Evidence map›Paper›PMID 37696903›Full record

ArticleNPJ precision oncology2023

High risk clear cell renal cell carcinoma microenvironments contain protumour immunophenotypes lacking specific immune checkpoints.

Arti M Raghubar, Nicholas A Matigian, Joanna Crawford, Leo Francis, Robert Ellis, Helen G Healy, Andrew J Kassianos, Monica S Y Ng, Matthew J Roberts, Simon Wood and 1 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.2field-weighted citation impact, top 4% 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, 20 citations in OpenAlex.

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  18. TREM2Frontiers in immunology · 2025
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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

11 authors at 2 institutions in 1 country.

Arti M RaghubarKidney Health Service, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.ORCID http://orcid.org/0000-0002-5507-1071
Nicholas A MatigianQCIF Facility for Advanced Bioinformatics, Institute for Molecular Bioscience, The University of Queensland, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0001-7735-9415
Joanna CrawfordInstitute for Molecular Bioscience, University of Queensland, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0003-0786-6889
Leo FrancisAnatomical Pathology, Pathology Queensland, Health Support Queensland, Herston, QLD, Australia.
Robert EllisFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Helen G HealyKidney Health Service, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.ORCID http://orcid.org/0000-0003-4342-5300
Andrew J KassianosKidney Health Service, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.
Monica S Y NgKidney Health Service, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.ORCID http://orcid.org/0000-0002-0431-9110
Matthew J RobertsFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Simon WoodFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Andrew J MallettFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia. Andrew.Mallett@health.qld.gov.au.ORCID http://orcid.org/0000-0002-8752-2551
The University of Queensland · AUQueensland Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perioperative immune checkpoint inhibitor (ICI) trials for intermediate high-risk clear cell renal cell carcinoma (ccRCC) have failed to consistently demonstrate improved patient outcomes. These unsuccessful ICI trials suggest that the tumour infiltrating immunophenotypes, termed here as the immune cell types, states and their spatial location within the tumour microenvironment (TME), were unfavourable for ICI treatment. Defining the tumour infiltrating immune cells may assist with the identification of predictive immunophenotypes within the TME that are favourable for ICI treatment. To define the immunophenotypes within the ccRCC TME, fresh para-tumour (pTME, n = 2), low-grade (LG, n = 4, G1-G2) and high-grade (HG, n = 4, G3-G4) tissue samples from six patients with ccRCC presenting at a tertiary referral hospital underwent spatial transcriptomics sequencing (ST-seq). Within the generated ST-seq datasets, immune cell types and states, termed here as exhausted/pro-tumour state or non-exhausted/anti-tumour state, were identified using multiple publicly available single-cell RNA and T-cell receptor sequencing datasets as references. HG TMEs revealed abundant exhausted/pro-tumour immune cells with no consistent increase in expression of PD-1, PD-L1 and CTLA4 checkpoints and angiogenic genes. Additional HG TME immunophenotype characteristics included: pro-tumour tissue-resident monocytes with consistently increased expression of HAVCR2 and LAG3 checkpoints; an exhausted CD8

Identifiers

PMID37696903
PMCPMC10495390
OpenAlexW4386603347

What OpenQuestion holds

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LicenceCC BY
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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.