Evidence map›Paper›PMID 41868591›Full record

ArticleImmuno-oncology technology2026

The effect of neoadjuvant radiotherapy on immune cell infiltrates in myxofibrosarcoma.

M J L Nederkoorn, U E Flucke, M H S Hillebrandt-Roeffen, M A J Gorris, S G van Ravensteijn, K Verrijp, P M Braam, J J Bonenkamp, E F Dierselhuis, E Ruijter and 7 more

Abstract read
In one paragraph

Article in Immuno-oncology technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

M J L NederkoornDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
U E FluckeDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
M H S Hillebrandt-RoeffenDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
M A J GorrisDepartment of Medical BioSciences, Radboud University Medical Center, Nijmegen, The Netherlands.
S G van RavensteijnDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
K VerrijpDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
P M BraamDepartment of Radiotherapy, Radboud University Medical Center, Nijmegen, The Netherlands.
J J BonenkampDepartment of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
E F DierselhuisDepartment of Orthopedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
E RuijterDepartment of Pathology, Rijnstate Hospital, Arnhem, The Netherlands.
C Wetzels-van der VeldenDepartment of Pathology, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
H V N Kusters-VandeveldeDepartment of Pathology, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
C J R HuysentruytDepartment of Pathology, Catharina Cancer Institute-Eurofins PAMM, Eindhoven, The Netherlands.
J M M GrefteDepartment of Pathology, Gelre Hospitals, Apeldoorn, The Netherlands.
J H W de WiltDepartment of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
I M E DesarDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Y M H Versleijen-JonkersDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Myxofibrosarcoma (MFS) is a subtype of soft-tissue sarcoma for which local treatment includes neoadjuvant radiotherapy (nRT) followed by surgery. The impact of nRT on the MFS tumor immune microenvironment remains unexplored. Materials and methods: Paired pre-nRT biopsy and post-nRT surgery samples from 31 MFS patients were retrospectively collected. The intratumoral density of T cells, cytotoxic T cells, regulatory T cells, helper T cells, B cells and natural killer (NK) cells and expression of programmed death-ligand 1 were quantified using multiplex immunohistochemistry (mIHC). mIHC marker densities were compared between pre- and post-nRT samples, and their associations with clinicopathological characteristics and patient outcomes were assessed. Results: There was substantial interpatient heterogeneity in mIHC marker densities, both pre- and post-nRT. A significant reduction in cytotoxic T cell {205 [interquartile range (IQR) 674] pre-nRT versus 58 (IQR 205) post-nRT, Conclusions: Conventional nRT is associated with reduced cytotoxic and helper T cell infiltration and increased presence of NK cells in MFS. These results suggest that conventional nRT reduces inflammatory aspects of MFS tumors.

Indexed as

immune infiltratemyxofibrosarcomaneoadjuvant radiotherapysoft-tissue sarcomatumor immune microenvironment

Identifiers

PMID41868591
PMCPMC13000487

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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.