Evidence map›Paper›PMID 39572160›Full record

ArticleJournal for immunotherapy of cancer2024

Immune microenvironment of Epstein-Barr virus (EBV)-negative compared to EBV-associated gastric cancers: implications for immunotherapy.

Tracee L McMiller, Sepideh Besharati, Mark Yarchoan, Qingfeng Zhu, Keziban Ünsal-Kaçmaz, Ke Xu, Junghwa Lee, Feriyl Bhaijee, Logan L Engle, Janis M Taube and 3 more

Abstract readComparative Study
In one paragraph

Article in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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

13 authors.

Tracee L McMiller *Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0009-0008-0952-9425
Sepideh Besharati *Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mark Yarchoan *Bloomberg-Kimmel Institute for Cancer Immunotherapy and Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Qingfeng ZhuDepartment of Oncology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Keziban Ünsal-KaçmazBristol Myers Squibb Co, Princeton, New Jersey, USA.ORCID 0009-0001-0120-2099
Ke XuBristol Myers Squibb Co, Princeton, New Jersey, USA.
Junghwa LeeDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0009-0003-7776-982X
Feriyl BhaijeeDepartment of Pathology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Logan L EngleBloomberg-Kimmel Institute for Cancer Immunotherapy and Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-6375-9060
Janis M TaubeBloomberg-Kimmel Institute for Cancer Immunotherapy and Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Alan E BergerDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-8449-7776
Robert A Anders *Bloomberg-Kimmel Institute for Cancer Immunotherapy and Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-2363-9072
Suzanne L Topalian *Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA stopali1@jhmi.edu.ORCID 0000-0002-0821-8587

Funding

PD-1/PD-L1 modulation in cancer therapyR01CA142779 · NCI · JOHNS HOPKINS UNIVERSITY · PI PARDOLL, DREW M., TAUBE, JANIS M · 2010 to 2025
$8.2M
NCI NIH HHS R01 CA142779
6 · The paper itself

Abstract

backgroundGastric carcinomas (GC) are aggressive malignancies, and only ~15% of patients respond to anti-programmed cell death (ligand) 1 (PD-(L)1) monotherapy. However, Epstein-Barr virus (EBV)-associated GCs (~5-10% of GCs) often harbor PD-L1 and PD-L2 chromosomal amplifications and robust CD8+ T cell infiltrates, and respond at a high rate to anti-PD-1. The current study compares the tumor immune microenvironments (TiMEs) of EBV+ versus EBV(-) GCs.

methodsOver 1000 cases of primary invasive GCs were screened to identify 25 treatment-naïve specimens for study (11 EBV+, 14 EBV(-)). Quantitative immunohistochemistry (IHC) was conducted for markers of immune cell subsets and co-regulatory molecules. Gene expression profiling (GEP) was performed on RNAs isolated from macrodissected areas of CD3+ T cell infiltrates abutting PD-L1+ stromal/tumor cells, using multiplex quantitative reverse transcriptase PCR for a panel of 122 candidate immune-related genes.

resultsIHC revealed that 17/25 GCs contained PD-L1+ stromal cells, with no significant difference between EBV+/- specimens; however, only 3/25 specimens (all EBV+) contained PD-L1+ tumor cells. CD8+ T cell densities were higher in EBV+ versus EBV(-) tumors (p=0.044). With GEP normalized to the pan-leukocyte marker

conclusionsWhile certain markers of immunosuppression are found in the GC TiME regardless of EBV status, EBV(-) GCs, which are much more common than EBV+ GCs, overexpress components of the COX-2/PGE2 pathway. These findings provide novel insights into the immune microenvironments of EBV+ and EBV(-) GC, and offer potential targets to overcome resistance to anti-PD-(L)1 therapies.

Indexed as

Epstein-Barr Virus InfectionsHerpesvirus 4, HumanImmunotherapyStomach NeoplasmsTumor MicroenvironmentAdultAgedFemaleHumansMaleMiddle AgedGastric CancerGene expression profiling - GEPImmunotherapyTumor microenvironment - TME

Identifiers

PMID39572160
PMCPMC11580252

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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.