The clinical impact of ICOS signal in colorectal cancer patients

The inducible T-cell co-stimulator (ICOS) belongs to the B7-CD28 immunoglobulin superfamily, which is currently the subject of intense study due to great successes gained in treatment of different malignancies by disrupting their family members. However, the role of ICOS played in colorectal cancer...

Full description

Saved in:
Bibliographic Details
Published inOncoimmunology Vol. 5; no. 5; p. e1141857
Main Authors Zhang, Yan, Luo, Yang, Qin, Shao-Lan, Mu, Yi-Fei, Qi, Yang, Yu, Min-Hao, Zhong, Ming
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 03.05.2016
Subjects
Online AccessGet full text

Cover

Loading…
Abstract The inducible T-cell co-stimulator (ICOS) belongs to the B7-CD28 immunoglobulin superfamily, which is currently the subject of intense study due to great successes gained in treatment of different malignancies by disrupting their family members. However, the role of ICOS played in colorectal cancer (CRC) remains poorly understood. A tissue microarray (n = 310) was stained with the ICOS specific antibody and ICOS expression is decreased in patients with either lymphatic or distant metastasis and inversely associated with CEA level and TNM stage of CRC patients. Importantly, high ICOS expression is significantly correlated with overall survival (OS) of CRC patients (n = 230, p < 0.001), and ICOS expression is also proved to be an independent prognostic factor by multivariate analysis. Surgical excised CRC specimens (n = 26) were enzymatically digested to get the tumor-infiltrating leukocytes and ICOS is mainly expressed on CD4 + T cells and its ligand ICOSL is detected on macrophages and tumor cells. ICOS expression level is associated with increased cytotoxic T lymphocyte antigen (CTLA)-4 (p < 0.001) and programmed death (PD-1) (p = 0.005) expression on T cells and more infiltrated CD8 + T cells (p < 0.001). Interestingly, ICOS + CD4 + cells isolated from tumor tissues have high T-bet and interferon (IFN)γ expression, the characteristics of Th1 cells, compared to ICOS − CD4 + cells. In addition, the correlation between the percentage of ICOS + CD4 + T cells in tumor tissue and peripheral blood was detected. Conclusively, expression of ICOS is associated with improved survival in CRC and percentage of ICOS + CD4 + cells acting as Th1 cells in either primary tumor tissue or peripheral blood may be a clinical biomarker for good prognosis of CRC patients.
AbstractList The inducible T-cell co-stimulator (ICOS) belongs to the B7-CD28 immunoglobulin superfamily, which is currently the subject of intense study due to great successes gained in treatment of different malignancies by disrupting their family members. However, the role of ICOS played in colorectal cancer (CRC) remains poorly understood. A tissue microarray (n = 310) was stained with the ICOS specific antibody and ICOS expression is decreased in patients with either lymphatic or distant metastasis and inversely associated with CEA level and TNM stage of CRC patients. Importantly, high ICOS expression is significantly correlated with overall survival (OS) of CRC patients (n = 230, p < 0.001), and ICOS expression is also proved to be an independent prognostic factor by multivariate analysis. Surgical excised CRC specimens (n = 26) were enzymatically digested to get the tumor-infiltrating leukocytes and ICOS is mainly expressed on CD4(+) T cells and its ligand ICOSL is detected on macrophages and tumor cells. ICOS expression level is associated with increased cytotoxic T lymphocyte antigen (CTLA)-4 (p < 0.001) and programmed death (PD-1) (p = 0.005) expression on T cells and more infiltrated CD8(+) T cells (p < 0.001). Interestingly, ICOS(+)CD4(+) cells isolated from tumor tissues have high T-bet and interferon (IFN)γ expression, the characteristics of Th1 cells, compared to ICOS(-)CD4(+) cells. In addition, the correlation between the percentage of ICOS(+)CD4(+) T cells in tumor tissue and peripheral blood was detected. Conclusively, expression of ICOS is associated with improved survival in CRC and percentage of ICOS(+)CD4(+) cells acting as Th1 cells in either primary tumor tissue or peripheral blood may be a clinical biomarker for good prognosis of CRC patients.
