Evidence map›Paper›PMID 37259566›Full record

ArticleHaematologica2023

Characterization and clinical impact of the tumor microenvironment in post-transplant aggressive B-cell lymphomas.

Suvi-Katri Leivonen, Terhi Friman, Matias Autio, Samuli Vaittinen, Andreas Wind Jensen, Francesco D'Amore, Stephen Jacques Hamilton-Dutoit, Harald Holte, Klaus Beiske, Panu E Kovanen and 2 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

12 authors at 5 institutions in 3 countries.

Suvi-Katri LeivonenApplied Tumor Genomics Research Program, Medical Faculty, University of Helsinki, Helsinki, Finland; Department of Oncology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland; iCAN Digital Precision Cancer Medicine Flagship, Helsinki.
Terhi FrimanDepartment of Hematology, Helsinki University Hospital Comprehensive Cancer Center and University of Helsinki.
Matias AutioApplied Tumor Genomics Research Program, Medical Faculty, University of Helsinki, Helsinki, Finland; Department of Oncology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland; iCAN Digital Precision Cancer Medicine Flagship, Helsinki.
Samuli VaittinenDepartment of Pathology, Turku University Hospital, University of Turku, Turku.
Andreas Wind JensenDepartment of Hematology, Aarhus University Hospital, Aarhus.
Francesco D'AmoreDepartment of Hematology, Aarhus University Hospital, Aarhus.
Stephen Jacques Hamilton-DutoitInstitute of Pathology, Aarhus University Hospital, Aarhus.
Harald HolteDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Klaus BeiskeDepartment of Pathology, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Panu E KovanenDepartment of Pathology, University of Helsinki, and HUSLAB, Helsinki University Hospital, Helsinki.
Riikka RätyDepartment of Hematology, Helsinki University Hospital Comprehensive Cancer Center and University of Helsinki.
Sirpa LeppäApplied Tumor Genomics Research Program, Medical Faculty, University of Helsinki, Helsinki, Finland; Department of Oncology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland; iCAN Digital Precision Cancer Medicine Flagship, Helsinki. sirpa.leppa@helsinki.fi.
University of Helsinki · FIAarhus University Hospital · DKHelsinki University Hospital · FIOslo University Hospital · NOUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-transplant lymphoproliferative disorders (PTLD) are iatrogenic immune deficiency-associated lymphoid/plasmacytic proliferations developing due to immunosuppression in solid organ or hematopoietic stem cell allograft patients. PTLD are characterized by abnormal proliferation of lymphoid cells and have a heterogeneous clinical behavior. We profiled expression of >700 tumor microenvironment (TME)-related genes in 75 post-transplant aggressive B-cell lymphomas (PTABCL). Epstein-Barr virus (EBV)-positive PT-ABCL clustered together and were enriched for type I interferon pathway and antiviral-response genes. Additionally, a cytotoxicity gene signature associated with EBV-positivity and favorable overall survival (OS) (hazard ratio =0.61; P=0.019). In silico immunophenotyping revealed two subgroups with distinct immune cell compositions. The inflamed subgroup with higher proportions of immune cells had better outcome compared to noninflamed subgroup (median OS >200.0 vs. 15.2 months; P=0.006). In multivariable analysis with EBV status, International Prognostic Index, and rituximab-containing treatment, inflamed TME remained as an independent predictor for favorable outcome. We also compared TME between post-transplant and immunocompetent host diffuse large B-cell lymphomas (n=75) and discovered that the proportions of T cells were lower in PT-diffuse large B-cell lymphomas. In conclusion, we provide a comprehensive phenotypic characterization of PT-ABCL, highlighting the importance of immune cell composition of TME in determining the clinical behavior and prognosis of PT-ABCL.

Indexed as

Epstein-Barr Virus InfectionsLymphoma, Large B-Cell, DiffuseLymphoproliferative DisordersHerpesvirus 4, HumanHumansRituximabTumor MicroenvironmentRituximab

Identifiers

PMID37259566
PMCPMC10620595
OpenAlexW4378953079

What OpenQuestion holds

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LicenceCC BY-NC
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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.