Evidence map›Paper›PMID 41038960›Full record

ArticleScientific reports2025

Impact of the tumor microenvironment on survival in anaplastic thyroid carcinoma.

Chanchal Rana, Prabhakar Mishra, Kulranjan Singh, Pooja Ramakant, Anand Mishra, Sumaira Qayoom, Gulshan Kumar, Jyoti Mishra, Komal Verma

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  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

9 authors.

Chanchal RanaDepartment of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India. chanchal11aug@yahoo.com.ORCID http://orcid.org/0000-0002-1783-7689
Prabhakar MishraDepartment of Biostatistics and Health Informatic, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Kulranjan SinghDepartment of Endocrine Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Pooja RamakantDepartment of Endocrine Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Anand MishraDepartment of Endocrine Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Sumaira QayoomDepartment of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Gulshan KumarDepartment of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Jyoti MishraDepartment of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Komal VermaDepartment of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Funding

Indian Council of Medical Research F.N.8/1/7/2019-RMC
6 · The paper itself

Abstract

Anaplastic thyroid carcinoma (ATC) is a highly aggressive malignancy characterized by nearly 100% mortality and significant therapeutic challenges. This study investigated the tumour microenvironment (TME) in ATC, focusing on immune checkpoint molecules (PD-L1/PD-1), tumour-associated macrophages (TAMs), and E-cadherin expression. A retrospective cohort of 22 ATC patients treated at a tertiary care centre in India, between January 2017 and August 2022, was analysed. Immunohistochemical evaluation revealed PD-L1 expression in 68.2% of cases, with a median tumour proportion score (TPS) of 50. PD-1 expression was limited to inflammatory cells. E-cadherin loss was observed in over 69% of cases, suggesting disrupted cell adhesion. TAM infiltration was elevated in 58.8% of patients and correlated significantly with PD-L1 expression (p = 0.02). Survival analysis demonstrated a significantly lower survival in patients with a high TAM density (0.015). Although not significant but patients expressing PD-L1 had a mean survival of 2.4 months compared to 4.1 months for those without PD-L1 expression (p 0.129). Similarly, high PD-1 expression in inflammatory cells and E cadherin expression in tumor cells correlated with poorer outcomes. These findings underscore the critical role of immune markers within the TME in influencing ATC prognosis. The findings highlight the potential of targeted immunotherapeutic strategies to improve outcomes in ATC. Further research is warranted to clarify the predictive value of these markers in guiding treatment approaches.

Indexed as

Thyroid Carcinoma, AnaplasticThyroid NeoplasmsTumor MicroenvironmentAdultAgedAntigens, CDB7-H1 AntigenBiomarkers, TumorCadherinsFemaleHumansMaleMiddle AgedPrognosisProgrammed Cell Death 1 ReceptorRetrospective StudiesAntigens, CDB7-H1 AntigenBiomarkers, TumorCadherinsCD274 protein, humanCDH1 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorAnaplastic thyroid carcinomaProgramme death ligand 1Programme death ligand receptor-1SurvivalTumour associated macrophages

Identifiers

PMID41038960
PMCPMC12491614

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