The inducible T-cell co-stimulator (ICOS) belongs to the B7-CD28 immunoglobulin superfamily, which is currently the subject of intense study due to great successes gained in treatment of different malignancies by disrupting their family members. However, the role of ICOS played in colorectal cancer (CRC) remains poorly understood. A tissue microarray (n = 310) was stained with the ICOS specific antibody and ICOS expression is decreased in patients with either lymphatic or distant metastasis and inversely associated with CEA level and TNM stage of CRC patients. Importantly, high ICOS expression is significantly correlated with overall survival (OS) of CRC patients (n = 230, p < 0.001), and ICOS expression is also proved to be an independent prognostic factor by multivariate analysis. Surgical excised CRC specimens (n = 26) were enzymatically digested to get the tumor-infiltrating leukocytes and ICOS is mainly expressed on CD4 + T cells and its ligand ICOSL is detected on macrophages and tumor cells. ICOS expression level is associated with increased cytotoxic T lymphocyte antigen (CTLA)-4 (p < 0.001) and programmed death (PD-1) (p = 0.005) expression on T cells and more infiltrated CD8 + T cells (p < 0.001). Interestingly, ICOS + CD4 + cells isolated from tumor tissues have high T-bet and interferon (IFN)γ expression, the characteristics of Th1 cells, compared to ICOS − CD4 + cells. In addition, the correlation between the percentage of ICOS + CD4 + T cells in tumor tissue and peripheral blood was detected. Conclusively, expression of ICOS is associated with improved survival in CRC and percentage of ICOS + CD4 + cells acting as Th1 cells in either primary tumor tissue or peripheral blood may be a clinical biomarker for good prognosis of CRC patients.
The inducible T-cell co-stimulator (ICOS) belongs to the B7-CD28 immunoglobulin superfamily, which is currently the subject of intense study due to great successes gained in treatment of different malignancies by disrupting their family members. However, the role of ICOS played in colorectal cancer (CRC) remains poorly understood. A tissue microarray (n = 310) was stained with the ICOS specific antibody and ICOS expression is decreased in patients with either lymphatic or distant metastasis and inversely associated with CEA level and TNM stage of CRC patients. Importantly, high ICOS expression is significantly correlated with overall survival (OS) of CRC patients (n = 230, p < 0.001), and ICOS expression is also proved to be an independent prognostic factor by multivariate analysis. Surgical excised CRC specimens (n = 26) were enzymatically digested to get the tumor-infiltrating leukocytes and ICOS is mainly expressed on CD4 + T cells and its ligand ICOSL is detected on macrophages and tumor cells. ICOS expression level is associated with increased cytotoxic T lymphocyte antigen (CTLA)-4 ( p < 0.001) and programmed death (PD-1) ( p = 0.005) expression on T cells and more infiltrated CD8 + T cells ( p < 0.001). Interestingly, ICOS + CD4 + cells isolated from tumor tissues have high T-bet and interferon (IFN)γ expression, the characteristics of Th1 cells, compared to ICOS − CD4 + cells. In addition, the correlation between the percentage of ICOS + CD4 + T cells in tumor tissue and peripheral blood was detected. Conclusively, expression of ICOS is associated with improved survival in CRC and percentage of ICOS + CD4 + cells acting as Th1 cells in either primary tumor tissue or peripheral blood may be a clinical biomarker for good prognosis of CRC patients.
