Evidence map›Paper›PMID 40198270›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2025

Multimarker Assessment of B-Cell and Plasma Cell Subsets and Their Prognostic Role in the Colorectal Cancer Microenvironment.

Onni Sirkiä, Henna Karjalainen, Hanna Elomaa, Sara A Väyrynen, Anne Tuomisto, Päivi Sirniö, Ville K Äijälä, Vilja V Tapiainen, Meeri Kastinen, Erkki-Ville Wirta and 11 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. PTEN status, tumor immune microenvironment, and survival in colorectal cancer.Virchows Archiv : an international journal of pathology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. 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

21 authors.

Onni Sirkiä *Department of Pathology, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.ORCID 0009-0003-8142-7144
Henna Karjalainen *Translational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0009-0008-4694-6703
Hanna ElomaaDepartment of Education and Research, Well Being Services County of Central Finland, Jyväskylä, Finland.ORCID 0000-0002-5378-7703
Sara A VäyrynenDepartment of Internal Medicine, Oulu University Hospital, Oulu, Finland.ORCID 0000-0003-1768-0471
Anne TuomistoTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0002-9949-1887
Päivi SirniöTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0002-3988-3782
Ville K ÄijäläTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0009-0005-7664-8027
Vilja V TapiainenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0009-0003-6306-6525
Meeri KastinenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0009-0007-0954-5612
Erkki-Ville WirtaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.ORCID 0000-0002-2255-6136
Olli HelminenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0001-9544-6475
Sanna MeriläinenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0002-5418-4373
Jukka RintalaTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0003-1865-8444
Juha SaarnioTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0002-8443-3625
Tero RautioTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0003-4441-9412
Toni T SeppäläDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.ORCID 0000-0002-4940-3498
Markus J MäkinenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0002-9200-4118
Jukka-Pekka MecklinDepartment of Education and Research, Well Being Services County of Central Finland, Jyväskylä, Finland.ORCID 0000-0003-4895-2249
Jan BöhmDepartment of Pathology, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.ORCID 0000-0001-9664-588X
Maarit Ahtiainen *Central Finland Biobank, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.ORCID 0000-0002-3263-2307
Juha P Väyrynen *Translational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID 0000-0002-8683-2996

Funding

Academy of Finland 338657Cancer Foundation Finland 59-5619Cancer Foundation Finland 63-6409Cancer Foundation Finland 69-7354Emil Aaltosen Säätiö (Emil Aaltonen Foundation) 220257PFinnish State Research FundingJane ja Aatos Erkon Säätiö (J&AE) 21002Relander Foundation (The Relander Foundation)Sigrid Juséliuksen Säätiö (Sigrid Jusélius Stiftelse) 230229Sigrid Juséliuksen Säätiö (Sigrid Jusélius Stiftelse) 240194Sigrid Juséliuksen Säätiö (Sigrid Jusélius Stiftelse) 240241State Research Funding through Helsinki University Hospital TYH2022323State Research Funding through Pirkanmaa welfare area T63354State Research Funding through Pirkanmaa welfare area T66854Suomen Lääketieteen Säätiö (Finnish Medical Foundation) 6021
6 · The paper itself

Abstract

purposeAlthough the association between cytotoxic T lymphocytes and favorable prognosis in colorectal cancer is well established, the prognostic significance of B lymphocytes remains more ambiguous. This study aimed to assess the characteristics and significance of various B-cell and plasma cell subsets in colorectal tumors. EXPERIMENTAL

designWe designed a seven-plex IHC assay, combined with machine learning-based image analysis, to identify various B-cell and plasma cell populations and applied it to study a cohort of 912 colorectal tumors. We assessed the prognostic significance of B-cell and plasma cell densities using Kaplan-Meier estimators and Cox regression models. Additionally, we designed a more clinically applicable three-plex assay, which we used to study B-cell and plasma cell densities in a separate validation cohort of 737 patients.

resultsHigh plasma cell density in the center of the tumor was associated with longer cancer-specific survival independent of disease stage, mismatch repair status, T-cell densities, and other covariates. In the study cohort, the multivariable HR for high (vs. low) plasma cell density was 0.48 (95% confidence interval, 0.32-0.72; Ptrend = 0.0005), whereas the corresponding HR in the validation cohort was 0.37 (95% confidence interval, 0.21-0.65; Ptrend = 0.0003). Of the specific subsets, IgG1-IgG2- plasma cells showed the strongest association with improved survival. High B-cell densities were not independently associated with a better prognosis.

conclusionsPlasma cell densities in the center of the tumor represent a relevant tumor-immune biomarker in colorectal cancer, complementing T-cell density measurements.

Indexed as

Biomarkers, TumorB-LymphocytesB-Lymphocyte SubsetsColorectal NeoplasmsPlasma CellsTumor MicroenvironmentAdultAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisBiomarkers, Tumor

Identifiers

PMID40198270
PMCPMC12163598

What OpenQuestion holds

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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.