Evidence map›Paper›PMID 30867256›Full record

ArticleBioscience reports2019

Local environment in biopsy better predict the pathological response to neoadjuvant chemoradiotherapy in rectal cancer.

Yan Huang, Xiao-Ying Lou, Ya-Xi Zhu, Yu-Chen Wang, Lei Zhang, Hai-Ling Liu, Chao Wang, Huan-Miao Zhan, Zhi-Qiang Cheng, Wei-Yan Tan and 2 more

Open access · goldAbstract read
In one paragraph

Article in Bioscience reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 18 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

12 authors at 1 institution in 1 country.

Yan HuangDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.
Xiao-Ying LouDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.ORCID 0000-0002-5075-8317
Ya-Xi ZhuDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.
Yu-Chen WangDepartment of Orthopedics, Guangzhou Huaxin Orthopedic Hospital, Guangzhou, China.
Lei ZhangDepartment of Biliary-Pancreatic Surgery, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Hai-Ling LiuDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.
Chao WangDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.
Huan-Miao ZhanDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.
Zhi-Qiang ChengDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.
Wei-Yan TanDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China.
Lei WangDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China fanxjuan@mail.sysu.edu.cn wangl9@mail.sysu.edu.cn.
Xin-Juan FanDepartment of Pathology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, China fanxjuan@mail.sysu.edu.cn wangl9@mail.sysu.edu.cn.ORCID 0000-0002-1843-9447
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoadjuvant chemoradiotherapy (nCRT) followed by surgery is the standard treatment for locally advanced rectal cancer. Here, we analyzed the impact of local and systemic environments on the tumor response to preoperative chemoradiotherapy in rectal cancer. We recruited 141 patients with rectal cancer treated with nCRT. We evaluated the local tumor environment, including tumor-infiltrating lymphocytes (TILs), intratumor budding (ITB), and the systemic inflammatory environment, including the neutrophil-to-lymphocyte ratio (NLR) and C-reactive protein (CRP) level. Our finding revealed that tumor regression was significantly associated with the density of CD8+ TILs in the intraepithelial, the presence of ITB, the combination of NLR and CRP (NLR-CRP) value, and the combination of CD8+ intraepithelial TIL (iTIL) density and ITB presence. Moreover, multivariate analysis showed that only the combination of CD8+ iTILs and ITB was an independent predictive factor for the pathological response to nCRT in rectal cancer. Our finding demonstrate that the local tumor environment was a better predictor of the tumor response than the systemic environment and thus provided new insight into screening for patients who are more likely to benefit from cancer treatment.

Indexed as

AdultAgedAged, 80 and overBiopsyCD8-Positive T-LymphocytesChemoradiotherapyC-Reactive ProteinFemaleHumansLymphocytesLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoadjuvant TherapyNeutrophilsOutcome Assessment, Health CareC-Reactive Proteinneoadjuvant chemoradiotherapyrectal cancertumor buddingtumor-infiltrating lymphocytestumor regression grade

Identifiers

PMID30867256
PMCPMC6434387
OpenAlexW2992275217

What OpenQuestion holds

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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.