The inducible T-cell co-stimulator (ICOS) belongs to the B7-CD28 immunoglobulin superfamily, which is currently the subject of intense study due to great successes gained in treatment of different malignancies by disrupting their family members. However, the role of ICOS played in colorectal cancer (CRC) remains poorly understood. A tissue microarray (n = 310) was stained with the ICOS specific antibody and ICOS expression is decreased in patients with either lymphatic or distant metastasis and inversely associated with CEA level and TNM stage of CRC patients. Importantly, high ICOS expression is significantly correlated with overall survival (OS) of CRC patients (n = 230, p < 0.001), and ICOS expression is also proved to be an independent prognostic factor by multivariate analysis. Surgical excised CRC specimens (n = 26) were enzymatically digested to get the tumor-infiltrating leukocytes and ICOS is mainly expressed on CD4(+) T cells and its ligand ICOSL is detected on macrophages and tumor cells. ICOS expression level is associated with increased cytotoxic T lymphocyte antigen (CTLA)-4 (p < 0.001) and programmed death (PD-1) (p = 0.005) expression on T cells and more infiltrated CD8(+) T cells (p < 0.001). Interestingly, ICOS(+)CD4(+) cells isolated from tumor tissues have high T-bet and interferon (IFN)γ expression, the characteristics of Th1 cells, compared to ICOS(-)CD4(+) cells. In addition, the correlation between the percentage of ICOS(+)CD4(+) T cells in tumor tissue and peripheral blood was detected. Conclusively, expression of ICOS is associated with improved survival in CRC and percentage of ICOS(+)CD4(+) cells acting as Th1 cells in either primary tumor tissue or peripheral blood may be a clinical biomarker for good prognosis of CRC patients.
Author Yu, Min-Hao
Qi, Yang
Zhang, Yan
Luo, Yang
Zhong, Ming
Qin, Shao-Lan
Mu, Yi-Fei
Author_xml – sequence: 1
  givenname: Yan
  surname: Zhang
  fullname: Zhang, Yan
  organization: School of Biomedical Engineering & Med-X Research Institute, Shanghai Jiao Tong University
– sequence: 2
  givenname: Yang
  surname: Luo
  fullname: Luo, Yang
  organization: Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
– sequence: 3
  givenname: Shao-Lan
  surname: Qin
  fullname: Qin, Shao-Lan
  organization: Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
– sequence: 4
  givenname: Yi-Fei
  surname: Mu
  fullname: Mu, Yi-Fei
  organization: Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
– sequence: 5
  givenname: Yang
  surname: Qi
  fullname: Qi, Yang
  organization: Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
– sequence: 6
  givenname: Min-Hao
  surname: Yu
  fullname: Yu, Min-Hao
  organization: Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
– sequence: 7
  givenname: Ming
  surname: Zhong
  fullname: Zhong, Ming
  email: drzhongming@hotmail.com
  organization: Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27467961$$D View this record in MEDLINE/PubMed
