Evidence map›Paper›PMID 34693652›Full record

Observational studyCancer medicine2021

Prognostic significance of T-cell-inflamed gene expression profile and PD-L1 expression in patients with esophageal cancer.

Torben Steiniche, Sun Young Rha, Hyun Cheol Chung, Jeanette Baehr Georgsen, Morten Ladekarl, Marianne Nordsmark, Marie Louise Jespersen, Hyo Song Kim, Hyunki Kim, Carly Fein and 6 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
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 5 institutions in 4 countries.

Torben SteinicheDepartment of Pathology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-5689-3555
Sun Young RhaDivision of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0002-2512-4531
Hyun Cheol ChungDivision of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0002-0920-9471
Jeanette Baehr GeorgsenDepartment of Pathology, Aarhus University Hospital, Aarhus, Denmark.
Morten LadekarlDepartment of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Marianne NordsmarkDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Marie Louise JespersenDepartment of Pathology, Aarhus University Hospital, Aarhus, Denmark.
Hyo Song KimDivision of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.
Hyunki KimDepartment of Pathology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.
Carly FeinGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Laura H TangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Ting WuBARDS-Epidemiology, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Matthew J MartonDepartment of Translational Medicine, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Senaka PeterBARDS-Epidemiology, Merck & Co., Inc., Kenilworth, New Jersey, USA.
David P KelsenGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Geoffrey KuGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Aarhus University Hospital · DKMemorial Sloan Kettering Cancer Center · USYonsei University · KRMerck & Co., Inc., Rahway, NJ, USA (United States) · USAalborg University Hospital · DK

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeThe ability of the T-cell-inflamed gene expression profile (GEP) to predict clinical outcome in esophageal cancer (EC) is unknown. This retrospective observational study assessed the prognostic value of GEP and programmed death ligand 1 (PD-L1) expression in patients with EC treated in routine clinical practice.

methodsTumor samples of 294 patients from three centers in Denmark, South Korea, and the United States, collected between 2005 and 2017, were included. T-cell-inflamed GEP score was defined as non-low or low using a cutoff of -1.54. A combined positive score (CPS) ≥10 was defined as PD-L1 expression positivity. Associations between overall survival (OS) and GEP status and PD-L1 expression were explored by Cox proportional hazards models adjusting for age, sex, histology, stage, and performance status.

resultsMedian age was 65 years; 63% of patients had adenocarcinoma (AC) and 37% had squamous cell carcinoma (SCC). Thirty-six percent of tumors were GEP non-low, with higher prevalence in AC (46%) than SCC (18%). Twenty-one percent were PD-L1-positive: 32% in South Korean samples versus 16% in non-Asian samples and 26% in SCC versus 18% in AC. GEP scores and PD-L1 CPS were weakly correlated (Spearman's R = 0.363). OS was not significantly associated with GEP status (non-low vs low; adjusted hazard ratio, 0.91 [95% CI, 0.69-1.19]) or PD-L1 expression status.

conclusionNeither GEP nor PD-L1 expression was a prognostic marker in Asian and non-Asian patients with EC.

Indexed as

AgedB7-H1 AntigenBiomarkers, TumorEsophageal NeoplasmsFemaleGene Expression ProfilingHumansMalePrognosisRetrospective StudiesT-LymphocytesB7-H1 AntigenBiomarkers, TumorCD274 protein, humanadenocarcinomaretrospective studysquamous cell carcinomaT-lymphocytes

Identifiers

PMID34693652
PMCPMC8633232
OpenAlexW3210955476

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.