Sex-Specific Differences in Primary CNS Lymphoma Article Swipe
Thomas Roetzer-Pejrimovsky
,
Julia Furtner
,
Johanna Gesperger
,
Lukas Seebrecht
,
Dave Bandke
,
Martina Brada
,
Tanisa Brandner-Kokalj
,
Astrid Grams
,
Johannes Haybaeck
,
Melitta Kitzwoegerer
,
Stefan L. Leber
,
Franz Marhold
,
Patrizia Moser
,
Camillo Sherif
,
Johannes Trenkler
,
Julia J. Unterluggauer
,
Serge Weis
,
Franz Wuertz
,
Johannes A. Hainfellner
,
Georg Langs
,
Karl‐Heinz Nenning
,
Adelheid Wöehrer
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/cancers12061593
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/cancers12061593
Sex-specific differences have been increasingly recognized in many human diseases including brain cancer, namely glioblastoma. Primary CNS lymphoma (PCNSL) is an exceedingly rare type of brain cancer that tends to have a higher incidence and worse outcomes in male patients. Yet, relatively little is known about the reasons that contribute to these observed sex-specific differences. Using a population-representative cohort of patients with PCNSL with dense magnetic resonance (MR) imaging and digital pathology annotation (n = 74), we performed sex-specific cluster and survival analyses to explore possible associations. We found three prognostically relevant clusters for females and two for males, characterized by differences in (i) patient demographics, (ii) tumor-associated immune response, and (iii) MR imaging phenotypes. Upon a multivariable analysis, an enhanced FoxP3+ lymphocyte-driven immune response was associated with a shorter overall survival particularly in female patients (HR 1.65, p = 0.035), while an increased extent of contrast enhancement emerged as an adverse predictor of outcomes in male patients (HR 1.05, p < 0.01). In conclusion, we found divergent prognostic constellations between female and male patients with PCNSL that suggest differential roles of tumor-associated immune response and MR imaging phenotypes. Our results further underline the importance of continued sex-specific analyses in the field of brain cancer.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/cancers12061593
- https://www.mdpi.com/2072-6694/12/6/1593/pdf?version=1592491087
- OA Status
- gold
- Cited By
- 6
- References
- 71
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3035395222
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3035395222Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/cancers12061593Digital Object Identifier
- Title
-
Sex-Specific Differences in Primary CNS LymphomaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-06-16Full publication date if available
- Authors
-
Thomas Roetzer-Pejrimovsky, Julia Furtner, Johanna Gesperger, Lukas Seebrecht, Dave Bandke, Martina Brada, Tanisa Brandner-Kokalj, Astrid Grams, Johannes Haybaeck, Melitta Kitzwoegerer, Stefan L. Leber, Franz Marhold, Patrizia Moser, Camillo Sherif, Johannes Trenkler, Julia J. Unterluggauer, Serge Weis, Franz Wuertz, Johannes A. Hainfellner, Georg Langs, Karl‐Heinz Nenning, Adelheid WöehrerList of authors in order
- Landing page
-
https://doi.org/10.3390/cancers12061593Publisher landing page
- PDF URL
-
https://www.mdpi.com/2072-6694/12/6/1593/pdf?version=1592491087Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2072-6694/12/6/1593/pdf?version=1592491087Direct OA link when available
- Concepts
-
Primary (astronomy), Lymphoma, Medicine, Primary central nervous system lymphoma, Biology, Computational biology, Internal medicine, Astronomy, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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6Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 2, 2023: 3Per-year citation counts (last 5 years)
- References (count)
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71Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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