Evidence map›Paper›PMID 40621453›Full record

ArticleFrontiers in immunology2025

Overexpression of CTLA-4 and fibronectin, and lower expression of CD137 (4-1BB) is associated with brain metastasis of primary skin melanomas. An analysis of local immune response by digital spatial profiling.

Shiva Najjary, Nur Al Amery, Mengqi Huang, Disha Vadgama, Alexander C J van Akkooi, H Jacobus Gilhuis, Zineb Belcaid, Dana Mustafa, Johan M Kros

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. 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

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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

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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

9 authors.

Shiva NajjaryDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.
Nur Al AmeryDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.
Mengqi HuangDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.
Disha VadgamaDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.
Alexander C J van AkkooiMelanoma Institute Australia, Sydney, NSW, Australia.
H Jacobus GilhuisDepartment of Neurology, Reinier de Graaf Ziekenhuis, Delft, Netherlands.
Zineb BelcaidDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.
Dana MustafaDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.
Johan M KrosDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To discover immune response-associated gene expressions related to brain metastases of skin melanomas, we analyzed a group of fifteen primary skin melanomas consisting of five tumors from patients who did not develop systemic metastases (NM); ten from patients with systemic metastasis of which five with (BM), and five without brain involvement (OOM). Regions of interest (ROIs) harboring tumor cells only; immune cells only; or immune cell infiltration in tumor cell regions, were separately analyzed. Methods: we profiled the tumor immune microenvironment (TIME) of primary skin melanomas by using a panel of 77 immune response-related oligo-nucleotide targets in the GeoMx Digital Spatial profiler (Nanostring Technologies). Results: Melanomas from patients who developed brain metastases contained significantly higher levels of (CD45+) immune cells and overexpressed fibronectin and CTLA-4 in all ROIs compared to the melanomas that had metastasized to other sites than the brain (p<0.05). Distant metastases were accompanied by lower expression of CD137 (4-1BB). Downregulation of VISTA, IDO1 and ICOS was associated with melanomas that gave rise to distant metastases including brain. Conclusion: Lower expression of CD137 (4-1BB) is linked with the formation of distant metastases and the expressions of fibronectin and CTLA-4 herald the formation of brain metastasis in particular.

Indexed as

Brain NeoplasmsCTLA-4 AntigenFibronectinsMelanomaSkin NeoplasmsTumor Necrosis Factor Receptor Superfamily, Member 9AdultAgedCutaneous Malignant MelanomaFemaleGene Expression Regulation, NeoplasticHumansMaleMiddle AgedTumor MicroenvironmentCTLA-4 AntigenCTLA4 protein, humanFibronectinsTNFRSF9 protein, humanTumor Necrosis Factor Receptor Superfamily, Member 94-1BBCTLA-4fibronectinimmune responsemelanomametastasisspatial biology

Identifiers

PMID40621453
PMCPMC12226520

What Socratic holds

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LicenceCC BY
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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 Socratic graph.