Evidence map›Paper›PMID 33277773›Full record

ArticleCytometry. Part B, Clinical cytometry2021

Flow cytometry-based analysis of tumor-leukocyte ratios in peritoneal fluid from patients with advanced gastric cancer.

Kazuya Takahashi, Kentaro Kurashina, Shin Saito, Rihito Kanamaru, Hideyuki Ohzawa, Hironori Yamaguchi, Hideyo Miyato, Yoshinori Hosoya, Alan Kawarai Lefor, Naohiro Sata and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cytometry. Part B, Clinical cytometry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
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  7. Article
  8. Tumor vessel normalization and immunotherapy in gastric cancer.Therapeutic advances in medical oncology · 2022
    Review
  9. Article
  10. Article
  11. Review
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

11 authors at 1 institution in 1 country.

Kazuya TakahashiDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Kentaro KurashinaDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Shin SaitoDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Rihito KanamaruDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Hideyuki OhzawaDepartment of Clinical Oncology, Jichi Medical University, Shimotsuke, Japan.
Hironori YamaguchiDepartment of Clinical Oncology, Jichi Medical University, Shimotsuke, Japan.
Hideyo MiyatoDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Yoshinori HosoyaDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Alan Kawarai LeforDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Naohiro SataDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.
Joji KitayamaDepartment of Gastrointestinal Surgery, Jichi Medical University, Shimotsuke, Japan.ORCID 0000-0002-5708-7130
Jichi Medical University · JP

Funding

Japan Society for the Promotion of Science 17H04286Keirin Race Fund from JKA Foundation
6 · The paper itself

Abstract

backgroundThe frequency of tumor cell dissemination in the peritoneal cavity is critically related to the progression of peritoneal metastases (PM). Recently, flow cytometry (FCM) has been successfully used to detect tumor cells in malignant effusions.

methodsA total of 143 single cell suspensions derived from ascites or peritoneal lavages from patients with advanced gastric cancer (GC) were stained with monoclonal antibodies to CD45 and to CD326 as well as 4,6-diamidino-2-phenylindole (DAPI) and FVS780. Using FCM, tumor-leukocyte ratio (TLR) were calculated from CD45(-)CD326(+) tumor cell counts/ CD45(+)CD326(+) leukocyte counts in DAPI (+) FVS780(-) gated area. In 54 patients, the ratios of CD11b(+), CD4(+) and CD8(+) cells in CD45(+) leukocytes were evaluated in parallel.

resultsTLR of 69 patients with PM were significantly higher than those of 74 without PM (p < .001) and log(TLR) showed strong correlation with peritoneal cancer index scores in 51 PM (+) patients (r = 0.439). TLR in PM (+) patients also correlated with the ratio of CD11b (+) myeloid cells (r = 0.547), and correlated inversely with those of CD4(+) (r = -0.490) and CD8(+) T cells (r = -0.648). In PM (-) patients who underwent gastrectomy, TLR never exceeded 0.1% in patients with primary GC without serosal involvement (<T4). However, TLR in patients with T4 GC were significantly higher (p < .05) and peritoneal recurrence occurred in 6/8 patients whose TLR exceeded 0.1%.

conclusionTLR in peritoneal fluid reflects tumor burden and the immune environment in peritoneal cavity. Multicolor FCM may provide additional information which can be used for the treatment of the patients with PM.

Indexed as

Stomach NeoplasmsAscitic FluidCD8-Positive T-LymphocytesFlow CytometryHumansLeukocytesCD326cytologyflow cytometryintraperitoneal tumor cellsperitoneal metastasis

Identifiers

PMID33277773
PMCPMC9290827
OpenAlexW3109263681

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.