Evidence map›Paper›PMID 41595176›Full record

ArticleCancers2026

Geospatial and Cell Density Analysis Using Multiplex Immunofluorescence Reveals an Important Role of Clustering Patterns of Immunosuppressive Macrophages in Survival Outcomes of Penile Squamous Cell Carcinoma.

Adnan Fazili, Keerthi Gullapalli, Gabriel Roman Souza, Firas Hatoum, Justin Miller, Youngchul Kim, Junmin Whiting, Jeffrey S Johnson, Jasreman Dhillon, Jonathan Nguygen and 3 more

Abstract read
In one paragraph

Article in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Adnan FaziliDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.
Keerthi GullapalliDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.
Gabriel Roman SouzaDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.ORCID 0000-0001-5498-2351
Firas HatoumDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.ORCID 0009-0007-5293-6176
Justin MillerDepartment of Medicine, USF Health Morsani College of Medicine, Tampa, FL 33612, USA.
Youngchul KimDepartment of Biostatistics, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.ORCID 0000-0002-2307-0330
Junmin WhitingDepartment of Biostatistics, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.
Jeffrey S JohnsonDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.
Jasreman DhillonDepartment of Pathology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.
Jonathan NguygenDepartment of Biostatistics, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.
Carlos Moran SeguraDepartment of Biostatistics, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.ORCID 0000-0001-8702-0554
Philippe E SpiessDepartment of Genitourinary Oncology, H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA.ORCID 0000-0002-5723-1972
Jad ChahoudOrlando Health Cancer Institute, Orlando, FL 32806, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPenile squamous cell carcinoma (PSCC) is a rare malignancy with poor prognosis in advanced and recurrent disease, and therapeutic options remain limited. Increasing evidence suggests that the tumor immune microenvironment (TIME), including immune cell composition and spatial organization, plays a critical role in tumor progression and survival outcomes. This study aimed to characterize immune cell density and geospatial clustering patterns within the TIME of PSCC and to evaluate their associations with clinical outcomes.

methodsMultiplex immunofluorescence (mIF) was performed on tumor samples from 57 patients with PSCC using a panel of immune markers to identify lymphoid and myeloid cell populations. Immune cell densities were quantified within tumoral and stromal compartments. Spatial relationships among immune cells and between immune cells and tumor cells were analyzed using point pattern analysis. Survival outcomes, including overall survival (OS), recurrence-free survival (RFS), and cancer-specific survival (CSS), were assessed using Kaplan-Meier methods and Cox proportional hazards models, with analyses stratified by nodal and human papillomavirus (HPV) status.

resultsHigher intratumoral and stromal densities of pro-immunogenic M1 macrophages were associated with improved OS. Increased densities of CD3

conclusionsImmune cell density and spatial organization within the TIME are associated with survival outcomes in PSCC. Favorable patterns involving helper T cells and M1 macrophages correlate with improved survival, whereas clustering of M2 macrophages is associated with poorer outcomes, supporting the relevance of spatial immune profiling in this disease.

Indexed as

human papillomavirusmultiplex immunofluorescencepenile squamous cell carcinomaprognosisspatial profilingtumor-associated macrophagestumor immune microenvironment

Identifiers

PMID41595176
PMCPMC12839248

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