Evidence map›Paper›PMID 30088816›Full record

ArticleJCO precision oncology2018

Transcriptional subtyping and CD8 immunohistochemistry identifies poor prognosis stage II/III colorectal cancer patients who benefit from adjuvant chemotherapy.

W L Allen, P D Dunne, S McDade, E Scanlon, M Loughrey, H Coleman, C McCann, K McLaughlin, Z Nemeth, N Syed and 21 more

Open access · hybridAbstract read
In one paragraph

Article in JCO precision oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 5% of its field
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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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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

31 authors.

W L AllenCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
P D DunneCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
S McDadeCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
E ScanlonCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
M LoughreyCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
H ColemanCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
C McCannCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
K McLaughlinCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
Z NemethCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
N SyedSidra Medical and Research Center, Qatar.
P JitheshSidra Medical and Research Center, Qatar.
K ArthurCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
R WilsonCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
V CoyleCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
D McArtCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
G I MurrayNHS Grampian, Aberdeen.
L SamuelNHS Grampian, Aberdeen.
P NuciforoUniversity Hospital Vall d'Hebron, Barcelona, Spain.
J JimenezUniversity Hospital Vall d'Hebron, Barcelona, Spain.
G ArgilesUniversity Hospital Vall d'Hebron, Barcelona, Spain.
R DienstmannUniversity Hospital Vall d'Hebron, Barcelona, Spain.
J TaberneroUniversity Hospital Vall d'Hebron, Barcelona, Spain.
L MesseriniUniversity of Florence, Italy.
S NobiliUniversity of Florence, Italy.
E MiniUniversity of Florence, Italy.
K SheahanSchool of Medicine and Medical Science, University College Dublin.
E RyanSchool of Medicine and Medical Science, University College Dublin.
P G JohnstonCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
S Van SchaeybroeckCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
M LawlerCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.
D B LongleyCentre for Cancer Research and Cell Biology, Queen's University Belfast, UK.

Funding

Cancer Research UK 24387Cancer Research UK A13721Medical Research Council MC_PC_17117
6 · The paper itself

Abstract

purposeTranscriptomic profiling of colorectal cancer (CRC) has led to identification of four consensus molecular subtypes (CMS1-4), which have prognostic value in stage II/III disease. More recently, the Colorectal Cancer Intrinsic Subtypes (CRIS) classification system has helped to define the biology specific to the epithelial component of colorectal tumors. However, the clinical value of these classifications in predicting response to standard-of-care adjuvant chemotherapy remains unknown. PATIENTS AND

methodsUsing samples from 4 European sites, we assembled a novel stage II/III CRC patient cohort and performed transcriptomic profiling on 156 samples, targeted sequencing and generated a tissue microarray to enable integrated "multi-omics" analyses. We also accessed data from 2 published stage II/III CRC patient cohorts: GSE39582 and GSE14333 (479 and 185 samples respectively).

resultsThe epithelial-rich CMS2 subtype of CRC benefitted significantly from adjuvant chemotherapy treatment in both stage II and III disease (p=0.02 and p<0.0001 respectively), while the CMS3 subtype significantly benefitted in stage III only (p=0.00073). Following CRIS sub-stratification of CMS2, we observed that only the CRIS-C subtype significantly benefitted from adjuvant chemotherapy in stage II

conclusionPatient stratification using a combination of transcriptional subtyping and CD8 immunohistochemistry analyses is capable of identifying poor prognostic stage II/III patients who benefit from adjuvant standard-of-care chemotherapy. These findings are particularly relevant for stage II disease, where the overall benefit of adjuvant chemotherapy is marginal.

Identifiers

PMID30088816
PMCPMC6040635
OpenAlexW2808042645

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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 OpenQuestion graph.