Evidence map›Paper›PMID 41414819›Full record

ArticleThe Journal of dermatology2026

Immunoprofiling Reveals GATA3 as a Prognostic Marker in Transformed Mycosis Fungoides.

Bruno de Castro E Souza, Denis Miyashiro, Jade Cury-Martins, Neusa Yuriko Sakai Valente, Luiz Fernando Ferraz da Silva, José Antonio Sanches

Abstract read
In one paragraph

Article in The Journal of dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Bruno de Castro E SouzaDepartment of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-7140-3462
Denis MiyashiroDepartment of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1959-4908
Jade Cury-MartinsDepartment of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-9741-4311
Neusa Yuriko Sakai ValenteDepartment of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.
Luiz Fernando Ferraz da SilvaDepartment of Pathology, University of São Paulo Medical School, São Paulo, Brazil.
José Antonio SanchesDepartment of Dermatology, University of São Paulo Medical School, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-5709-092X

Funding

Fundo de Apoio à Dermatologia de São Paulo (FUNADERSP)
6 · The paper itself

Abstract

Transformed mycosis fungoides (TMF) is a rare, aggressive variant of cutaneous T-cell lymphoma characterized by the presence of large neoplastic cells and poor clinical outcomes. A retrospective cohort of 22 TMF patients was analyzed using immunohistochemistry on formalin-fixed, paraffin-embedded (FFPE) tissue for GATA3 (n = 20), T-bet (n = 22), and STAT3 (n = 22). Expression was quantified by image analysis integrated optical density per total area (IOD/area), standardized by z-score and correlated with survival. Seventeen patients with complete data underwent unsupervised clustering (k-means) and principal component analysis (PCA) based on marker expression profiles. High GATA3 expression was strongly associated with worse prognosis (median OS: 8.6 months vs. 41.7 months, p = 0.00094). T-bet and STAT3 expressions showed no significant individual association with survival. Clustering analysis revealed three distinct immunoprofiles: (1) low expression of all markers (intermediate survival, 28.1 months), (2) high STAT3 and T-bet expressions with intermediate GATA3 expression (longest survival, 53.1 months), and (3) high GATA3 expression with low STAT3 and T-bet expressions (poorest survival, 9.5 months). GATA3 is a robust prognostic marker in TMF, identifying patients with particularly poor outcomes. Its elevated expression delineates a Th2-skewed, immunosuppressive phenotype that may inhibit Th1/Th17 pathways via transcriptional repression. Integrative profiling reveals immunobiological subgroups with divergent prognoses, supporting GATA3 as a potential tool for risk stratification and a candidate for targeted intervention in TMF.

Indexed as

Biomarkers, TumorGATA3 Transcription FactorMycosis FungoidesSkin NeoplasmsAdultAgedAged, 80 and overFemaleHumansImmunohistochemistryMaleMiddle AgedPrognosisRetrospective StudiesSTAT3 Transcription FactorT-bet Transcription FactorBiomarkers, TumorGATA3 protein, humanGATA3 Transcription FactorSTAT3 protein, humanSTAT3 Transcription FactorT-bet Transcription FactorT-Box Domain Proteins

Identifiers

PMID41414819
PMCPMC12877973

What Socratic holds

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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.