAichi Medical University · JPFukuoka University · JPNagoya University · JPNational Kyushu Medical Center · JP

Funding

Aichi Cancer Research FoundationJapan Agency for Medical Research and Development 19cm0106301h0004Japan Agency for Medical Research and Development 20cm0106301h0005Japan Society for the Promotion of Science 20K16177National Cancer Research and Development Fund 2020-J-3National Cancer Research and Development Fund 29-A-3Nitto Foundation
6 · The paper itself

Abstract

CD28, one of the costimulatory molecules, has a pivotal role in T-cell activation, and its expression is strictly regulated in normal T cells. Gain-of-function genetic alterations involving CD28 have been frequently observed in adult T-cell leukemia/lymphoma (ATLL). These abnormalities, such as CD28 fusions and copy number variations, may not only confer continuous, prolonged, and enhanced CD28 signaling to downstream pathways but also induce overexpression of the CD28 protein. In this study, 120 ATLL cases were examined by immunohistochemistry for CD28 and its ligands CD80 and CD86, and their expression on tumor cells was semiquantitatively evaluated. CD28 was overexpressed in 55 (46%) cases, and CD80 or CD86 (CD80/CD86) was infrequently overexpressed in 12 (11%). Compared with non-overexpressers, CD28 overexpressers showed a higher frequency of CD28 genetic alterations and had an increased number of CD80/CD86-positive non-neoplastic cells infiltrating tumor microenvironment. In the entire ATLL patient cohort, CD28 overexpressers showed a significantly poorer overall survival (OS) compared with non-overexpressers (P = .001). The same was true for a subgroup who were treated with multidrug regimens with or without mogamulizumab. CD28 overexpression had no prognostic impact in the group who received allogeneic hematopoietic stem cell transplantation. In the multivariate analysis for OS, CD28 overexpression was selected as an independent risk factor. These results suggest ATLL patients with CD28 overexpression have more aggressive clinical course and are more refractory to treatment with multidrug chemotherapy. CD28 overexpression appears to be a novel unfavorable prognostic marker in ATLL patients, and further prospective studies are warranted to establish its prognostic significance.

Indexed as

Up-RegulationAdultAgedAged, 80 and overB7-1 AntigenB7-2 AntigenCD28 AntigensDNA Copy Number VariationsFemaleGene Expression Regulation, NeoplasticHumansLeukemia-Lymphoma, Adult T-CellMaleMiddle AgedPrognosisSurvival AnalysisB7-1 AntigenB7-2 AntigenCD28 AntigensCD80 protein, humanCD86 protein, humanadult T-cell leukemia/lymphomaCD28CD80 (B7-1)CD86 (B7-2)costimulatory moleculegenetic alterationsimmunohistochemistryoverexpressionprognosis

Identifiers

PMID34738707
PMCPMC8748252
OpenAlexW3210978893

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.