Evidence map›Paper›PMID 40334245›Full record

ArticlePloS one2025

Prognostic and predictive value of IDO expression in metastatic melanoma treated with Ipilimumab.

Dagmar von Bubnoff, Christina Schmitt, Simone M Goldinger, Dirk Schadendorf, Katharina C Kähler, Christian Hafner, Nora Kramer, Waltraud Fröhlich, Reinhard Dummer, Carola Berking and 3 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Dagmar von BubnoffDepartment of Dermatology, University Hospital Lübeck, Lübeck, Germany.
Christina SchmittDepartment of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-9592-2347
Simone M GoldingerDepartment of Dermatology, University Hospital of Zurich, Zürich, Switzerland.
Dirk SchadendorfDepartment of Dermatology, University Hospital Essen, Essen, Germany.
Katharina C KählerDepartment of Dermatology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Christian HafnerDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.
Nora KramerDepartment of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany.
Waltraud FröhlichDepartment of Dermatology, Universitätsklinikum Erlangen and Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Erlangen, Germany.
Reinhard DummerDepartment of Dermatology, University Hospital of Zurich, Zürich, Switzerland.ORCID https://orcid.org/0000-0002-2279-6906
Carola BerkingDepartment of Dermatology, Universitätsklinikum Erlangen and Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Erlangen, Germany.
Stefan SchliepDepartment of Dermatology, Universitätsklinikum Erlangen and Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Erlangen, Germany.
Michael C KirchbergerDepartment of Dermatology, Universitätsklinikum Erlangen and Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Erlangen, Germany.
Lucie HeinzerlingDepartment of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe tumor microenvironment is crucial for prognosis and response to immunotherapy in several tumor entities.

methodsIn a multicenter retrospective study, a total of 86 tumor samples from patients with metastatic melanoma were evaluated for baseline expression of indoleamine 2,3-dioxygenase (IDO) and programmed death ligand 1 (PD-L1). Expression patterns of IDO and PD-L1 on tumor cells and antigen-presenting cells (APCs) as determined by immunohistochemical (IHC) staining of paraffin-embedded tissue sections were correlated with response to ipilimumab and overall survival (OS). Statistical analysis was performed using the Spearman correlation, the Mann-Whitney test and Kaplan-Meier estimator.

resultsIDO expression in tumor cells or APCs was not predictive for treatment response. The median OS was 26 months in IDO-positive and IDO-negative patients, regardless of IDO expression in tumor cells or APCs. A correlation of IHC expression scores of IDO and PD-L1 could not be documented.

conclusionThe exact role of IDO in creating an immunosuppressive tumor environment and its reversal needs to be further elucidated.

Indexed as

Antineoplastic Agents, ImmunologicalIndoleamine-Pyrrole 2,3,-DioxygenaseIpilimumabMelanomaSkin NeoplasmsAdultAgedAged, 80 and overB7-H1 AntigenBiomarkers, TumorFemaleHumansMaleMiddle AgedNeoplasm MetastasisPrognosisAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkers, TumorCD274 protein, humanIndoleamine-Pyrrole 2,3,-DioxygenaseIpilimumab

Identifiers

PMID40334245
PMCPMC12058187

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Registered trials

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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.