Evidence map›Paper›PMID 32215766›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2020

A panel of intestinal differentiation markers (CDX2, GPA33, and LI-cadherin) identifies gastric cancer patients with favourable prognosis.

Nair Lopes, Christian Bergsland, Jarle Bruun, Merete Bjørnslett, André Filipe Vieira, Patrícia Mesquita, Rita Pinto, Rosa Gomes, Bruno Cavadas, Eric Bennett and 4 more

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In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Cadherin 17 and digestive cancers: from diagnostic to therapeutic opportunities.Journal of experimental & clinical cancer research : CR · 2026
    Review
  3. The RNA-binding protein YTHDF3 affects gastric cancer cell migration and response to paclitaxel by regulating EZRIN.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  4. Prognostic Significance and Immune Environment Analysis Using PANoptosis Molecular Clustering in Gastric Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
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  6. Development and Characterization of the [Molecular pharmaceutics · 2025
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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

14 authors at 4 institutions in 3 countries.

Nair LopesIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal.
Christian BergslandDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, Nydalen, P.O. Box 4953, 0424, Oslo, Norway.
Jarle BruunDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, Nydalen, P.O. Box 4953, 0424, Oslo, Norway.
Merete BjørnslettDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, Nydalen, P.O. Box 4953, 0424, Oslo, Norway.
André Filipe VieiraIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal.
Patrícia MesquitaIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal.
Rita PintoIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal.
Rosa GomesOncology Department, Centro Hospitalar de Trás-Os-Montes E Alto Douro, Avenida da Noruega, Lordelo, 5000-508, Vila Real, Portugal.
Bruno CavadasIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal.
Eric BennettDepartments of Cellular and Molecular Medicine and Odontology, Faculty of Health Sciences, Copenhagen Center for Glycomics, University of Copenhagen, Blegdamsvej 3B, 2200, Copenhagen, Denmark.
Luisa PereiraIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal.
Ragnhild A LotheDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, Nydalen, P.O. Box 4953, 0424, Oslo, Norway.
Raquel AlmeidaIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal.
Leonor DavidIPATIMUP (Institute of Molecular Pathology and Immunology of the University of Porto), Rua Júlio Amaral de Carvalho, 45, 4200-135, Porto, Portugal. ldavid@ipatimup.pt.ORCID 0000-0003-4207-9258
Universidade do Porto · PTOslo University Hospital · NOUniversity of Copenhagen · DKHospital de São João · PT

Funding

FP7 People: Marie-Curie Actions 609020Fundação para a Ciência e a Tecnologia POCI-01-0145-FEDER-007274Fundação para a Ciência e a Tecnologia POCI-01-0145-FEDER-029017Fundação para a Ciência e a Tecnologia POCI-01-0145-FEDER-029503Helse Sør-Øst RHF 2016123
6 · The paper itself

Abstract

backgroundGastric cancer is the fifth most common cancer and the third cause of global cancer mortality. CDX2 is an intestinal differentiation marker with prognostic value in gastric cancer and transcriptionally regulates the expression of glycoprotein A33 (GPA33) and liver intestine cadherin (LI-cadherin).

methodsThis study evaluated the clinical significance of the combined expression of CDX2 and its targets GPA33 and LI-cadherin in gastric cancer by fluorescence-based multiplex immunohistochemistry together with digital image analysis and chromogenic immunohistochemistry in 329 gastric cancer samples arranged in tissue microarrays. Additionally, publicly available RNA-seq expression data from 354 gastric cancer samples from the TCGA database were used to validate the immunohistochemistry results.

resultsExpression of the three markers (CDX2, GPA33, and LI-cadherin) was strongly correlated, defining an intestinal differentiation panel. Low or negative protein expression of the intestinal differentiation panel identified patients with particularly poor overall survival, irrespective of the methodology used, and was validated in the independent series at the RNA-seq level.

conclusionsExpression of the intestinal differentiation panel (CDX2, GPA33, and LI-cadherin) defines a set of biomarkers with a strong biological rationale and favourable impact for prognostication of gastric cancer patients.

Indexed as

AgedAntigens, DifferentiationBiomarkers, TumorCadherinsCDX2 Transcription FactorCell DifferentiationFemaleFollow-Up StudiesHumansIntestinesMaleMembrane GlycoproteinsPrognosisRetrospective StudiesStomach NeoplasmsSurvival RateAntigens, DifferentiationBiomarkers, TumorCadherinsCDH17 protein, humanCDX2 protein, humanCDX2 Transcription FactorGPA33 protein, humanMembrane GlycoproteinsGastric cancerIntestinal differentiation markersPrognostic markers

Identifiers

PMID32215766
OpenAlexW3013504508

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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.