BookMark eNqFUU1PGzEUtKogElJ-Qqs99pJge732WkgVKCotElIOgMTN8r54wZXXDvYGxL-vV0kq4AC-2O9jZp7fHKGRD94g9I3gOcE1PqGEU4bp3ZxiwueEMFJX4guaDPnZUBi9eo_RcUp_cT4cV7yUh2hMBeNCcjJBZzcPpgBnvQXtCtutNfRFaIvLxfK6SPbeD1lfQHAhGuhzBNqDicVa99b4Pn1FB612yRzv7im6vfh1s_gzu1r-vlycX82A8bqfcUZbvSq1qamUTdnk6WRZs5wmgJluGGhBm5LVLQFJoeRA8k8bqCivJBdtOUU_t7zrTdOZFWTtqJ1aR9vp-KKCtuptxdsHdR-eFJMECyIywY8dQQyPG5N61dkExjntTdgkRWosaimGuabo-2ut_yL7teWG020DxJBSNK0C2-eFhEHaOkWwGnxSe5_U4JPa-ZTR1Tv0XuAz3NkWZ30bYqefQ3Qr1euX7E0bsy02qfJjin9Qyahc
CitedBy_id crossref_primary_10_1016_j_genrep_2021_101388
crossref_primary_10_1016_j_semcancer_2022_06_009
crossref_primary_10_1080_14712598_2020_1693540
crossref_primary_10_1080_25785826_2021_1975228
crossref_primary_10_1080_2162402X_2017_1371896
crossref_primary_10_1158_2326_6066_CIR_20_0034
crossref_primary_10_1158_2326_6066_CIR_20_0274
crossref_primary_10_2139_ssrn_4061186
crossref_primary_10_3389_fimmu_2020_02104
crossref_primary_10_1016_j_intimp_2024_111949
crossref_primary_10_1016_j_imbio_2022_152181
crossref_primary_10_1016_j_ctrv_2023_102614
crossref_primary_10_3390_vaccines8010071
crossref_primary_10_3390_cancers13061297
crossref_primary_10_1002_cjp2_258
crossref_primary_10_1016_j_semcancer_2017_10_001
crossref_primary_10_18632_aging_102025
crossref_primary_10_1111_cas_15314
crossref_primary_10_3346_jkms_2023_38_e258
crossref_primary_10_3390_ijms25168775
crossref_primary_10_1186_s40425_019_0700_3
crossref_primary_10_1016_j_molimm_2018_02_017
crossref_primary_10_1016_j_isci_2022_104613
crossref_primary_10_3390_cancers14092241
crossref_primary_10_3389_fped_2019_00279
crossref_primary_10_3389_fonc_2022_946967
crossref_primary_10_3166_onco_2018_0011
crossref_primary_10_1016_j_intimp_2018_01_018
crossref_primary_10_1136_esmoopen_2019_000544
crossref_primary_10_3389_fimmu_2020_01052
crossref_primary_10_1007_s12253_018_0509_2
crossref_primary_10_3389_fimmu_2024_1391840
crossref_primary_10_1136_jitc_2024_010028
crossref_primary_10_1093_nargab_lqab016
crossref_primary_10_1111_jcmm_16547
crossref_primary_10_1016_j_cell_2020_02_015
crossref_primary_10_3390_cancers13123063
crossref_primary_10_4110_in_2020_20_e3
crossref_primary_10_3389_fmolb_2023_1277933
crossref_primary_10_3390_cancers15194793
crossref_primary_10_1007_s11684_018_0657_5
crossref_primary_10_1002_ame2_12355
crossref_primary_10_1080_14728222_2018_1444753
crossref_primary_10_1007_s10495_024_02022_8
crossref_primary_10_1186_s12885_020_06987_y
crossref_primary_10_1002_cnr2_1160
crossref_primary_10_1136_jitc_2022_005980
crossref_primary_10_1172_JCI139905
crossref_primary_10_2147_PGPM_S301718
crossref_primary_10_2147_JIR_S401123
crossref_primary_10_3389_fphar_2021_681320
crossref_primary_10_1111_bjd_18040
crossref_primary_10_1080_15592294_2020_1754675
crossref_primary_10_1016_j_jconrel_2020_01_030
Cites_doi 10.1002/(SICI)1521-4141(200004)30:4<1040::AID-IMMU1040>3.0.CO;2-6
10.1016/j.ejca.2013.02.015
10.1038/cr.2012.178
10.1016/1074-7613(94)90071-X
10.1158/0008-5472.CAN-12-2409
10.1038/70932
10.1038/45582
10.1038/nrd1254
10.1038/nri727
10.1038/16717
