Evidence map›Paper›PMID 39800379›Full record

ArticleJournal for immunotherapy of cancer2025

Early assessment of IL8 and PD1+ Treg predicts response and guides treatment monitoring in cemiplimab-treated cutaneous squamous cell carcinoma.

Daniela Esposito, Fabiana Napolitano, Daniela Claudia Maresca, Marcella Scala, Annarita Amato, Stefania Belli, Claudia Maria Ascione, Angela Vallefuoco, Giovanna Attanasio, Fabio Somma and 13 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2025. 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.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. 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

23 authors.

Daniela Esposito *Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.ORCID http://orcid.org/0000-0001-5211-9861
Fabiana Napolitano *Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Daniela Claudia MarescaDepartment of Pharmacy, University of Naples Federico II, Naples, Italy.
Marcella ScalaClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Annarita AmatoClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Stefania BelliClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Claudia Maria AscioneClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Angela VallefuocoClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Giovanna AttanasioClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Fabio SommaDepartment of Pharmacy, University of Naples Federico II, Naples, Italy.
Angela IanaroDepartment of Pharmacy, University of Naples Federico II, Naples, Italy.
Daniela RussoPathology Unit, Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Silvia VarricchioPathology Unit, Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Massimo MascoloPathology Unit, Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Claudia CostaSection of Dermatology, Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Alessia VillaniSection of Dermatology, Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Massimiliano ScalvenziSection of Dermatology, Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Gianfranco OrlandinoDepartment of Plastic and Reconstructive Surgery, University of Naples Federico II, Naples, Italy.
Teresa TroianiDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Alberto ServettoClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Roberto BiancoClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Giuseppe ErcolanoDepartment of Pharmacy, University of Naples Federico II, Naples, Italy.
Luigi FormisanoClinical Medicine and Surgery, University of Naples Federico II, Naples, Italy luigi.formisano1@unina.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnti-programmed cell death 1 (PD1) is the first-choice treatment in patients with advanced cutaneous squamous cell carcinoma (cSCC), when curative options are unavailable. However, reliable biomarkers for patient selection are still lacking. EXPERIMENTAL

designIn this translational study, clinical annotations, tissue and liquid biopsies were acquired to investigate the association between sustained objective responses and transcriptional profiles, immune cell dynamics in tumor tissue and peripheral blood samples, as well as circulating cytokine levels.

resultsFirst, we investigated the baseline characteristics of the immune landscape of cSCC biopsies. Gene Set Enrichment Analysis showed upregulation of interleukin (IL)2/STAT5 pathways and downregulation of Interferon signatures in non-responder patients compared with responders. Next, we studied the early changes induced by cemiplimab in tissue biopsies. Notably, after only three weeks, cemiplimab treatment induced an increase in B cells and CD8+ T cells in responders, whereas their abundance decreased in non-responder patients. Moreover, analyzing differentially expressed genes modulated early during treatment, compared with baseline biopsies, we found that IL1β and IL8 exhibited early downregulation in responder patients' tumor specimens. We assessed whether changes in the local tumor microenvironment were mirrored in peripheral blood. Similar to tissue findings, no changes were observed in the whole T regulatory (Treg) population, although PD1+ Tregs, which were downregulated in responder patients (vs T0), showed a rebound enrichment in non-responders after three cycles of cemiplimab. Finally, IL8 mirrored the tissue results, unlike IL1β, with early (T1) and then sustained (T3) downregulation of its levels in responder patients, while increased in non-responders.

conclusionsTaken together, these findings shed light on the significance of early transcriptomic and immune cell modulation in predicting responses to cemiplimab therapy. Additionally, our data suggest that IL8 levels in peripheral blood offer promising avenues for personalized treatment selection and response assessment in patients with cSCC receiving cemiplimab, while PD1+Tregs can be followed longitudinally to monitor response to therapy.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, Squamous CellInterleukin-8Programmed Cell Death 1 ReceptorSkin NeoplasmsT-Lymphocytes, RegulatoryAgedBiomarkers, TumorFemaleHumansMaleMiddle AgedTumor MicroenvironmentAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalBiomarkers, TumorcemiplimabCXCL8 protein, humanInterleukin-8PDCD1 protein, humanProgrammed Cell Death 1 ReceptorBiomarkerCytokineImmune Checkpoint InhibitorSkin CancerT cell

Identifiers

PMID39800379
PMCPMC11749811

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.