Evidence map›Paper›PMID 35751111›Full record

ArticleBMC cancer2022

Leukocyte subtyping predicts for treatment failure and poor survival in anal squamous cell carcinoma.

Daniel R Principe, Jose L Cataneo, Kaytlin E Timbers, Regina M Koch, Klara Valyi-Nagy, Anders Mellgren, Ajay Rana, Gerald Gantt

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Daniel R PrincipeMedical Scientist Training Program, University of Illinois College of Medicine, Chicago, IL, USA.
Jose L CataneoDepartment of Surgery, University of Illinois at Chicago, IL, Chicago, USA.
Kaytlin E TimbersDepartment of Surgery, University of Illinois at Chicago, IL, Chicago, USA.
Regina M KochDepartment of Surgery, University of Illinois at Chicago, IL, Chicago, USA.
Klara Valyi-NagyDepartment of Pathology, University of Illinois at Chicago, IL, Chicago, USA.
Anders MellgrenDepartment of Surgery, Division of Colorectal Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Ajay RanaDepartment of Surgery, University of Illinois at Chicago, IL, Chicago, USA.
Gerald GanttDepartment of Surgery, Division of Colorectal Surgery, University of Illinois at Chicago, Chicago, IL, USA. ggantt2@uic.edu.
University of Illinois Chicago · USIllinois College · US

Funding

Augmenting Pancreatic Cancer Immunotherapy via TGFβ Pathway InhibitionF30CA236031 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PRINCIPE, DANIEL R · 2019 to 2023
$256k
BLRD VA I01 BX004903NCI NIH HHS F30 CA236031NIH HHS F30CA236031U.S. Department of Veterans Affairs I01BX004903
6 · The paper itself

Abstract

backgroundAnal squamous cell carcinoma (SCC) generally carries a favorable prognosis, as most tumors are highly sensitive to standard of care chemoradiation. However, outcomes are poor for the 20-30% of patients who are refractory to this approach, and many will require additional invasive procedures with no guarantee of disease resolution.

methodsTo identify the patients who are unlikely to respond to the current standard of care chemoradiation protocol, we explored a variety of objective clinical findings as a potential predictor of treatment failure and/or mortality in a single center retrospective study of 42 patients with anal SCC.

resultsPatients with an increase in total peripheral white blood cells (WBC) and/or neutrophils (ANC) had comparatively poor clinical outcomes, with increased rates of death and treatment failure, respectively. Using pre-treatment biopsies from 27 patients, tumors with an inflamed, neutrophil dominant stroma also had poor therapeutic responses, as well as reduced overall and disease-specific survival. Following chemoradiation, we observed uniform reductions in nearly all peripheral blood leukocyte subtypes, and no association between peripheral white blood cells and/or neutrophils and clinical outcomes. Additionally, post-treatment biopsies were available from 13 patients. In post-treatment specimens, patients with an inflamed tumor stroma now demonstrated improved overall and disease-specific survival, particularly those with robust T-cell infiltration.

conclusionsCombined, these results suggest that routinely performed leukocyte subtyping may have utility in risk stratifying patients for treatment failure in anal SCC. Specifically, pre-treatment patients with a high WBC, ANC, and/or a neutrophil-dense tumor stroma may be less likely to achieve complete response using the standard of care chemoradiation regimen, and may benefit from the addition of a subsequent line of therapy.

Indexed as

Anus NeoplasmsCarcinoma, Squamous CellChemoradiotherapyHumansNeutrophilsPrognosisRetrospective StudiesTreatment FailureAnal CancerBiomarkersChemotherapyImmunologyRadiationTumor Microenvironment

Identifiers

PMID35751111
PMCPMC9229146
OpenAlexW4283459567

What OpenQuestion holds

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LicenceCC BY
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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.