Evidence map›Paper›PMID 37435200›Full record

ReviewJournal of gastrointestinal oncology2023

PD-L1 testing in advanced gastric cancer-what physicians who treat this disease must know-a literature review.

Renata D'Alpino Peixoto, Maria Cecilia Mathias-Machado, Alexandre Jácome, Mariana Gil, João Fogacci, Bárbara Sodré, Thaís Passarini, Aline Chaves, Paulo Henrique Diniz, Flora Lino and 4 more

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of gastrointestinal oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 12 citations in OpenAlex.

  1. Mechanisms of chemoresistance in gastric cancer: interplay between microRNAs and the tumor microenvironment.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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 1 institution in 1 country.

Renata D'Alpino PeixotoDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, São Paulo, Brazil.
Maria Cecilia Mathias-MachadoDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, São Paulo, Brazil.
Alexandre JácomeDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Belo Horizonte, Brazil.
Mariana GilDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Rio de Janeiro, Brazil.
João FogacciDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Rio de Janeiro, Brazil.
Bárbara SodréDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Rio de Janeiro, Brazil.
Thaís PassariniDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Belo Horizonte, Brazil.
Aline ChavesDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Belo Horizonte, Brazil.
Paulo Henrique DinizDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Belo Horizonte, Brazil.
Flora LinoDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Rio de Janeiro, Brazil.
Alexandre PalladinoDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Rio de Janeiro, Brazil.
Mirela SoutoDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Salvador, Brazil.
Ana Carolina de CastroDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, Belo Horizonte, Brazil.
Bernardo GaricocheaDepartment of Gastrointestinal Medical Oncology, Oncoclinicas, São Paulo, Brazil.
Centro de Pesquisas Oncológicas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Immune checkpoint inhibition has shed light on a new era in cancer therapy, and randomized clinical trials have demonstrated that a meaningful portion of the overall population of metastatic gastric cancer (GC) patients may derive clinical benefit from immunotherapy, which raises the relevance in identifying predictive biomarkers. Programmed cell death-ligand 1 (PD-L1) expression has demonstrated a significant association between level of expression and the magnitude of benefit derived from immune checkpoint inhibition in GC. Nevertheless, this biomarker shows several pitfalls that must be considered in the therapeutic decision to incorporate immune checkpoint inhibition as the standard of care of GC, such as spatial and temporal heterogeneity, interobserver variability, immunohistochemistry (IHC) assay, and influence by chemotherapy or radiation therapy. Methods: In the present comprehensive review, we revised the main studies regarding PD-L1 evaluation in GC. Key Content and Findings: Here we describe the molecular characteristics of the tumor microenvironment in GC, the obstacles in the interpretation of PD-L1 expression and present the data of the clinical trials that have evaluated the efficacy and safety of immune checkpoint inhibition and the association with the biomarker expression, both in first-line and later lines of therapy. Conclusions: From the emerging predictive biomarkers for immune checkpoint inhibition, PD-L1 has demonstrated a meaningful association between level of expression in tumor microenvironment and the magnitude of benefit derived from immune checkpoint inhibition in GC.

Indexed as

gastric cancer (GC)Immunotherapyliterature reviewprogrammed cell death-ligand 1 (PD-L1)

Identifiers

PMID37435200
PMCPMC10331768
OpenAlexW4382628875

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.