Evidence map›Paper›PMID 36977982›Full record

ArticleBMC gastroenterology2023

APC mutation correlated with poor response of immunotherapy in colon cancer.

Bing Li, Guoliang Zhang, Xuejie Xu

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
7.1field-weighted citation impact, top 3% 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, 31 citations in OpenAlex.

  1. Article
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  6. Learning Patient Similarity from Genomics for Precision Oncology.medRxiv : the preprint server for health sciences · 2025
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  11. Journal of gastrointestinal oncology · 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

3 authors at 1 institution in 1 country.

Bing Li *Department of Medical Oncology, The Affiliated Hospital of Putian University, No. 999 Dongzhen Road, Licheng District, Putian, Fujian, 351100, China.
Guoliang Zhang *Department of Thyroid Surgery, The Affiliated Hospital of Putian University, Fujian, 351100, China.
Xuejie XuDepartment of Medical Oncology, The Affiliated Hospital of Putian University, No. 999 Dongzhen Road, Licheng District, Putian, Fujian, 351100, China. xuxuejie_xj@163.com.
Putian University · CN

Funding

Science and Technology Program of Fujian Province No.2020J011258Science and Technology Program of Putian No.2020S3F009
6 · The paper itself

Abstract

objectiveAPC (adenomatous polyposis coli) gene mutation is a central initialization in colon cancer tumorigenesis. However, the connection between APC gene mutation and immunotherapy efficacy for colon cancer remains unknown. This study aimed to explore the impact of APC mutation on immunotherapy efficacy for colon cancer.

methodsColon cancer data from The Cancer Genome Atlas (TCGA) and Memorial Sloan Kettering Cancer Center (MSKCC) were used for the combined analysis. Survival analysis was performed to evaluate the association between APC mutation and immunotherapy efficacy in colon cancer patients. The expressions of immune check point molecules, tumor mutation burden (TMB), CpG methylation level, tumor purity (TP), microsatellite instability (MSI) status and tumor-infiltrating lymphocyte (TIL) in the two APC status were compared to evaluate the associations between APC mutation and immunotherapy efficacy indicators. Gene set enrichment analysis (GSEA) was performed to identify signaling pathways related to APC mutation.

resultsAPC was the most frequently mutated gene in colon cancer. The survival analysis demonstrated that APC mutation was correlated with a worse immunotherapy outcome. APC mutation was associated with lower TMB, lower expression of immune check point molecules (PD-1/PD-L1/PD-L2), higher TP, lower MSI-High proportion and less CD8 + T cells and follicular helper T cells infiltration. GSEA indicated that APC mutation up-regulated mismatch repair pathway, which may play a negative role in evoking an antitumor immune response.

conclusionAPC mutation is associated with worse immunotherapy outcome and inhibition of antitumor immunity. It can be used as a negative biomarker to predict immunotherapy response.

Indexed as

Adenomatous Polyposis ColiColonic NeoplasmsAdenomatous Polyposis Coli ProteinBiomarkers, TumorHumansImmunotherapyMicrosatellite InstabilityMutationAdenomatous Polyposis Coli ProteinAPC protein, humanBiomarkers, TumorAPC mutationcolon cancerImmune cell infiltrationImmunotherapyTumor mutation burden

Identifiers

PMID36977982
PMCPMC10053134
OpenAlexW4361219294

What OpenQuestion holds

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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.