Evidence map›Paper›PMID 36870689›Full record

ArticleCancer genomics & proteomics

Dynamic Changes in Peripheral Systemic Immunity Markers During Chemotherapy in HER2-negative Advanced Breast Cancer.

Takaaki Masuda, Hiroaki Ueo, Yuta Okumura, Yuichiro Kai, Yuki Ando, Ken Masuguchi, Miwa Kitagawa, Akihiro Kitagawa, Naoki Hayashi, Yusuke Tsuruda and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Cancer genomics & proteomics. 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
0.7field-weighted citation impact, top 24% 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, 3 citations in OpenAlex.

  1. Article
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

16 authors at 4 institutions in 1 country.

Takaaki MasudaDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Hiroaki UeoUeo Breast Cancer Hospital, Oita, Japan.
Yuta OkumuraDepartment of Internal Medicine, Kyushu University Beppu Hospital, Oita, Japan.
Yuichiro KaiUeo Breast Cancer Hospital, Oita, Japan.
Yuki AndoDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Ken MasuguchiDepartment of Pharmacy, Kyushu University Beppu Hospital, Oita, Japan.
Miwa KitagawaDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Akihiro KitagawaDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Naoki HayashiDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Yusuke TsurudaDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Yuichi HisamatsuDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Shuji SuehiroDepartment of Breast Surgery, Tsurumi Hospital, Oita, Japan.
Hirofumi OhmuraDepartment of Internal Medicine, Kyushu University Beppu Hospital, Oita, Japan.
Kenji FujiyoshiFujiyoshi Breast Clinic, Oita, Japan.
Fumiaki TanakaDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Koshi MimoriDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan; mimori.koshi.791@m.kyushu-u.ac.jp.
Kyushu University Beppu Hospital · JPOita University Hospital · JPSakai Municipal Hospital · JPTsurumi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe immune system has a pivotal role in modulating the response to chemotherapy in breast cancer (BC). However, the immune status during chemotherapy remains unclear. We evaluated the sequential changes in peripheral systemic immunity markers in BC patients treated with various chemotherapeutic agents. MATERIALS AND

methodsWe examined the correlation between the peripheral systemic immunity markers, neutrophil-to-lymphocyte ratio (NLR), absolute lymphocyte count (ALC) and the local cytolytic activity (CYT) score obtained by quantitative reverse-transcription polymerase chain reaction of 84 preoperative BC patients. Next, we observed the sequential changes in the peripheral systemic immunity markers during treatment with four anticancer drugs: oral 5-fluorouracil derivative; S-1, epirubicin plus cyclophosphamide; paclitaxel plus the anti-vascular endothelial growth factor antibody bevacizumab, and eribulin in 172 HER2-negative advanced BC patients. Finally, we examined the correlation between the changes in the peripheral systemic immunity markers, time to treatment failure (TTF) and progression-free survival (PFS).

resultsA negative correlation was found between ALC and NLR. ALC-low and NLR-high cases were positively associated with CYT score-low cases. The ratio of ALC-increase and NLR-decrease varies depending on the anticancer drugs used. The responder group (TTF ≥3 months) had a higher NLR-decrease ratio than the nonresponder group (TTF <3 months). Patients with a high NLR-decrease ratio showed higher PFS.

conclusionThe change in ALC or NLR varies according to the anticancer drugs, suggesting differential immunomodulatory effects of the drugs. Furthermore, the change in NLR reflects the therapeutic efficacy of chemotherapy in advanced BC.

Indexed as

Antineoplastic AgentsBreast NeoplasmsCyclophosphamideEpirubicinFemaleHumansPaclitaxelAntineoplastic AgentsCyclophosphamideEpirubicinPaclitaxelALCBreast cancerchemotherapyimmunityNLR

Identifiers

PMID36870689
PMCPMC9989675
OpenAlexW4323255605

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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.