Evidence map›Paper›PMID 37915266›Full record

ArticleCancer science2024

Suggested role for neutrophil extracellular trap formation in Ewing sarcoma immune microenvironment.

Rachel Shukrun, Szilvia Baron, Victoria Fidel, Anna Shusterman, Osnat Sher, Netanya Kollender, Dror Levin, Yair Peled, Yair Gortzak, Yoav Ben-Shahar and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

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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

14 authors at 2 institutions in 1 country.

Rachel ShukrunPediatric Hemato-Oncology Research Laboratory, Tel Aviv Medical Center, Tel Aviv, Israel.
Szilvia BaronPediatric Hemato-Oncology Research Laboratory, Tel Aviv Medical Center, Tel Aviv, Israel.ORCID https://orcid.org/0000-0002-0406-1359
Victoria FidelPediatric Hemato-Oncology Research Laboratory, Tel Aviv Medical Center, Tel Aviv, Israel.
Anna ShustermanPediatric Hemato-Oncology Research Laboratory, Tel Aviv Medical Center, Tel Aviv, Israel.
Osnat SherDepartment of Pathology, Tel Aviv Medical Center, Tel Aviv, Israel.
Netanya KollenderDepartment of Pediatric Hemato-Oncology, Tel Aviv Medical Center, Tel Aviv, Israel.
Dror LevinDepartment of Pediatric Hemato-Oncology, Tel Aviv Medical Center, Tel Aviv, Israel.
Yair PeledDepartment of Pediatric Hemato-Oncology, Tel Aviv Medical Center, Tel Aviv, Israel.
Yair GortzakSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yoav Ben-ShaharSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Revital CaspiPediatric Hemato-Oncology Research Laboratory, Tel Aviv Medical Center, Tel Aviv, Israel.
Sagi GordonSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Michal ManisterskiDepartment of Pediatric Hemato-Oncology, Tel Aviv Medical Center, Tel Aviv, Israel.
Ronit ElhasidPediatric Hemato-Oncology Research Laboratory, Tel Aviv Medical Center, Tel Aviv, Israel.
Tel Aviv University · ILTel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ewing sarcoma (EWS) is a highly aggressive cancer with a survival rate of 70%-80% for patients with localized disease and under 30% for those with metastatic disease. Tumor-infiltrating neutrophils (TIN) can generate extracellular net-like DNA structures known as neutrophil extracellular traps (NETs). However, little is known about the presence and prognostic significance of tumor-infiltrating NETs in EWS. Herein, we investigated 46 patients diagnosed with EWS and treated in the Tel Aviv Medical Center between 2010 and 2021. TINs and NETs were identified in diagnostic biopsies of EWS by immunofluorescence. In addition, NETs were investigated in neutrophils isolated from peripheral blood samples of EWS patients at diagnosis and following neoadjuvant chemotherapy. The relationships between the presence of TINs and NETs, pathological and clinical features, and outcomes were analyzed. Our results demonstrate that TIN and NETs at diagnosis were higher in EWS patients with metastatic disease compared with those with local disease. High NET formation at diagnosis predicted poor response to neoadjuvant chemotherapy, relapse, and death from disease (p < 0.05). NET formation in peripheral blood samples at diagnosis was significantly elevated among patients with EWS compared with pediatric controls and decreased significantly following neoadjuvant chemotherapy. In conclusion, NET formation seems to have a role in the EWS immune microenvironment. Their presence can refine risk stratification, predict chemotherapy resistance and survival, and serve as a therapeutic target in patients with EWS.

Indexed as

Extracellular TrapsSarcoma, EwingChildHumansNeoplasm Recurrence, LocalNeutrophilsPrognosisTumor MicroenvironmentEwing sarcomaneutrophilneutrophil extracellular traps (NETs)prognosistumor microenvironment

Identifiers

PMID37915266
PMCPMC10823276
OpenAlexW4388228938

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.