Evidence map›Paper›PMID 42495619›Full record

ArticleFrontiers in immunology2026

Circulating immune and biochemical markers predict tumor response to immunotherapy in advanced melanoma and lung cancer.

Silvia Sequero-Lopez, Diego Castillo-Barnes, Laura Gálvez-Carvajal, Natalia Palazón-Carrión, Francisco Jesús Martínez-Murcia, Luis de la Cruz-Merino, Eva Muñoz-Couselo, Mariano Provencio, Andrés Ortiz, Juan Manuel Górriz and 3 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. 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

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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Silvia Sequero-LopezDepartment of Medical Oncology, Hospital Universitario San Cecilio, Granada, Spain.
Diego Castillo-BarnesCommunications Engineering, University of Málaga, Málaga, Spain.
Laura Gálvez-CarvajalIBIMA Plataforma Bionand, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Natalia Palazón-CarriónDepartment of Medical Oncology, Hospital Universitario Virgen de la Macarena, Seville, Spain.
Francisco Jesús Martínez-MurciaInstituto Andaluz Interuniversitario en Ciencia de Datos e Inteligencia Computacional (DaSCI), Granada, Spain.
Luis de la Cruz-MerinoDepartment of Medical Oncology, Hospital Universitario Virgen de la Macarena, Seville, Spain.
Eva Muñoz-CouseloDepartment of Medical Oncology, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Mariano ProvencioDepartment of Medical Oncology, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Andrés OrtizCommunications Engineering, University of Málaga, Málaga, Spain.
Juan Manuel GórrizInstituto Andaluz Interuniversitario en Ciencia de Datos e Inteligencia Computacional (DaSCI), Granada, Spain.
Javier RamírezInstituto Andaluz Interuniversitario en Ciencia de Datos e Inteligencia Computacional (DaSCI), Granada, Spain.
Antonio Rueda-DomínguezIBIMA Plataforma Bionand, Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Isabel BlancasDepartment of Medical Oncology, Hospital Universitario San Cecilio, Granada, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Peripheral immune biomarkers provide a minimally invasive approach to monitor systemic responses to cancer immunotherapy, yet their predictive value in real-world longitudinal settings remains incompletely defined. Methods: We conducted a prospective longitudinal study in patients with advanced melanoma and non-small cell lung cancer (NSCLC) receiving immune checkpoint inhibitors. Thirteen circulating immune, inflammatory, and nutritional biomarkers were analyzed across treatment cycles, and their association with radiological response over time was assessed using Bayesian ordinal mixed-effects models. Results: Nine biomarkers showed significant longitudinal associations with clinical outcomes. CD4+ T cells emerged as the strongest predictor of favorable response, followed by CD3+ and CD45+ T cells, natural killer cells, albumin, and total protein, whereas elevated neutrophils, lactate dehydrogenase, and the neutrophil-to-lymphocyte ratio were associated with poor outcomes. No significant effects were observed for CD8+ T cells, B cells, total lymphocytes, or the CD4/CD8 ratio. Discussion: These findings identify circulating CD4+ T cells as the most informative peripheral biomarker associated with longitudinal response to immune checkpoint inhibitors and support the clinical utility of peripheral immune profiling as a dynamic, minimally invasive strategy for monitoring treatment efficacy in routine oncology practice.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungImmune Checkpoint InhibitorsLung NeoplasmsMelanomaAdultAgedCD4-Positive T-LymphocytesFemaleHumansImmunotherapyLongitudinal StudiesMaleMiddle AgedProspective StudiesTreatment OutcomeBiomarkers, TumorImmune Checkpoint InhibitorsBayesian mixed-effects modelsCD4+ T cellscirculating biomarkersimmune checkpoint inhibitorslongitudinal analysislymphocyte subpopulationsperipheral immune profiling

Identifiers

PMID42495619
PMCPMC13391877

What Socratic holds

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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.