Table 1.
Ref | N | Stage | UC only | Methods | Relation with Survival | |||||
---|---|---|---|---|---|---|---|---|---|---|
Outcome Parameter |
Immune Marker | HR 1 | 95% CI | p | Adjusted for | |||||
[10] | 115 | Low-grade NMIBC | Yes | IHC | RFS | CD3 | 5.83 2 | 1.52–22.36 | 0.010 | Tumor size, T stage, GZMB and CD4,20,56,68 |
CD8 | 5.33 2 | 1.51–18.74 | 0.009 | |||||||
[25] | 302 | NMIBC: 212 MIBC: 90 |
Yes | IHC | OS | CD8 INT | 0.87 | 0.46–1.65 | 0.67 | Age, T and N stages, tumor size and grade |
RFS | CD8 INT | 0.68 | 0.46–1.01 | 0.057 | - | |||||
[21] | 69 | NMIBC: 38 MIBC: 31 |
Yes | IHC | OS | CD8 INT | 0.3 | 0.09–0.96 | 0.042 | T stage |
DFS | CD8 INT | 0.79 | 0.27–2.33 | 0.67 | ||||||
[8] | 253 | NMBIC: 201 MIBC: 52 |
Yes | IHC | PFS - NMIBC | CD3, CD8 | NR | NR | ns | - |
CSS - MIBC | CD3 | 0.60 | 0.41–0.89 | 0.009 | ||||||
CD8 | 0.82 | 0.57–1.16 | 0.26 | |||||||
[18] | 67 | NMIBC: 5 MIBC: 62 |
No | IHC | OS | CD3 INT | 2.91 | 0.85–10.0 | 0.09 | Stage, LVI, surgical margins, prior BCG and (N)AC |
CD3 IM | 0.57 | 0.12–2.63 | 0.47 | |||||||
CD8 INT | 0.32 | 0.09–1.11 | 0.07 | |||||||
CD8 IM | 0.33 | 0.12–0.88 | 0.03 | |||||||
DFS | CD3 INT | 1.27 | 0.46–3.53 | 0.64 | ||||||
CD3 IM | 0.60 | 0.16–2.17 | 0.43 | |||||||
CD8 INT | 0.55 | 0.18–1.65 | 0.29 | |||||||
CD8 IM | 0.35 | 0.14–0.86 | 0.02 | |||||||
[11] | 102 | NMIBC: 53 MIBC: 49 |
Yes | IHC | OS | CD8 | 0.66 | 0.28–1.58 | 0.35 | T stage, tumor size, grade, NLR and neutrophils |
[19] | 60 | T1 | Yes | IHC | PFS | CD3 INT | NR | NR | 0.69 | - |
CSS | CD3 INT | NR 3 | NR | 0.045 | ||||||
[20] | 37 | NMIBC: 4 MIBC: 33 |
Yes | IHC | OS | CD3 INT/IM | 0.42 | 0.18–1.00 | 0.049 | Age, gender, T and M stages, and (N)AC |
PFS | CD3 INT/IM | 0.09 | 0.02–0.48 | 0.004 | ||||||
[22] | 56 | NMIBC: 11 MIBC: 45 |
Yes | IHC | OS | CD8 INT | 0.1 | 0.01–0.69 | 0.02 | T and N stages, and LVI |
CSS | CD8 INT | 0.05 | 0.01–0.62 | 0.02 | ||||||
[12] | 404 | MIBC 4 | Yes | RNA-seq, TIMER | OS | CD8 | 7.70 | 1.60–36.97 | 0.12 | Age, stage, B cells, DCs, neutrophils and TAMs |
[24] | 287 | MIBC 4 | Yes | RNA-seq, CIBERSORT | OS | CD8 | 0.15 | 0.014–1.75 | 0.13 | - |
118 | MIBC | No | IHC | OS | CD8 INT | 0.91 | 0.84–0.98 | 0.016 | ||
CD8 ST | 0.97 | 0.94–0.99 | 0.003 | |||||||
140 | MIBC | No | IHC | OS | CD8 INT | 0.94 | 0.90–0.99 | 0.015 | ||
CD8 ST | 0.98 | 0.97–0.99 | 0.001 | |||||||
[13] | 407 | MIBC 4 | Yes | RNA-seq | OS | CD3D | NR 5 | NR | 0.032 | Age, gender and T stage |
CD8A | NR 5 | NR | 0.06 | |||||||
[14] | 248 | NMIBC: 129 MIBC: 119 |
Yes | IHC | OS | CD8 ST | NR 6 | NR | <0.01 | - |
RFS | CD8 ST | NR | NR | 0.99 | ||||||
[15] | 149 | NMIBC: 18 MIBC: 131 |
Yes | IHC | OS | CD3 | 0.84 | 0.68–1.04 | 0.11 | - |
CD8 | 0.80 | 0.63–1.02 | 0.07 | |||||||
CSS | CD3 | 0.81 | 0.63-1.03 | 0.089 | ||||||
CD8 | 0.75 | 0.56-1.01 | 0.56 | |||||||
[16]7 | 302 | NMIBC: 212 MIBC: 90 |
Yes | IHC | OS | CD8 INT | 0.43 | NR | 0.003 | NR |
CD8 ST | 2.21 | NR | 0.009 | |||||||
[17] | 44 | NMIBC: 5 MIBC: 39 |
No | IHC | CSS | CD8 | 0.95 | 0.20–3.55 | 0.947 | T and N stages, and CD169+ cells |
[26] | 67 | T1 | Yes | IHC | OS | CD8 INT | 0.36 | 0.07–1.40 | 0.13 | Tumor size and multifocality |
[9] | 221 | NMIBC: 43 MIBC: 178 |
Yes | IHC | OS | Immunoscore | 2.01 1 | 1.20–3.36 | 0.008 | T and N stages, and vascular invasion |
Abbreviations: GZMB = granzyme B; IHC = immunohistochemistry; IM = invasive margin, INT = intraepithelial, LVI = lymphovascular invasion, MIBC = muscle-invasive bladder cancer; (N)AC = (neo)adjuvant chemotherapy; NMIBC = nonmuscle invasive bladder cancer; NR: not reported, RFS = recurrence-free survival; RNA-seq = RNA sequencing; ST = stromal; UC: urothelial carcinoma. 1 HR > 1 indicates increased risk of an event in patients with higher immune cell infiltration, except for the Immunoscore in the last row. 2 OR instead of HR. OR >1 indicates increased risk of recurrence. 3 Positive association with CSS (100% vs. 70%). 4 Datasets partially overlap. 5 Positive association with OS. 6 Negative association with OS (median OS 48 vs. 59 months). 7 Only an abstract is available.