Evidence map›Paper›PMID 38976211›Full record

SynthesisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2025

Clinicopathologic and prognostic significance of tumor-associated macrophages in cervical cancer: a systematic review and meta-analysis.

Xinmei Lin, Jijie Zhan, Ziting Guan, Jingwei Zhang, Tian Li, Li Zhong, Changlin Zhang, Miao Li

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Inflammation in Penile Squamous Cell Carcinoma: A Comprehensive Review.International journal of molecular sciences · 2025
    Review
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

8 authors.

Xinmei Lin *Department of Gynecology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China.ORCID http://orcid.org/0009-0001-8011-1944
Jijie Zhan *Department of Gynecology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China.ORCID http://orcid.org/0009-0008-6433-3871
Ziting GuanDepartment of Gynecology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China.ORCID http://orcid.org/0009-0007-3708-2221
Jingwei ZhangDepartment of Gynecology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China.ORCID http://orcid.org/0009-0004-9032-3256
Tian LiDepartment of Gynecology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China.ORCID http://orcid.org/0000-0002-1996-9001
Li ZhongGuangdong Provincial Key Laboratory of Digestive Cancer Research, Department of Scientific Research Center, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China.ORCID http://orcid.org/0000-0002-1646-2862
Changlin ZhangDepartment of Gynecology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China. zhangchanglin@sysush.com.ORCID http://orcid.org/0000-0001-7242-7378
Miao LiGuangdong Provincial Key Laboratory of Digestive Cancer Research, Department of Scientific Research Center, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China. limiao3@sysush.com.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2022A1515012444Basic and Applied Basic Research Foundation of Guangdong Province 2022A1515220110Basic and Applied Basic Research Foundation of Guangdong Province 2023A1515012662National Natural Science Foundation of China 32100564National Natural Science Foundation of China 82002899National Natural Science Foundation of China 82172883Open Funds of State Key Laboratory of Oncology in South China HN2023-01Science and Technology Planning Project of Guangdong Province 2021B1212040006Shenzhen Key Laboratory of Chinese Medicine Active substance screening and Translational Research ZDSYS20220606100801003Shenzhen Medical Research Fund, Shenzhen, China A2303011Shenzhen Science and technology Program JCYJ20220530144607017the Research Start-up Fund of the Seventh Affiliated Hospital, Sun Yat-sen University ZSQYRSSFAR0001
6 · The paper itself

Abstract

objectivesThe role of tumor-associated macrophages (TAMs) in cervical cancer (CC) remains controversial. Here, we report a meta-analysis of the association between TAMs infiltration and clinical outcomes.

methodsPubMed, Embase, Web of Science, and CNKI were searched systematically from inception until December 20, 2023. Studies involving TAMs and prognosis, clinical, or pathological features were included. Quality assessments of the selected studies were assessed. The fixed-effect or random-effects model, standard mean difference (SMD), odds ratios (OR), or hazard ratios (HR) with 95% confidence intervals (CIs) were used as the effect size estimate.

results26 eligible studies with 2,295 patients were identified. Our meta-analysis revealed that TAMs were overexpressed in CC (OR = 12.93, 95% CI = 7.73-21.61 and SMD = 1.58, 95% CI = 0.95-2.21) and that elevated TAM levels were strongly associated with lymph node metastasis (LNM) (SMD = 0.51, 95% CI = 0.90-2.01) and FIGO stages (SMD = 0.46, 95% CI = 0.08-0.85). Subgroup analysis indicated a significant positive correlation between LNM and TAMs density in tumor stroma, but not in cancer nests (SMD = 0.58, 95% CI = 0.31-0.58). Furthermore, in early stage, a stronger correlation exists between LNM and TAM density (SMD = 1.21, 95% CI = 0.75-1.66). In addition, it revealed that patients with high TAMs expression had poorer overall survival (OS) (HR = 2.55 95% CI = 1.59-4.07) and recurrence-free survival (RFS) (HR = 2.17, 95% CI = 1.40-3.35).

conclusionsOur analyses suggest that a high density of TAMs predicts adverse outcomes in CC.

Indexed as

Tumor-Associated MacrophagesUterine Cervical NeoplasmsFemaleHumansLymphatic MetastasisPrognosisCervical cancerMeta-analysisPrognosisTumor-associated macrophages

Identifiers

PMID38976211
PMCPMC11735494

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.