Evidence map›Paper›PMID 35207500›Full record

ArticleLife (Basel, Switzerland)2022

Immune Disregulation in Cutaneous Squamous Cell Carcinoma of Patients with Recessive Dystrophic Epidermolysis Bullosa: A Single Pilot Study.

Angela Filoni, Gerolamo Cicco, Gerardo Cazzato, Anna Bosco, Lucia Lospalluti, Marco Tucci, Antonietta Cimmino, Caterina Foti, Andrea Marzullo, Domenico Bonamonte

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. The tumor microenvironment of cutaneous squamous cell carcinoma in high-risk patient groups: A scoping review.JID innovations : skin science from molecules to population health · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Detection of Novel Biallelic Causative Variants inDiagnostics (Basel, Switzerland) · 2022
    Article
  9. 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 2 institutions in 1 country.

Angela FiloniSection of Dermatology, Department of Biomedical Science and Human Oncology (DIMO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.ORCID 0000-0002-9790-5361
Gerolamo CiccoSection of Dermatology, Department of Biomedical Science and Human Oncology (DIMO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.
Gerardo CazzatoSection of Pathology, Department of Emergency and Organ Transplantation (DETO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.ORCID 0000-0003-0325-4316
Anna BoscoSection of Dermatology, Department of Biomedical Science and Human Oncology (DIMO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.
Lucia LospallutiSection of Dermatology, Department of Biomedical Science and Human Oncology (DIMO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.
Marco TucciSection of Medical Oncology, Department of Biomedical Sciences and Clinical Oncology (DIMO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.ORCID 0000-0003-4008-4897
Antonietta CimminoSection of Pathology, Department of Emergency and Organ Transplantation (DETO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.
Caterina FotiSection of Dermatology, Department of Biomedical Science and Human Oncology (DIMO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.
Andrea MarzulloSection of Pathology, Department of Emergency and Organ Transplantation (DETO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.
Domenico BonamonteSection of Dermatology, Department of Biomedical Science and Human Oncology (DIMO), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70121 Bari, Italy.ORCID 0000-0002-1319-4946
University of Bari Aldo Moro · ITOspedale A. Perrino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCutaneous squamous cell carcinoma (cSCC) is one of the most devastating complications of recessive dystrophic epidermolysis bullosa (RDEB). We recently demonstrated a reduction in immune cell peritumoral infiltration in RDEB patients with cSCC, together with a reduction in CD3+, CD4+, CD68+ and CD20 lymphocytes as compared to primary and secondary cSCC in patients without RDEB. Recently, new molecules, such as high mobility group box 1 (HMGB1), T cell immunoglobulin, mucin domain 3 (TIM-3) and Heme oxygenase-1 (HO-1), have been shown to play a role in antitumoral immunity.

objectivePatients with RDEB are known to be at increased risk of developing skin cancers, including the dreaded squamous cell carcinoma of the. Tendentially, cSCCs that arise in the context of EBDR are more aggressive and lead to statistically significant bad outcomes compared to cSCCs developed on the skin of patients without EBDR. In an attempt to study the microenvironment of these lesions, we conducted an immunohistochemical analysis study of proteins that could be actively involved in the genesis of this type of malignant neoplasms.

methodsIn this retrospective study, the OH1-HMGB1-TIM3 activation axis, as correlated to the T lymphocytes cell count, was assessed in biopsy samples from 31 consecutive cases consisting of 12 RDEB patients with cSCC, 12 patients with primary cSCC and 7 RDEB patients with pseudoepitheliomatous cutaneous hyperplasia. Parametric Student's

resultsIn RDEB patients with cSCC and with pseudoepitheliomatous hyperplasia, the expression of CD4 T helper lymphocytes was lower than in the peritumoral infiltrate found in primary cSCC. CD8 cytotoxic T lymphocytes were increased in primary cSCC compared to the other two groups. An increased HMGB1 expression was evident in both primary and RDEB cSCC. TIM3 expression was higher in RDEB patients with cSCC compared to the other two groups. A significantly reduced immunohistochemical expression of HO-1 was evident in the tumoral microenvironment of cSCC-RDEB as compared to primary cSCC.

conclusionsThese data suggest that a reduced immune cell peritumoral infiltration in RDEB patients could be responsible, in the complexity of the mechanisms of carcinogenesis and host response, of the particular aggressiveness of the cSCC of RDEB patients, creating a substrate for greater local immunosuppression, which, potentially, can "open the doors" to development and eventual metastasis by this malignant neoplasm.

Indexed as

epidermolysis bullosagenodermatosisskin cancersquamous cell carcinoma

Identifiers

PMID35207500
PMCPMC8877121
OpenAlexW4210482416

What OpenQuestion holds

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LicenceCC BY
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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.