Evidence map›Paper›PMID 37602821›Full record

ArticleCancer research2023

The Tumor Immune Microenvironment Architecture Correlates with Risk of Recurrence in Head and Neck Squamous Cell Carcinoma.

Donald T Weed, Serena Zilio, Christie McGee, Boutheina Marnissi, Zoukaa Sargi, Elizabeth Franzmann, Giovana Thomas, Jason Leibowitz, Elizabeth Nicolli, David Arnold and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. The Prognostic Significance of Tertiary Lymphoid Structures in Head and Neck Cancers: A Systematic Review and Meta-Analysis.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
    Pooled it
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  4. Multivariate Random Forests for Cross-Modal Multi-Omics Integration.bioRxiv : the preprint server for biology · 2026
    Article
  5. Review
  6. Hypoxia-driven remodeling of SELENOPNature communications · 2026
    Article
  7. Spatial omics for profiling the dynamic tumor microenvironment.Clinical & translational immunology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Donald T WeedDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0002-8551-7142
Serena ZilioDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0002-9969-5951
Christie McGeeDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0002-4268-8507
Boutheina MarnissiDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0002-2782-6502
Zoukaa SargiDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0009-0003-8857-6775
Elizabeth FranzmannDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0002-6171-9380
Giovana Thomas *Department of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.
Jason LeibowitzDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0001-8463-0816
Elizabeth NicolliDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0001-9193-8499
David ArnoldDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0009-0007-6648-2988
Silvio Bicciato *Department of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.ORCID 0000-0002-1944-7078
Paolo Serafini *Department of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida.ORCID 0000-0002-3651-9176
University of Miami · USUniversity of Modena and Reggio Emilia · IT

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Stephen D. Nimer · 2019 to 2026
$24.1M
Aptamer specific for myeloid derived suppressor cells for the diagnosis of head and neck cancer from the oral rinseR21DE032157 · NIDCR · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FRANZMANN, ELIZABETH J, SERAFINI, PAOLO · 2023 to 2024
$422k
NCI NIH HHS P30 CA240139NIDCR NIH HHS R21 DE032157
6 · The paper itself

Abstract

Emerging evidence suggests that not only the frequency and composition of tumor-infiltrating leukocytes but also their spatial organization might be a major determinant of tumor progression and response to therapy. Therefore, mapping and analyzing the fine tumor immune architecture could potentially provide insights for predicting cancer prognosis. Here, we performed an explorative, prospective clinical study to assess whether structures within the tumor microenvironment can predict recurrence after salvage surgery in head and neck squamous cell carcinoma (HNSCC). The major immune subsets were measured using flow cytometry and co-detection by indexing (CODEX) multiparametric imaging. Flow cytometry underestimated the number of PMN-MDSCs and neutrophils in the tumor and overestimated the tumor-infiltrating lymphocyte frequency. An ad hoc computational framework was used to identify and analyze discrete cellular neighborhoods. A high frequency of tertiary lymphoid structures composed of CD31highCD38high plasma cells was associated with reduced recurrence after surgery in HNSCC. These data support the notion that the structural architecture of the tumor immune microenvironment plays an essential role in tumor progression and indicates that type 1 tertiary lymphoid structures and long-lived CD31highCD38high plasma cells are associated with good prognosis in HNSCC. SIGNIFICANCE: Imaging the spatial tumor immune microenvironment and evaluating the presence of type 1 tertiary lymphoid structures enables prediction of recurrence after surgery in patients with head and neck squamous cell carcinoma.

Indexed as

Head and Neck NeoplasmsTertiary Lymphoid StructuresHumansPrognosisProspective StudiesSquamous Cell Carcinoma of Head and NeckTumor Microenvironment

Identifiers

PMID37602821
PMCPMC10690086
OpenAlexW4386020153

What OpenQuestion holds

Textmetadata
LicenceTDM
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.