Evidence map›Paper›PMID 36632739›Full record

ArticleHaematologica2023

Low T-cell proportion in the tumor microenvironment is associated with immune escape and poor survival in diffuse large B-cell lymphoma.

Joo Y Song, Mary Nwangwu, Ting-Fang He, Weiwei Zhang, Hany Meawad, Victoria Bedell, Joyce Murata-Collins, Pamela Skrabek, Michel R Nasr, David Scott and 6 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 27 citations in OpenAlex.

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  11. Computational modelling of aggressive B-cell lymphoma.Biochemical Society transactions · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 2 countries.

Joo Y SongDepartment of Pathology, City of Hope, Duarte, CA. josong@coh.org.
Mary NwangwuImmuno-Oncology, Beckman Research Institute, City of Hope, Duarte, CA.
Ting-Fang HeImmuno-Oncology, Beckman Research Institute, City of Hope, Duarte, CA.
Weiwei ZhangDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE.
Hany MeawadDepartment of Pathology, City of Hope, Duarte, CA.
Victoria BedellDepartment of Pathology, City of Hope, Duarte, CA.
Joyce Murata-CollinsDepartment of Pathology, City of Hope, Duarte, CA.
Pamela SkrabekDepartment of Hematology, CancerCare Manitoba, Manitoba.
Michel R NasrDepartment of Pathology, SUNY Upstate Medical University, Syracuse.
David ScottBritish Columbia Research Center, Vancouver, BC.
James GodfreyDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.
Peter LeeImmuno-Oncology, Beckman Research Institute, City of Hope, Duarte, CA.
Wing C ChanDepartment of Pathology, City of Hope, Duarte, CA.
Dennis D WeisenburgerDepartment of Pathology, City of Hope, Duarte, CA; Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE.
Anamarija M PerryDepartment of Pathology, University of Michigan, Ann Arbor, MI.
Alex F HerreraDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.
City of Hope · USBeckman Research InstituteUniversity of Nebraska Medical Center · USCancerCare Manitoba · CASUNY Upstate Medical University · USUniversity of Michigan–Ann Arbor · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI John Charles Williams · 1985 to 2026
$86.3M
Transplant for Lymphoma:Therapy-Related LeukemiaP50CA107399 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI FORMAN, STEPHEN J, KWAK, LARRY W · 2004 to 2022
$35.5M
NCI NIH HHS P30 CA033572NCI NIH HHS P50 CA107399
6 · The paper itself

Abstract

The tumor microenvironment (TME) is important in the pathogenesis and prognosis of lymphoma. Previous studies have demonstrated that features of the diffuse large B-cell lymphoma (DLBCL) TME can be associated with prognosis, but questions remain about the mechanisms underlying these TME features, and the interplay between tumor cells and the local TME. Therefore, we performed multispectral immunofluorescence (mIF) using two 6-color panels to interrogate the cellular proportions of T-cell subsets, macrophages, and natural killer cells in 57 cases of de novo DLBCL treated with R-CHOP chemotherapy. We found that very low CD3+ T-cell proportion and low CD4+PD1+ and CD8+PD1+ T cells have poor survival compared to those with a high T-cell proportion. Also, cases with concurrently low TIM3 and PD1 have a poor prognosis. This poor prognosis with low T-cell proportion was validated using immune deconvolution of gene expression profiling data from 351 cases of DLBCL and an additional cohort of 53 cases of DLBCL using routine immunohistochemistry. In addition, cases with loss of B2M, HLA I and/or HLA II protein expression on the tumor cells also had a low T-cell proportion, providing evidence that lack of these proteins allows for immune evasion. Overall, our results show that patients with DLBCL with a low T-cell proportion in the TME have a poor survival when treated with R-CHOP and exhibit mechanisms of immune escape.

Indexed as

Lymphoma, Large B-Cell, DiffuseTumor MicroenvironmentCD8-Positive T-LymphocytesHumansPrognosisT-Lymphocyte Subsets

Identifiers

PMID36632739
PMCPMC10388272
OpenAlexW4315753261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.