Evidence map›Paper›PMID 39979258›Full record

SynthesisNature communications2025

Predicting immunotherapy response of advanced bladder cancer through a meta-analysis of six independent cohorts.

Lilian Marie Boll, Sergio Vázquez Montes de Oca, Marta E Camarena, Robert Castelo, Joaquim Bellmunt, Júlia Perera-Bel, M Mar Albà

Abstract readMeta-Analysis
In one paragraph

Synthesis in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Revisiting tumor immunogenicity through the lens of mutant p53: Implications for cancer immunotherapy.Apoptosis : an international journal on programmed cell death · 2026
    Review
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  5. Article
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  9. Towards biomarker-driven therapies for urothelial carcinoma.Nature reviews. Clinical oncology · 2026
    Review
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  11. Article
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  13. Article
  14. Review
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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.

Lilian Marie Boll *Hospital del Mar Research Institute (HMRIB), Barcelona, Spain.ORCID http://orcid.org/0000-0001-8355-6263
Sergio Vázquez Montes de Oca *Hospital del Mar Research Institute (HMRIB), Barcelona, Spain.ORCID http://orcid.org/0009-0004-0269-8876
Marta E CamarenaHospital del Mar Research Institute (HMRIB), Barcelona, Spain.ORCID http://orcid.org/0000-0001-9319-6388
Robert CasteloDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain.ORCID http://orcid.org/0000-0003-2229-4508
Joaquim BellmuntHospital del Mar Research Institute (HMRIB), Barcelona, Spain. Joaquim_Bellmunt@dfci.harvard.edu.ORCID http://orcid.org/0000-0003-2328-3421
Júlia Perera-BelHospital del Mar Research Institute (HMRIB), Barcelona, Spain. jperera@researchmar.net.ORCID http://orcid.org/0000-0002-6809-132X
M Mar AlbàHospital del Mar Research Institute (HMRIB), Barcelona, Spain. malba@researchmar.net.ORCID http://orcid.org/0000-0002-7963-7375

Funding

Generalitat de Catalunya (Government of Catalonia) 2021SGR00042Ministry of Economy and Competitiveness | Agencia Estatal de Investigación (Spanish Agencia Estatal de Investigación) PID2019-105595GBMinistry of Economy and Competitiveness | Agencia Estatal de Investigación (Spanish Agencia Estatal de Investigación) PID2021-122726NB-I00Ministry of Economy and Competitiveness | Instituto de Salud Carlos III (Institute of Health Carlos III) FIS PI22/00171
6 · The paper itself

Abstract

Advanced bladder cancer patients show very variable responses to immune checkpoint inhibitors (ICIs) and effective strategies to predict response are still lacking. Here we integrate mutation and gene expression data from 707 advanced bladder cancer patients treated with anti-PD-1/anti-PD-L1 to build highly accurate predictive models. We find that, in addition to tumor mutational burden (TMB), enrichment in the APOBEC mutational signature, and the abundance of pro-inflammatory macrophages, are major factors associated with the response. Paradoxically, patients with high immune infiltration do not show an overall better response. We show that this can be explained by the activation of immune suppressive mechanisms in a large portion of these patients. In the case of non-immune-infiltrated cancer subtypes, we uncover specific variables likely to be involved in the response. Our findings provide information for advancing precision medicine in patients with advanced bladder cancer treated with immunotherapy.

Indexed as

Immune Checkpoint InhibitorsImmunotherapyUrinary Bladder NeoplasmsB7-H1 AntigenCohort StudiesHumansMutationProgrammed Cell Death 1 ReceptorTreatment OutcomeB7-H1 AntigenCD274 protein, humanImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID39979258
PMCPMC11842772

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.