Evidence map›Paper›PMID 38580797›Full record

ArticleInternational journal of clinical oncology2024

MMP1, IL-1β, sTNFR-1, and IL-6 are prognostic factors for patients with unresectable or metastatic renal cell carcinoma treated with immune checkpoint inhibitors.

Hirotaka Nagasaka, Takeshi Kishida, Taku Kouro, Yuka Igarashi, Shinichi Takebe, Shotaro Yamamoto, Takuya Kondo, Mitsuyuki Koizumi, Hideyuki Terao, Takahisa Suzuki and 4 more

Abstract read
In one paragraph

Article in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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.

Hirotaka NagasakaDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.ORCID http://orcid.org/0000-0002-7294-7100
Takeshi KishidaDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan. kishidat@kcch.jp.
Taku KouroDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Kanagawa, 241-8515, Japan.
Yuka IgarashiDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Kanagawa, 241-8515, Japan.
Shinichi TakebeDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.
Shotaro YamamotoDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.
Takuya KondoDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.
Mitsuyuki KoizumiDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.
Hideyuki TeraoDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.
Takahisa SuzukiDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.
Noboru NakaigawaDepartment of Urology, Kanagawa Cancer Center, Yokohama, Kanagawa, 241-8515, Japan.
Hidetomo HimuroDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Kanagawa, 241-8515, Japan.
Feifei WeiDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Kanagawa, 241-8515, Japan.
Tetsuro SasadaDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Kanagawa, 241-8515, Japan. tsasada@kcch.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have reported reliable prognostic factors for immune checkpoint inhibitors (ICIs) in renal cell carcinoma (RCC). Therefore, we investigated prognostic factors in patients treated with ICIs for unresectable or metastatic RCC.

methodsWe included 43 patients who received ICI treatment for RCC between January 2018 and October 2021. Blood samples were drawn before treatment, and 73 soluble factors in the plasma were analyzed using a bead-based multiplex assay. We examined factors associated with progression-free survival (PFS), overall survival (OS), and immune-related adverse events (irAE) using the Chi-squared test, Kaplan-Meier method, and the COX proportional hazards model.

resultsPatients exhibited a median PFS and OS of 212 and 783 days, respectively. Significant differences in both PFS and OS were observed for MMP1 (PFS, p < 0.001; OS, p = 0.003), IL-1β (PFS, p = 0.021; OS, p = 0.008), sTNFR-1 (PFS, p = 0.017; OS, p = 0.005), and IL-6 (PFS, p = 0.004; OS, p < 0.001). Multivariate analysis revealed significant differences in PFS for MMP1 (hazard ratio [HR] 5.305, 95% confidence interval [CI], 1.648-17.082; p = 0.005) and OS for IL-6 (HR 23.876, 95% CI, 3.426-166.386; p = 0.001). Moreover, 26 patients experienced irAE, leading to ICI discontinuation or withdrawal. MMP1 was significantly associated with irAE (p = 0.039).

conclusionMMP1 may be associated with severe irAE, and MMP1, IL-1β, sTNFR-1, and IL-6 could serve as prognostic factors in unresectable or metastatic RCC treated with ICIs. MMP1 and IL-6 were independent predictors of PFS and OS, respectively. Thus, inhibiting these soluble factors may be promising for enhancing antitumor responses in patients with RCC treated with ICIs.

Indexed as

Carcinoma, Renal CellImmune Checkpoint InhibitorsInterleukin-1betaInterleukin-6Kidney NeoplasmsMatrix Metalloproteinase 1AdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansMaleMiddle AgedPrognosisProgression-Free SurvivalBiomarkers, TumorIL1B protein, humanIL6 protein, humanImmune Checkpoint InhibitorsInterleukin-1betaInterleukin-6Matrix Metalloproteinase 1MMP1 protein, humanReceptors, Tumor Necrosis Factor, Type IIL-6Immune checkpoint inhibitor (ICI)Immune-related adverse events (irAE)MMP1Prognostic factorRenal cell carcinoma

Identifiers

PMID38580797
PMCPMC11130069

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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.