Evidence map›Paper›PMID 36251031›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2023

Influence of chemoradiation on the immune microenvironment of cervical cancer patients.

J M Herter, M Kiljan, S Kunze, M Reinscheid, O Ibruli, J Cai, L Niu, I Heßelmann, M Trommer, G S Herter-Sprie and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Cervical cancer treatment and nursing considerations: Best practices for effective care.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  10. Article
  11. Radiochemotherapy and interstitial brachytherapy for cervical cancer: clinical results and patient-reported outcome measures.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  12. Radiation therapy for cancer is potentially associated with reduced growth of concomitant abdominal aortic aneurysm.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  13. Radiomics signature for dynamic changes of tumor-infiltrating CD8+ T cells and macrophages in cervical cancer during chemoradiotherapy.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
  14. Dual-tracer PET/CT protocol with [Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  15. Article
  16. Modulation of CD8International journal of molecular sciences · 2023
    Review
  17. Article
  18. 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

12 authors at 2 institutions in 1 country.

J M HerterDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
M KiljanDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
S KunzeDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
M ReinscheidDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
O IbruliCenter for Molecular Medicine Cologne, University Hospital of Cologne, Cologne, Germany.
J CaiDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
L NiuDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
I HeßelmannDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
M TrommerDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany.
G S Herter-SprieCenter for Molecular Medicine Cologne, University Hospital of Cologne, Cologne, Germany.
C KöhlerWomen's Clinic/Gynecology, Asklepios Clinic Altona, Hamburg, Germany.
S MarnitzDepartment of Radiation Oncology, CyberKnife and Radiotherapy, University Hospital Cologne, Kerpener Str. 62, Geb. 3a, 50937, Cologne, Germany. simone.marnitz-schulze@uk-koeln.de.ORCID 0000-0001-6739-7768
University Hospital Cologne · DEAsklepios Klinik Altona · DE

Funding

Center for Molecular Medicine Cologne, University of Cologne B02Center for Molecular Medicine Cologne, University of Cologne CAP-13Center for Molecular Medicine Cologne, University of Cologne CAP-16Deutsche Forschungsgemeinschaft HE 6810/3-1Deutsche Forschungsgemeinschaft HE 6897/2-1Universitätsklinikum Köln 272/2019Universität zu Köln Gusyk
6 · The paper itself

Abstract

purposeCervical cancer remains a leading cause of cancer death in women. While immunotherapy has shown great success in combating cancer, the value of immunotherapy in cervical cancer is still only beginning to be explored. Thus, we performed a prospective analysis of patient blood and tumor samples at the beginning and end of conventional chemoradiation to assess changes in the immune cell and immunoreceptor compartments, and investigate if and when the addition of immunotherapy could be beneficial.

methodsPatients with FIGO II-III cervical cancer receiving standard chemoradiation between January 2020 and December 2021 were included. We collected tumor and blood samples from patients before and at the end of therapy and analyzed immune cell composition and immune checkpoint receptor expression on both immune and tumor cells using multicolor flow cytometry.

resultsIn all, 34 patients were eligible in the study period; 22 could be included and analyzed in this study. We found that chemoradiation significantly reduces T cell numbers in both tumors and blood, but increases macrophage and neutrophil numbers in tumors. Furthermore, we found that the percentage of immune checkpoint receptor PD‑1 and TIGIT-expressing cells in tumors was significantly reduced at the end of therapy and that CD4 and CD8 memory T cell populations were altered by chemoradiation. In addition, we observed that while PD-L1 expression intensity was upregulated by chemoradiation on blood CD8 cells, PD-L1 expression frequency and the expression intensity of antigen-presenting molecule MHC‑I were significantly reduced on tumor cells.

conclusionOur data demonstrate that chemoradiation significantly alters the immune cell composition of human cervical tumors and the expression of immune checkpoint receptors on both lymphocytes and tumor cells. As our results reveal that the percentage of PD‑1

Indexed as

Uterine Cervical NeoplasmsCD8-Positive T-LymphocytesChemoradiotherapyFemaleHumansImmunotherapyTumor MicroenvironmentCervical cancerChemoradiationImmune checkpointImmune microenvironmentTumor microenvironment

Identifiers

PMID36251031
PMCPMC9876875
OpenAlexW4306407186

What OpenQuestion holds

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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.