10.1016/S1074-7613(00)00011-X
10.1084/jem.192.7.1027
10.1016/S1040-8428(02)00159-2
10.4049/jimmunol.165.9.5035
10.1016/S1074-7613(00)80480-X
10.1038/85330
10.1016/j.it.2013.07.003
10.1146/annurev.immunol.20.091101.091806
10.1084/jem.183.6.2541
10.4161/onci.23185
10.1084/jem.192.10.1501
10.1016/S1074-7613(00)80117-X
10.1016/j.immuni.2011.03.014
ContentType Journal Article
Copyright 2016 The Author(s). Published with license by Taylor & Francis Group, LLC © Yan Zhang, Yang Luo, Shao-Lan Qin, Yi-Fei Mu, Yang Qi, Min-Hao Yu, and Ming Zhong. 2016
2016 The Author(s). Published with license by Taylor & Francis Group, LLC 2016 The Author(s)
Copyright_xml – notice: 2016 The Author(s). Published with license by Taylor & Francis Group, LLC © Yan Zhang, Yang Luo, Shao-Lan Qin, Yi-Fei Mu, Yang Qi, Min-Hao Yu, and Ming Zhong. 2016
– notice: 2016 The Author(s). Published with license by Taylor & Francis Group, LLC 2016 The Author(s)
DBID 0YH
AAYXX
CITATION
NPM
7X8
5PM
DOI 10.1080/2162402X.2016.1141857
DatabaseName Taylor & Francis Open Access
CrossRef
PubMed
MEDLINE - Academic
PubMed Central (Full Participant titles)
DatabaseTitle CrossRef
PubMed
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic


PubMed
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 0YH
  name: Taylor & Francis Open Access
  url: https://www.tandfonline.com
  sourceTypes: Publisher
DeliveryMethod fulltext_linktorsrc
Discipline Biology
DocumentTitleAlternate Y. ZHANG ET AL
EISSN 2162-402X
EndPage e1141857
ExternalDocumentID PMC4910717
27467961
10_1080_2162402X_2016_1141857
1141857
Genre Original Article
Research Support, Non-U.S. Gov't
Journal Article
GroupedDBID 00X
0YH
53G
AAKDD
ABUPF
ACENM
ACGFS
ADBBV
ADCVX
AENEX
AIJEM
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BABNJ
BLEHA
CCCUG
DEAQA
DGEBU
DGFLZ
EBS
EJD
EUPTU
GROUPED_DOAJ
H13
HYE
KRBQP
KSSTO
KTTOD
KWAYT
KYCEM
M4Z
O9-
OK1
RPM
TDBHL
TFL
TFW
TNTFI
TTHFI
AAYXX
CITATION
4.4
ABDBF
ACUHS
EBD
LJTGL
NPM
OVD
TEORI
7X8
5PM
EMOBN
ID FETCH-LOGICAL-c468t-642fad3ae8299b3b21693846421c04ab4ca72b348f1c92c36c1108bc5265967f3
IEDL.DBID 0YH
ISSN 2162-402X
2162-4011
IngestDate Thu Aug 21 13:41:26 EDT 2025
Fri Jul 11 08:51:26 EDT 2025
Thu Apr 03 06:57:53 EDT 2025
Thu Apr 24 23:01:58 EDT 2025
Tue Jul 01 02:07:43 EDT 2025
Wed Dec 25 09:01:33 EST 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 5
Keywords colorectal cancer
ICOS
Th1 cell
prognosis
B7-CD28 family
Language English
License open-access: http://creativecommons.org/licenses/by-nc/3.0/: This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The moral rights of the named author(s) have been asserted.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The moral rights of the named author(s) have been asserted.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c468t-642fad3ae8299b3b21693846421c04ab4ca72b348f1c92c36c1108bc5265967f3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Supplemental data for this article can be accessed on the publisher's website.
These authors contributed equally to this work.
