Evidence map›Paper›PMID 39941908›Full record

ArticleCancers2025

Intra-Tumoral CD8+:CD3+ Lymphocyte Density Ratio in Appendix Cancer Is a Tumor Volume- and Grade-Independent Predictor of Survival.

Chelsea Knotts, Hyun Park, Christopher Sherry, Rose Blodgett, Catherine Lewis, Ashten Omstead, Kunhong Xiao, William LaFramboise, David L Bartlett, Neda Dadgar and 3 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Chelsea KnottsAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.
Hyun ParkAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.
Christopher SherryAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.
Rose BlodgettAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.
Catherine LewisAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.ORCID 0000-0002-8434-178X
Ashten OmsteadAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.
Kunhong XiaoAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.ORCID 0000-0002-1069-1226
William LaFramboiseAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.ORCID 0000-0002-6024-810X
David L BartlettAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.ORCID 0000-0003-3099-2613
Neda DadgarCleveland Clinic, Taussig Cancer Institute, Cleveland, OH 44106, USA.ORCID 0000-0003-3220-7148
Ajay GoelBeckman Research Institute of City of Hope, Monrovia, CA 91016, USA.ORCID 0000-0003-1396-6341
Ali H ZaidiAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.ORCID 0000-0002-5463-2252
Patrick L WagnerAllegheny Health Network Cancer Institute, Pittsburgh, PA 15212, USA.ORCID 0009-0004-3935-5316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe immune contexture of solid tumors plays a critical role in cancer progression and response to immunotherapy. However, immunologic characterization of appendiceal cancer (AC) has lagged behind advancements in other gastrointestinal malignancies. This study aims to define the AC immune microenvironment by quantifying CD3+ and CD8+ lymphocyte densities and assessing their prognostic significance.

methodsArchival tissue samples from 95 AC patients were analyzed using immunohistochemistry to assess CD3+ and CD8+ T cell densities and their ratios. Associations between lymphocyte density and clinical, pathologic, and oncologic variables were examined using Spearman's correlation, Kruskal-Wallis tests, and Cox proportional hazards analysis.

resultsTumor samples exhibited substantial immunologic heterogeneity with significant rightward skew. CD3+ and CD8+ densities were higher in low-grade tumors (

conclusionsThis study highlights the diverse immune microenvironment in AC, with immune infiltration patterns correlating with tumor grade and histologic subtype. The CD8+:CD3+ ratio is a potential prognostic biomarker for patient stratification, underscoring its clinical significance. Future studies should expand immune biomarker panels and explore immunomodulatory therapies for lymphocyte-rich AC subsets.

Indexed as

appendiceal cancerCD3 and CD8 T cellsclinical outcomesimmune profilingprognostic biomarkerstumor microenvironment

Identifiers

PMID39941908
PMCPMC11817446

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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.