Evidence map›Paper›PMID 37342338›Full record

ArticleFrontiers in immunology2023

Immunohistochemical scoring of LAG-3 in conjunction with CD8 in the tumor microenvironment predicts response to immunotherapy in hepatocellular carcinoma.

Chun Chau Lawrence Cheung, Yong Hock Justin Seah, Juntao Fang, Nicole Hyacinth Calpatura Orpilla, Mai Chan Lau, Chun Jye Lim, Xinru Lim, Justina Nadia Li Wen Lee, Jeffrey Chun Tatt Lim, Sherlly Lim and 9 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Advances in Immunotherapy in Hepatocellular Carcinoma.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Multi-omics spatial characteristics of CD8Frontiers in immunology · 2025
    Article
  10. Article
  11. Review
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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

19 authors at 7 institutions in 2 countries.

Chun Chau Lawrence CheungDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Yong Hock Justin SeahDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Juntao FangDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Nicole Hyacinth Calpatura OrpillaDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Mai Chan LauInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology, and Research (A*STAR), Singapore, Singapore.
Chun Jye LimInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology, and Research (A*STAR), Singapore, Singapore.
Xinru LimInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology, and Research (A*STAR), Singapore, Singapore.
Justina Nadia Li Wen LeeInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology, and Research (A*STAR), Singapore, Singapore.
Jeffrey Chun Tatt LimInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology, and Research (A*STAR), Singapore, Singapore.
Sherlly LimInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology, and Research (A*STAR), Singapore, Singapore.
Qing ChengDuke-NUS Medical School, Singapore, Singapore.
Han Chong TohDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Su Pin ChooDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Suat Ying LeeDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Joycelyn Jie Xin LeeDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Jin LiuDuke-NUS Medical School, Singapore, Singapore.
Tony Kiat Hon LimDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
David TaiDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Joe YeongDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Institute of Molecular and Cell Biology · SGNational Cancer Centre Singapore · SGSingapore General Hospital · SGAgency for Science, Technology and Research · SGDuke-NUS Medical School · SGSouthwestern University of Finance and Economics · CNTemasek Polytechnic · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Immune checkpoint blockade (ICB) is a systemic therapeutic option for advanced hepatocellular carcinoma (HCC). However, low patient response rates necessitate the development of robust predictive biomarkers that identify individuals who will benefit from ICB. A 4-gene inflammatory signature, comprising Methods: HCC samples from 191 Asian patients, comprising resection specimens from 124 patients (ICB-naïve) and pre-treatment specimens from 67 advanced HCC patients treated with ICB (ICB-treated), were analyzed for CD8, PD-L1, LAG-3, and STAT1 tissue expression using multiplex immunohistochemistry followed by statistical and survival analyses. Results: Immunohistochemical and survival analyses of ICB-naïve samples showed that high LAG-3 expression was associated with shorter median progression-free survival (mPFS) and overall survival (mOS). Analysis of ICB-treated samples revealed that high proportions of LAG-3 Conclusion: Immunohistochemical scoring of pre-treatment levels of LAG-3 and CD8 in the tumor microenvironment may help predict ICB benefits in HCC patients. Furthermore, immunohistochemistry-based techniques offer the advantage of being readily translatable in the clinical setting.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsCD8-Positive T-LymphocytesHumansImmunotherapyTumor MicroenvironmentbiomarkersCD8hepatocellular carcinomaimmune checkpoint blockadeimmunohistochemistryimmunotherapyLAG-3multiplex immunohistochemistry

Identifiers

PMID37342338
PMCPMC10277502
OpenAlexW4379386588

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.