OpenAccessLink https://www.tandfonline.com/doi/abs/10.1080/2162402X.2016.1141857
PMID 27467961
PQID 1807897169
PQPubID 23479
ParticipantIDs pubmed_primary_27467961
crossref_citationtrail_10_1080_2162402X_2016_1141857
informaworld_taylorfrancis_310_1080_2162402X_2016_1141857
crossref_primary_10_1080_2162402X_2016_1141857
pubmedcentral_primary_oai_pubmedcentral_nih_gov_4910717
proquest_miscellaneous_1807897169
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2016-05-03
PublicationDateYYYYMMDD 2016-05-03
PublicationDate_xml – month: 05
  year: 2016
  text: 2016-05-03
  day: 03
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Oncoimmunology
PublicationTitleAlternate Oncoimmunology
PublicationYear 2016
Publisher Taylor & Francis
Publisher_xml – name: Taylor & Francis
References cit0011
cit0022
cit0001
cit0012
cit0023
cit0020
cit0010
cit0021
cit0008
cit0019
cit0009
cit0006
cit0017
cit0007
cit0018
cit0004
cit0015
cit0005
cit0016
cit0002
cit0013
cit0003
cit0014
References_xml – ident: cit0017
  doi: 10.1002/(SICI)1521-4141(200004)30:4<1040::AID-IMMU1040>3.0.CO;2-6
– ident: cit0009
  doi: 10.1016/j.ejca.2013.02.015
– ident: cit0015
  doi: 10.1038/cr.2012.178
– ident: cit0019
  doi: 10.1016/1074-7613(94)90071-X
– ident: cit0004
  doi: 10.1158/0008-5472.CAN-12-2409
– ident: cit0013
  doi: 10.1038/70932
– ident: cit0014
  doi: 10.1038/45582
– ident: cit0023
  doi: 10.1038/nrd1254
– ident: cit0001
  doi: 10.1038/nri727
– ident: cit0006
  doi: 10.1038/16717
– ident: cit0007
  doi: 10.1016/S1074-7613(00)00011-X
– ident: cit0021
  doi: 10.1084/jem.192.7.1027
– ident: cit0010
  doi: 10.1016/S1040-8428(02)00159-2
– ident: cit0011
  doi: 10.4049/jimmunol.165.9.5035
– ident: cit0018
  doi: 10.1016/S1074-7613(00)80480-X
– ident: cit0022
  doi: 10.1038/85330
– ident: cit0002
  doi: 10.1016/j.it.2013.07.003
– ident: cit0016
  doi: 10.1146/annurev.immunol.20.091101.091806
– ident: cit0020
  doi: 10.1084/jem.183.6.2541
– ident: cit0005
  doi: 10.4161/onci.23185
– ident: cit0012
  doi: 10.1084/jem.192.10.1501
– ident: cit0003
  doi: 10.1016/S1074-7613(00)80117-X
– ident: cit0008
  doi: 10.1016/j.immuni.2011.03.014
SSID ssj0000605639
Score 2.3591568
Snippet The inducible T-cell co-stimulator (ICOS) belongs to the B7-CD28 immunoglobulin superfamily, which is currently the subject of intense study due to great...
SourceID pubmedcentral
proquest
pubmed
crossref
informaworld
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage e1141857
SubjectTerms B7-CD28 family
colorectal cancer
ICOS
Original Research
prognosis
Th1 cell
Title The clinical impact of ICOS signal in colorectal cancer patients
URI https://www.tandfonline.com/doi/abs/10.1080/2162402X.2016.1141857
https://www.ncbi.nlm.nih.gov/pubmed/27467961
