Evidence map›Paper›PMID 39123486›Full record

ArticleCancers2024

From Tumor Macroenvironment to Tumor Microenvironment: The Prognostic Role of the Immune System in Oral and Lung Squamous Cell Carcinoma.

Rosa Alessia Battista, Giacomo Maria Pini, Alex Finco, Filippo Corso, Andrea Galli, Gianluigi Arrigoni, Claudio Doglioni, Marcella Callea, Matteo Paccagnella, Luca Porcu and 8 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Review
  6. Review
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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

18 authors.

Rosa Alessia BattistaFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.ORCID 0000-0002-2391-2008
Giacomo Maria PiniDepartment of Pathology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Alex FincoFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Filippo CorsoFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Andrea GalliFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.ORCID 0000-0003-2677-8091
Gianluigi ArrigoniDepartment of Pathology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Claudio DoglioniFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Marcella CalleaDepartment of Pathology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Matteo PaccagnellaTranslational Oncology, ARCO Foundation, 12100 Cuneo, Italy.ORCID 0000-0003-2641-9443
Luca PorcuCancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Robinson Way, Cambridge CB2 0RE, UK.
Federica FilipelloDepartment of Pathology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Marco MazzolaDepartment of Otolaryngology-Head and Neck Surgery, University of Verona, 37129 Verona, Italy.ORCID 0009-0000-4282-5535
Giorgia FoggettiFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.ORCID 0000-0003-1844-1413
Vanesa GregorcClinical Research and Innovation, Candiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, Italy.
Leone GiordanoFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.ORCID 0000-0001-9094-4205
Mario BussiFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Aurora MirabileDepartment of Otolaryngology-Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-1475-0940
Giulia VeronesiFaculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe interplay between cancer cells and the immune system is crucial in cancer progression and treatment. In this regard, the tumor immune microenvironment and macroenvironment, marked by systemic inflammation markers and TILs, could be considered key prognostic factors in tumors, including oral and lung squamous cell carcinoma.

methodsWe conducted a retrospective clinical study on patients with Oral Squamous Cell Carcinoma (OSCC) and Lung Squamous Cell Carcinoma (LUSCC), examining stages, comorbidities, treatments, and outcomes. We evaluated the prognostic significance of pre-surgical systemic inflammation markers and tumor microenvironment composition.

resultsAssociations were found between systemic inflammation markers-NLR, MLR, and PLR-and tumor microenvironment factors, such as TILs and CD8+ cell prevalence-elevated inflammation markers correlated with advanced stages. Specifically, NLR was prognostic in OSCC, whereas PLR was prognostic in LUSCC. Using a cutoff value, we divided our tumor samples into two prognostic groups. Moreover, TILs levels >15% of tumor stroma correlated with prolonged overall survival in both OSCC and LUSCC, while increased CD8+ expression was linked to extended disease-free survival in LUSCC. DISCUSSION: Systemic inflammation markers and TILs can be valuable prognostic factors of survival, highlighting the immune response's role in OSCC and LUSCC. Despite limited clinical integration of the presented cohorts due to a lack of standardization, we concluded that analyzing tumor immune profiles may offer novel prognostic insights.

conclusionsFuture integration into cancer classification could improve risk stratification and treatment guidance.

Indexed as

CD8+ lymphocyteshead and neck cancerimmune systemlung squamous cell carcinomamonocyte-to-lymphocyte rationeutrophil-to-lymphocyte rationon-small cell lung canceroral squamous cell carcinomaplatelet-to-lymphocyte ratiotumor infiltrating lymphocytes

Identifiers

PMID39123486
PMCPMC11312115

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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.