Evidence map›Paper›PMID 40227655›Full record

ArticleCancers2025

The Ectonucleotidases CD39 and CD73 and the Purinergic Receptor P2X4 Serve as Prognostic Markers in Non-Small Cell Lung Cancer.

Konrad Kurowski, Sophie Nicole Prozmann, António Eduardo Cabrita Figueiredo, Jannis Heyer, Felix Kind, Karl-Moritz Schröder, Bernward Passlick, Martin Werner, Peter Bronsert, Severin Schmid

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

10 authors.

Konrad KurowskiInstitute for Surgical Pathology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.ORCID 0009-0009-0448-7999
Sophie Nicole ProzmannDepartment of Thoracic Surgery, University Medical Center Freiburg, 79106 Freiburg, Germany.
António Eduardo Cabrita FigueiredoInstitute for Surgical Pathology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.
Jannis HeyerInstitute for Surgical Pathology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.
Felix KindDepartment of Nuclear Medicine, University Medical Center Freiburg, 79106 Freiburg, Germany.ORCID 0000-0002-9398-5747
Karl-Moritz SchröderInstitute for Surgical Pathology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.
Bernward PasslickDepartment of Thoracic Surgery, University Medical Center Freiburg, 79106 Freiburg, Germany.
Martin WernerInstitute for Surgical Pathology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.
Peter BronsertInstitute for Surgical Pathology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.ORCID 0000-0001-8558-0347
Severin SchmidDepartment of Thoracic Surgery, University Medical Center Freiburg, 79106 Freiburg, Germany.ORCID 0000-0001-8077-082X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPurinergic signaling, which involves extracellular ATP (eATP), its metabolites, purinergic receptors and ectonucleotidases, plays a pivotal role in the tumor microenvironment (TME), impacting tumor progression and the antineoplastic immune response. In this study, the CD39, CD73, P2X4, and P2X7 expression in NSCLC tumor cells and the surrounding stroma of 139 resected patients was examined.

methodsThe study included tissue samples from 139 NSCLC patients. Tissue microarrays (TMAs) were constructed using 1.0 mm cores from annotated tumor regions. Immunohistochemical staining for CD39, CD73, P2X4, and P2X4 was performed on 2 µm sections. TMA slides were digitized and analyzed with QuPath, where staining intensity was evaluated using a semi-quantitative H-score. Statistical analysis, including survival analysis, was performed using R, to assess the impact of biomarker expression on patient outcomes.

resultsHigh CD39 expression in both tumor and stromal cells was significantly associated with prolonged PFS (respectively:

conclusionsThese findings underscore the importance of purinergic signaling in NSCLC prognosis and highlight the role of the ectonucleotidases CD39 and CD73 as potential therapeutic targets to enhance antineoplastic immune responses.

Indexed as

CD39CD73extracellular ATPnon-small cell lung cancerP2X4P2X7purinergic signalingtumor microenvironment

Identifiers

PMID40227655
PMCPMC11987875

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