Evidence map›Paper›PMID 40346620›Full record

ArticleInfectious agents and cancer2025

Tumor-infiltrating CD4

Enzi Feng, Yaoyu Yang, Jie Yang, Rongyi Hu, Ling Tian, Xinyu Yang, Meng Yang, Qianqian Qu, Yanxin Ren, Xiaojiang Li

Abstract read
In one paragraph

Article in Infectious agents and cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. EBV INFECTION OUTCOMES DETERMINED BY MONOCYTE AND TbioRxiv : the preprint server for biology · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
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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.

Enzi Feng *Department of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Yaoyu Yang *Department of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Jie YangDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Rongyi HuDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Ling TianDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Xinyu YangDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Meng YangDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Qianqian QuDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China.
Yanxin RenDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China. renyanxin8@163.com.
Xiaojiang LiDepartment of Head and Neck Surgery, Third Affiliated Hospital of Kunming Medical University, No. 519 Kunzhou Street, Xishan District, Kunming, 650118, China. xiaojiangli2024@163.com.

Funding

National Natural Science Foundation of China 81960489National Natural Science Foundation of China 82260485Research Foundation of Education Bureau of Yunnan Province, China 2023Y0658Yunnan Ten Thousand People Plan"Young Top Talents"Project YNWR-QNBJ-2019-056
6 · The paper itself

Abstract

backgroundRegulatory T cells (Tregs) play a significant role in immune evasion within the tumor microenvironment (TME). Nasopharyngeal carcinoma (NPC) is strongly associated with Epstein-Barr virus (EBV) infection. Previous studies have shown that EBV can suppress immune activity. The relationship between plasma EBV DNA levels and Treg infiltration in NPC remains to be elucidated. Some studies have shown that FOXP3, a Treg marker, is a favorable prognostic factor in NPC. However, relying solely on FOXP3 for Treg identification may be unreliable due to its expression in other cell types. Therefore, this study investigated the impact of tumor-infiltrating Tregs identified by CD4, CD25, and FOXP3 triple markers in NPC and the relationship between these Tregs and EBV infection.

methodsIn this study, 103 NPC patients were included. All tumor slides were stained using multi-immunofluorescence with CD4, CD25, and FOXP3. HALO software was used to analyze whole-slide images. The correlation between two factors was assessed using Spearman analysis. The prognostic value of factors was evaluated using Kaplan-Meier curves and Cox regression.

resultsA significant positive correlation was observed between Treg infiltration in tumor tissues and plasma EBV DNA levels (r = 0.3428, p = 0.02). Higher Treg infiltration was significantly associated with poorer progression-free survival (PFS) (p = 0.03) and was an independent risk factor for NPC progression (p = 0.045). CD25 expression was positively correlated with plasma EBV DNA levels (r = 0.3229, p = 0.03). Furthermore, increased Treg infiltration was negatively correlated with peripheral CD8

conclusionThis study identified tumor-infiltrating CD4

Indexed as

Nasopharyngeal carcinomaRegulatory T cellTumor-Infiltrating lymphocyte

Identifiers

PMID40346620
PMCPMC12063390

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.