https://www.proquest.com/docview/1807897169
https://pubmed.ncbi.nlm.nih.gov/PMC4910717
Volume 5
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LSwMxEA5aEbyIb9dHieB1dTdJs7s3pShVUA9aqKeQpAkKspV2e_Dfm8k-6IrSg8d9DISZSeZLMvMNQudaJYSNGQmljVTIEp6FEIZDpk2kFY1V6jvPPTzywZDdj3p1NuGsSquEPbQtiSL8Wg2TW6pZnRF3SWIOdwIjSMziQHYLfEaraI2AtzqXjl4HzTFL5OC6C8J17c5f0q2o1OIs_Q15_kygXIhIt1tos4KS-Lq0_TZaMfkOWi-bS37toivnAbgufMRlNSSeWHzXf3rGkLYBb3MMrNWw6rknDR4wxRXV6mwPDW9vXvqDsOqXEGrG0yJ0Wwkrx1Sa1MUYRRUBohWHLxiJdcSkYlomRFGW2lhnRFOuoQZAaWDIz3hi6T7q5JPcHCJs3DzVko8d-nOAiWjJkqRHlHUR3vQybQLEan0JXZGJQ0-LDxFXnKO1mgWoWVRqDtBFI_ZZsmksE8gWjSEKf4xhy54jgi6RPastJ9ycgYsQmZvJfCZiT7IPPEEBOigt2QyHQP-VjMcBSlo2bn4APu72l_z9zfNyMwe93O746B9jPkYb8OgzKukJ6hTTuTl1qKdQXe_XXX8c9Q1o1PcF
linkProvider Taylor & Francis
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LT8MwDLZgCMEF8aY8g8S10KZput5AE2iDbRzYpHGKmiwRSKhDW3fg3xP3MW0ItAPHNrEU2Un8JbE_A1wpGVE2ZNRNjCddFvHYRTfsMqU9JQNf1vPKc50ub_bZ4yAczOXCYFglnqFNQRSR79W4uPEyugqJu6E-x0eBAUZmcWS7RUKjVVgLrfPF8g3ea3N2z-JZvG69cJW885f0gltaIC39DXr-jKCcc0kP27BVYklyVxh_B1Z0ugvrRXXJrz24tVOAVJmPpEiHJCNDWo3nF4JxG_g3JUhbjdue_VI4Bcak5Fqd7EP_4b7XaLplwQRXMV7PXHuWMMkwSHTdOhkZSIpMKxZgMOorjyWSqSSiMmB146uYqoArTAKQCinyYx6Z4ABq6SjVR0C0Xagq4UML_yxioiphURRSaayL12GstAOs0pdQJZs4FrX4EH5JOlqpWaCaRalmB65nYp8FncYygXjeGCLL7zFMUXREBEtkLyvLCbto8CUkSfVoOhF-zrKPREEOHBaWnA2HYgGWmPsORAs2nnVAQu7FlvT9LSfmZhZ72ePx8T_GfAEbzV6nLdqt7tMJbGJTHl4ZnEItG0_1mYVAmTzP5_g3CzT5aQ
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LSwMxEB60ongR39ZnBK-ru9k0u3tTqqX1DVqop7BJExRkK7Y9-O-d2UexonjwuI-BMDPJfElmvgE4Mjrioi-4lzpfeyKSiUdh2BPG-kaHgY7zznM3t7LdFZe9RpVNOCzTKmkP7QqiiHytpsn91ndVRtwJDyTdCfQoMUsS2S3xGc3CXCPGWI8u7T-1J8csPsJ1DMJV7c5v0lNRaYqz9Cfk-T2B8ktEai3DUgkl2Vlh-xWYsdkqzBfNJT_W4BQ9gFWFj6yohmQDxzrNuwdGaRv0NmPEWk2rHj4Z8oB3VlKtDteh27p4bLa9sl-CZ4SMRx5uJVzaD1MbY4zRoeZEtIL4QvDA-CLVwqQR16GIXWASbkJpqAZAG2LIT2Tkwg2oZYPMbgGzOE9NKvuI_hAwcZOKKGpw7TDC20ZibB1EpS9lSjJx6mnxqoKSc7RSsyI1q1LNdTieiL0VbBp_CSRfjaFG-TGGK3qOqPAP2cPKcgrnDF2EpJkdjIcqyEn2iSeoDpuFJSfD4dR_JZFBHaIpG09-ID7u6S_Zy3POyy0QeuHuePsfYz6Ahfvzlrru3F7twCJ9yZMrw12ojd7Hdg8B0Ejv5y7-CZPl-Js
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+clinical+impact+of+ICOS+signal+in+colorectal+cancer+patients&rft.jtitle=Oncoimmunology&rft.au=Zhang%2C+Yan&rft.au=Luo%2C+Yang&rft.au=Qin%2C+Shao-Lan&rft.au=Mu%2C+Yi-Fei&rft.date=2016-05-03&rft.issn=2162-4011&rft.volume=5&rft.issue=5&rft.spage=e1141857&rft_id=info:doi/10.1080%2F2162402X.2016.1141857&rft_id=info%3Apmid%2F27467961&rft.externalDocID=27467961
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2162-402X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2162-402X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2162-402X&client=summon