Evidence map›Paper›PMID 34009535›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2021

Sex-specific prognostic effect of CD66b-positive tumor-infiltrating neutrophils (TANs) in gastric and esophageal adenocarcinoma.

Alexander Quaas, Aylin Pamuk, Sebastian Klein, Jennifer Quantius, Jan Rehkaemper, Atakan G Barutcu, Josef Rueschoff, Thomas Zander, Florian Gebauer, Axel Hillmer and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

25 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  4. Target neutrophil heterogeneity and plasticity in cancer.Journal of hematology & oncology · 2025
    Review
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  19. Predictive biomarkers in gastric cancer.Journal of cancer research and clinical oncology · 2023
    Review
  20. 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

16 authors at 2 institutions in 1 country.

Alexander Quaas *Institute of Pathology, University Hospital Cologne, Cologne, Germany.
Aylin Pamuk *Department of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Sebastian KleinInstitute of Pathology, University Hospital Cologne, Cologne, Germany.
Jennifer QuantiusInstitute of Pathology, University Hospital Cologne, Cologne, Germany.
Jan RehkaemperInstitute of Pathology, University Hospital Cologne, Cologne, Germany.
Atakan G BarutcuDepartment of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.ORCID http://orcid.org/0000-0003-2393-1863
Josef RueschoffInstitute of Pathology, Nordhessen and Targos Molecular Pathology GmbH, Kassel, Germany.
Thomas ZanderDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, Gastrointestinal Cancer Group Cologne GCGC, University of Cologne, Cologne, Germany.
Florian GebauerDepartment of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Axel HillmerInstitute of Pathology, University Hospital Cologne, Cologne, Germany.
Reinhard BuettnerInstitute of Pathology, University Hospital Cologne, Cologne, Germany.
Wolfgang SchroederDepartment of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Christiane J BrunsDepartment of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Heike LöserInstitute of Pathology, University Hospital Cologne, Cologne, Germany.
Birgid Schoemig-Markiefka *Institute of Pathology, University Hospital Cologne, Cologne, Germany.
Hakan Alakus *Department of General, Visceral, Cancer and Transplantation Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany. hakan.alakus@uk-koeln.de.
University Hospital Cologne · DEUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTumor-associated neutrophils (TANs) have recently been identified as a relevant component of the tumor microenvironment (TME) in solid tumors. Within the TME TANs mediate either tumor-promoting or tumor-inhibiting activities. So far, their prognostic relevance remains to be determined. This study aims to evaluate the prognostic relevance of TANs in different molecular subtypes of gastric and esophageal adenocarcinoma.

methodsWe analyzed a total of 1118 Caucasian patients divided into gastric adenocarcinoma (n = 458) and esophageal adenocarcinoma cohort (n = 660) of primarily resected and neoadjuvant-treated individuals. The amount of CD66b + TANs in the tumor stroma was determined using quantitative image analysis and correlated to both molecular, as well as clinical data.

resultsAn accumulation of TANs in the tumor stroma of gastric carcinomas was associated to a significant favorable prognosis (p = 0.026). A subgroup analysis showed that this effect was primarily related to the molecular chromosomal instable subtype (CIN) of gastric carcinomas (p = 0.010). This was only observed in female patients (p = 0.014) but not in male patients (p = 0.315). The same sex-specific effect could be confirmed in adenocarcinomas of the esophagus (p = 0.027), as well as in female individuals after receiving neoadjuvant therapy (p = 0.034).

conclusionsTogether, we show a sex-specific prognostic effect of TANs in gastric cancer within a Caucasian cohort. For the first time, we showed that this sex-specific prognostic effect of TANs can also be seen in esophageal cancer.

Indexed as

AdenocarcinomaAntigens, CDCell Adhesion MoleculesCohort StudiesCombined Modality TherapyEsophageal NeoplasmsFemaleGender IdentityGermanyGPI-Linked ProteinsHumansMaleMiddle AgedNeoadjuvant TherapyNeutrophilsPrognosisAntigens, CDCEACAM8 protein, humanCell Adhesion MoleculesGPI-Linked ProteinsEsophageal neoplasmsGenderNeutrophilsStomach neoplasmsTumor microenvironment

Identifiers

PMID34009535
PMCPMC8502159
OpenAlexW3161484227

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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.