Evidence map›Paper›PMID 38456941›Full record

ArticleHead and neck pathology2024

Immunophenotypic and Gene Expression Analyses of the Inflammatory Microenvironment in High-Grade Oral Epithelial Dysplasia and Oral Lichen Planus.

Andres Flores-Hidalgo, James Phero, Scott Steward-Tharp, Megumi Williamson, David Paquette, Deepak Krishnan, Ricardo Padilla

Open access · hybridAbstract read
In one paragraph

Article in Head and neck pathology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
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, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. GPR55 negatively regulates CD8Journal of molecular histology · 2026
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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

7 authors at 5 institutions in 1 country.

Andres Flores-HidalgoDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA. floresa9@ucmail.uc.edu.ORCID http://orcid.org/0000-0003-4073-7210
James PheroDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Scott Steward-TharpDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, USA.
Megumi WilliamsonDepartment of Surgical Sciences, East Carolina University School of Dental Medicine, Greenville, USA.
David PaquetteDepartment of Surgical Sciences, East Carolina University School of Dental Medicine, Greenville, USA.
Deepak KrishnanDepartment of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Ricardo PadillaDepartment of Diagnostic Sciences, University of North Carolina at Chapel Hill Adams School of Dentistry, Chapel Hill, USA.
East Carolina University · USUniversity of Cincinnati Medical Center · USEmory University · USUniversity of Cincinnati · USUniversity of North Carolina at Chapel Hill · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JAMES E BEAR · 1985 to 2026
$201.5M
NCI NIH HHS P30 CA016086
6 · The paper itself

Abstract

backgroundOral lichen planus (OLP) and oral epithelial dysplasia (OED) present diagnostic challenges due to clinical and histologic overlap. This study explores the immune microenvironment in OED, hypothesizing that immune signatures could aid in diagnostic differentiation and predict malignant transformation.

methodsTissue samples from OED and OLP cases were analyzed using immunofluorescence/immunohistochemistry (IF/IHC) for CD4, CD8, CD163/STAT1, and PD-1/PDL-1 expression. RNA-sequencing was performed on the samples, and data was subjected to CIBERSORTx analysis for immune cell composition. Gene Ontology analysis on the immune differentially expressed genes was also conducted.

resultsIn OED, CD8 + T-cells infiltrated dysplastic epithelium, correlating with dysplasia severity. CD4 + lymphocytes increased in the basal layer. STAT1/CD163 + macrophages correlated with CD4 + intraepithelial distribution. PD-1/PDL-1 expression varied. IF/IHC analysis revealed differential immune cell composition between OED and OLP. RNA-sequencing identified upregulated genes associated with cytotoxic response and immunosurveillance in OED. Downregulated genes were linked to signaling, immune cell recruitment, and tumor suppression.

conclusionsThe immune microenvironment distinguishes OED and OLP, suggesting diagnostic potential. Upregulated genes indicate cytotoxic immune response in OED. Downregulation of TRADD, CX3CL1, and ILI24 implies dysregulation in TNFR1 signaling, immune recruitment, and tumor suppression. This study contributes to the foundation for understanding immune interactions in OED and OLP, offering insights into future objective diagnostic avenues.

Indexed as

Lichen Planus, OralCell Transformation, NeoplasticGene Expression ProfilingHumansHyperplasiaMouth MucosaProgrammed Cell Death 1 ReceptorRNATumor MicroenvironmentProgrammed Cell Death 1 ReceptorRNAInflammationMicroenvironmentOral epithelial dysplasiaOral lichen planus

Identifiers

PMID38456941
PMCPMC10923754
OpenAlexW4392595298

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.