Evidence map›Paper›PMID 36313661›Full record

ArticleFrontiers in oncology2022

The immune landscape of undifferentiated pleomorphic sarcoma.

Rossana Lazcano, Carmelia M Barreto, Ruth Salazar, Fernando Carapeto, Raymond S Traweek, Cheuk H Leung, Swati Gite, Jay Mehta, Davis R Ingram, Khalida M Wani and 27 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

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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

37 authors.

Rossana LazcanoTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Carmelia M BarretoTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Ruth SalazarTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Fernando CarapetoTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Raymond S TraweekSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Cheuk H LeungBiostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Swati GiteTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Jay MehtaTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Davis R IngramTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Khalida M WaniTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Kim-Anh T VuTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Edwin R ParraTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Wei LuTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Jianling ZhouTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Russell G WittSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Brandon CopeSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Prapassorn ThirasastrSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Heather Y LinBiostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Christopher P ScallySurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Anthony P ConleySarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Ravin RatanSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
J Andrew LivingstonSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Alexandra M ZarzourSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Joseph LudwigSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Dejka AraujoSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Vinod RaviSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Shreyaskumar PatelSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Robert BenjaminSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Jennifer WargoSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Ignacio I WistubaTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Neeta SomaiahSarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Christina L RolandSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Emily Z KeungSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Luisa SolisTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Wei-Lien WangDivision of Pathology and Laboratory Medicine, The University of Texas, MD Anderson Cancer Center, Houston, TX, United States.
Alexander J LazarTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Elise F NassifSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Undifferentiated pleomorphic sarcoma (UPS) can be associated with a relatively dense immune infiltration. Immune checkpoint inhibitors (anti-PD1, anti-PDL1, and anti-CTLA4) are effective in 20% of UPS patients. We characterize the immune microenvironment of UPS and its association with oncologic outcomes. Material and methods: Surgically resected UPS samples were stained by immunohistochemistry (IHC) for the following: tumor-associated immune cells (CD3, CD8, CD163, CD20), immune checkpoints (stimulatory: OX40, ICOS; inhibitory: PD-L1, LAG3, IDO1, PD1), and the adenosine pathway (CD73, CD39). Sections were reviewed for the presence of lymphoid aggregates (LA). Clinical data were retrospectively obtained for all samples. The Wilcoxon rank-sum and Kruskal-Wallis tests were used to compare distributions. Correlations between biomarkers were measured by Spearman correlation. Univariate and multivariate Cox models were used to identify biomarkers associated with overall survival (OS) and disease-free survival (DFS). Unsupervised clustering was performed, and Kaplan-Meier curves and log-rank tests used for comparison of OS and DFS between immune clusters. Results: Samples analyzed (n=105) included 46 primary tumors, 34 local recurrences, and 25 metastases. LA were found in 23% (n=10/43), 17% (n=4/24), and 30% (n=7/23) of primary, recurrent, and metastatic samples, respectively. In primary UPS, CD73 expression was significantly higher after preoperative radiation therapy ( Conclusion: We identified three immunologically distinct clusters of UPS Associated with OS and DFS. Our data support further investigations of combination anti-PD-1/PD-L1 and adenosine pathway inhibitors in UPS.

Indexed as

adenosine pathwayimmune checkpoint inhibitorsimmune microenvironmenttertiary lymphoid structuresundifferentiated pleomorphic sarcoma

Identifiers

PMID36313661
PMCPMC9597628

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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 Socratic graph.