Evidence map›Paper›PMID 38987735›Full record

ArticleBMC cancer2024

Influence of cryoablation versus operation on circulating lymphocyte subsets in patients with early-stage renal cell carcinoma.

Johanna Waidhauser, Anna-Katharina Gantner, Paola Schifano, Katharina Rippel, Stefan Schiele, Tim Tobias Arndt, Gernot Müller, Julie Steinestel, Andreas Rank, Thomas Kröncke

Abstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

10 authors.

Johanna WaidhauserDepartment of Hematology and Oncology, University Medical Center Augsburg, Stenglinstr.2, 86156, Augsburg, Germany. johanna.waidhauser@uk-augsburg.de.
Anna-Katharina GantnerDepartment of Hematology and Oncology, University Medical Center Augsburg, Stenglinstr.2, 86156, Augsburg, Germany.
Paola SchifanoDepartment of Urology, University Medical Center Augsburg, Augsburg, Germany.
Katharina RippelDepartment of Diagnostic and Interventional Radiology, University Medical Center Augsburg, Augsburg, Germany.
Stefan SchieleInstitute of Mathematics, Faculty of Mathematics and Natural Sciences, University of Augsburg, Augsburg, Germany.
Tim Tobias ArndtInstitute of Mathematics, Faculty of Mathematics and Natural Sciences, University of Augsburg, Augsburg, Germany.
Gernot MüllerInstitute of Mathematics, Faculty of Mathematics and Natural Sciences, University of Augsburg, Augsburg, Germany.
Julie SteinestelDepartment of Urology, University Medical Center Augsburg, Augsburg, Germany.
Andreas Rank *Department of Hematology and Oncology, University Medical Center Augsburg, Stenglinstr.2, 86156, Augsburg, Germany.
Thomas Kröncke *Department of Diagnostic and Interventional Radiology, University Medical Center Augsburg, Augsburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune response is known to play an important role in local tumor control especially in renal cell carcinoma (RCC), which is considered highly immunogenic. For localized tumors, operative resection or local ablative procedures such as cryoablation are common therapeutical options. For thermal ablative procedures such as cryoablation, additional immunological anti-tumor effects have been described.The purpose of this prospective study was to determine changes in peripheral blood circulating lymphocytes and various of their subsets in RCC patients treated with cryoablation or surgery in a longitudinal approach using extensive flow cytometry. Additionally, lymphocytes of RCC patients were compared to a healthy control group.We included 25 patients with RCC. Eight underwent cryoablation and 17 underwent surgery. Univariate and multivariable analysis revealed significantly lower values of B cells, CD4 and CD8 T cells, and various of their subsets in the treatment groups versus the healthy control group. Comparing the two different therapeutical approaches, a significant decline of various lymphocyte subsets with a consecutive normalization after three months was seen for the surgery group, whereas cryoablation led to increased values of CD69 + CD4 + and CD69 + CD8 + cell counts as well as memory CD8 + cells after three months.Treatment-naïve RCC patients showed lower peripheral blood lymphocyte counts compared to healthy controls. The post-treatment course revealed different developments of lymphocytes in the surgery versus cryoablation group, and only cryoablation seems to induce a sustained immunological response after three months.

Indexed as

Carcinoma, Renal CellCryosurgeryKidney NeoplasmsLymphocyte SubsetsAdultAgedCD8-Positive T-LymphocytesFemaleFlow CytometryHumansLymphocyte CountMaleMiddle AgedNeoplasm StagingProspective StudiesTreatment OutcomeCryoablationFlow cytometryLymphocytesRenal cell carcinomaSurgery

Identifiers

PMID38987735
PMCPMC11238514

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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.