Evidence map›Paper›PMID 35046061›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Single-Cell Immune Mapping of Melanoma Sentinel Lymph Nodes Reveals an Actionable Immunotolerant Microenvironment.

Kavitha Yaddanapudi, Bryce F Stamp, Priyanka B Subrahmanyam, Andrei Smolenkov, Sabine J Waigel, Rahul Gosain, Michael E Egger, Robert C G Martin, Robert Buscaglia, Holden T Maecker and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. γδ T cells and cancer.The Journal of clinical investigation · 2026
    Review
  4. Article
  5. Article
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  8. Article
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  12. Nerves, nodes, and neoplasia.Frontiers in immunology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Kavitha YaddanapudiImmuno-Oncology Group, James Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky.
Bryce F StampImmuno-Oncology Group, James Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky.
Priyanka B SubrahmanyamInstitute for Immunity, Transplantation and Infection, Stanford School of Medicine, Stanford, California.
Andrei SmolenkovJames Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky.
Sabine J WaigelDepartment of Medicine, University of Louisville, Louisville, Kentucky.ORCID 0000-0001-6207-8012
Rahul GosainJames Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky.ORCID 0000-0002-0679-6949
Michael E EggerJames Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky.
Robert C G MartinDepartment of Surgery, Division of Surgical Oncology, University of Louisville, Louisville, Kentucky.ORCID 0000-0002-5537-3387
Robert BuscagliaDepartment of Mathematics and Statistics, Northern Arizona University, Flagstaff, Arizona.
Holden T MaeckerInstitute for Immunity, Transplantation and Infection, Stanford School of Medicine, Stanford, California.
Kelly M McMastersDepartment of Surgery, Division of Surgical Oncology, University of Louisville, Louisville, Kentucky.
Jason A ChesneyImmuno-Oncology Group, James Graham Brown Cancer Center, University of Louisville, Louisville, Kentucky.
University of Louisville · USJames Graham Brown Foundation · USStanford Medicine · USNorthern Arizona University · US

Funding

The role of ECM-mediated mechanosignaling on regional immunosuppression in GBMP20GM135004 · NIGMS · UNIVERSITY OF LOUISVILLE · PI JUN YAN · 2020 to 2026
$21.1M
Stanford Cancer Immune Monitoring and Analysis Center (CIMAC)U24CA224309 · NCI · STANFORD UNIVERSITY · PI Sean Curtis Bendall, Holden T. Maecker · 2017 to 2026
$19.9M
CyTOF Mass CytometerS10RR027582 · NCRR · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2010 to 2010
$500k
Overcoming resistance to cancer immunotherapy by targeting MDSC-derived adenosineR21CA245560 · NCI · UNIVERSITY OF LOUISVILLE · PI YADDANAPUDI, KAVITHA · 2020 to 2021
$368k
NCI NIH HHS R21 CA245560NCI NIH HHS U24 CA224309NCRR NIH HHS S10 RR027582NIGMS NIH HHS P20 GM135004
6 · The paper itself

Abstract

purposeImproving our understanding of the immunologic response to cancer cells within the sentinel lymph nodes (SLN) of primary tumors is expected to identify new approaches to stimulate clinically meaningful cancer immunity. EXPERIMENTAL

designWe used mass cytometry by time-of-flight (CyTOF), flow cytometry, and T-cell receptor immunosequencing to conduct simultaneous single-cell analyses of immune cells in the SLNs of patients with melanoma.

resultsWe found increased effector-memory αβ T cells, TCR clonality, and γδ T cells selectively in the melanoma-bearing SLNs relative to non-melanoma-bearing SLNs, consistent with possible activation of an antitumor immune response. However, we also observed a markedly immunotolerant environment in the melanoma-bearing SLNs indicated by reduced and impaired NK cells and increased levels of CD8+CD57+PD-1+ cells, which are known to display low melanoma killing capabilities. Other changes observed in melanoma-bearing SLNs when compared with non-melanoma-bearing SLNs include (i) reduced CD8+CD69+ T cell/T regulatory cell ratio, (ii) high PD-1 expression on CD4+ and CD8+ T cells, and (iii) high CTLA-4 expression on γδ T cells.

conclusionsOur data suggest that these immunologic changes compromise antimelanoma immunity and contribute to a high relapse rate. We propose the development of clinical trials to test the neo-adjuvant administration of anti-PD-1 antibodies prior to SLN resection in patients with stage III melanoma. See related commentary by Lund, p. 1996.

Indexed as

MelanomaSentinel Lymph NodeSkin NeoplasmsHumansImmune ToleranceProgrammed Cell Death 1 ReceptorSentinel Lymph Node BiopsyTumor MicroenvironmentProgrammed Cell Death 1 Receptor

Identifiers

PMID35046061
PMCPMC9840851
OpenAlexW4206499749

What OpenQuestion holds

Textmetadata
LicenceTDM
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.