Evidence map›Paper›PMID 36792811›Full record

ArticleJournal of cancer research and clinical oncology2023

Increase of the T-reg-recruiting chemokine CCL22 expression in a progressive course of cervical dysplasia.

Aurelia Vattai, Nadine Kremer, Sarah Meister, Susanne Beyer, Lucia Keilmann, Christina Buschmann, Stefanie Corradini, Elisa Schmoeckel, Mirjana Kessler, Sven Mahner and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. 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

13 authors at 2 institutions in 1 country.

Aurelia VattaiDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany. Aurelia.Vattai@med.uni-muenchen.de.
Nadine KremerDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Sarah MeisterDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Susanne BeyerDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Lucia KeilmannDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Christina BuschmannDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Stefanie CorradiniDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Elisa SchmoeckelInstitute of Pathology, Faculty of Medicine, LMU Munich, 80337, Munich, Germany.
Mirjana KesslerDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Sven MahnerDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Udo JeschkeDepartment of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Linda Hertlein *Department of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Thomas Kolben *Department of Obstetrics and Gynecology, University Hospital, LMU Munich, 81377, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAn increasing infiltration of FoxP3-positive T-regs is associated with a higher grade of cervical intraepithelial neoplasia. The T-reg-recruiting chemokine CCL22 is expressed in various tumour entities. Aim of our study was to investigate the role of CCL22 in the progression and regression of cervical intraepithelial neoplasias, especially in patients with intermediate cervical intraepithelial neoplasias (CIN II). Furthermore, our aim was to characterize the CCL22-producing cells and explore the role of innate immunity in the process of cells recruitment.

methodsCCL22 expression was analyzed immunohistochemically in 169 patient samples. The immunoreactive score as well as the median numbers of positive cells were calculated in each slide and correlated with the histological CIN grade and FoxP3 expression. Additionally, CD68/CCL22 as well as CD68/PPARγ and CD68/FoxP3 expression were examined by double immunofluorescence. Statistical analysis was performed by SPSS 26.

resultsA significantly higher expression of epithelial CCL22 in CIN II with progression in comparison to CIN II with regression (p = 0.006) could be detected. CCL22 was correlated with FoxP3 (Spearman's Rho: 0.308; p < 0.01). In 88%, CCL22-positive cells were positive for CD68, and 71% of CD68-positive macrophages expressed PPARγ. Colocalization of CD68 and FoxP3 was detected in 12%.

conclusionWe could demonstrate that increased expression of CCL22, mainly produced by macrophages, correlates with elevated potential of malignancy. CCL22 expression could act as a predictor for regression and progression in cervical intraepithelial neoplasia, and it may help in the decision process regarding surgical treatment versus watchful waiting strategy in order to prevent conisation-associated risks. Furthermore, our findings support the potential of CCL22-producing cells as a target for immune therapy in cervical cancer patients.

Indexed as

Uterine Cervical DysplasiaUterine Cervical NeoplasmsChemokine CCL22FemaleForkhead Transcription FactorsHumansPPAR gammaCCL22 protein, humanChemokine CCL22Forkhead Transcription FactorsPPAR gammaCCL22CD68Cervical intraepithelial neoplasiaConisationFoxP3HPVPPARγRegulatory T-cells

Identifiers

PMID36792811
PMCPMC11796598
OpenAlexW4321004436

What OpenQuestion holds

Textmetadata
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.