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Original research
CTLA4 promoter hypomethylation is a negative prognostic biomarker at initial diagnosis but predicts response and favorable outcome to anti-PD-1 based immunotherapy in clear cell renal cell carcinoma

Authors

  • Niklas Klümper Institute of Experimental Oncology, University Medical Center Bonn (UKB), Bonn, GermanyCenter for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyDepartment of Urology and Pediatric Urology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Damian J Ralser Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyDepartment of Obstetrics and Gynecology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Romina Zarbl Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyDepartment of Otorhinolaryngology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Katrin Schlack Department of Urology, University Hospital Münster, Münster, Germany PubMed articlesGoogle scholar articles
  • Andres Jan Schrader Department of Urology, University Hospital Münster, Münster, Germany PubMed articlesGoogle scholar articles
  • Marc Rehlinghaus Department of Urology, University Hospital Düsseldorf, Medical Faculty, Düsseldorf, GermanyCenter for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Düsseldorf, Germany PubMed articlesGoogle scholar articles
  • Michèle J Hoffmann Department of Urology, University Hospital Düsseldorf, Medical Faculty, Düsseldorf, GermanyCenter for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Düsseldorf, Germany PubMed articlesGoogle scholar articles
  • Günter Niegisch Department of Urology, University Hospital Düsseldorf, Medical Faculty, Düsseldorf, GermanyCenter for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Düsseldorf, Germany PubMed articlesGoogle scholar articles
  • Annemarie Uhlig Department of Urology, University Hospital Göttingen, Göttingen, Germany PubMed articlesGoogle scholar articles
  • Lutz Trojan Department of Urology, University Hospital Göttingen, Göttingen, Germany PubMed articlesGoogle scholar articles
  • Julie Steinestel Department of Urology, University Hospital Augsburg, Augsburg, Germany PubMed articlesGoogle scholar articles
  • Konrad Steinestel Institute of Pathology and Molecular Pathology, Bundeswehrkrankenhaus Ulm, Ulm, Germany PubMed articlesGoogle scholar articles
  • Ralph M Wirtz STRATIFYER Molecular Pathology GmbH, Cologne, GermanyInstitute of Pathology, St. Elisabeth Hospital, Cologne, Germany PubMed articlesGoogle scholar articles
  • Danijel Sikic Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, GermanyDepartment of Urology and Pediatric Urology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany PubMed articlesGoogle scholar articles
  • Markus Eckstein Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Erlangen, GermanyInstitute of Pathology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany PubMed articlesGoogle scholar articles
  • Glen Kristiansen Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyInstitute of Pathology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Marieta Toma Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyInstitute of Pathology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Michael Hölzel Institute of Experimental Oncology, University Medical Center Bonn (UKB), Bonn, GermanyCenter for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, Germany PubMed articlesGoogle scholar articles
  • Manuel Ritter Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyDepartment of Urology and Pediatric Urology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Sebastian Strieth Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyDepartment of Otorhinolaryngology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Jörg Ellinger Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyDepartment of Urology and Pediatric Urology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  • Dimo Dietrich Center for Integrated Oncology Aachen/Bonn/Cologne/Düsseldorf (CIO-ABCD), Bonn, GermanyDepartment of Otorhinolaryngology, University Medical Center Bonn (UKB), Bonn, Germany PubMed articlesGoogle scholar articles
  1. Correspondence to PD Dr. rer. nat. Dimo Dietrich; dimo.dietrich{at}gmail.com
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Citation

Klümper N, Ralser DJ, Zarbl R, et al
CTLA4 promoter hypomethylation is a negative prognostic biomarker at initial diagnosis but predicts response and favorable outcome to anti-PD-1 based immunotherapy in clear cell renal cell carcinoma

Publication history

  • Accepted July 29, 2021
  • First published August 26, 2021.
Online issue publication 
November 02, 2022

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