Evidence map›Paper›PMID 37520528›Full record

ArticleFrontiers in immunology2023

Noninvasive evaluation of neutrophil extracellular traps signature predicts clinical outcomes and immunotherapy response in hepatocellular carcinoma.

Hongjie Xin, Qianwei Lai, Yuchen Zhou, Jian He, Yangda Song, Minjun Liao, Jiarun Sun, Meng Li, Mingxia Zhang, Weifang Liang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
6.4field-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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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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

13 authors at 1 institution in 1 country.

Hongjie XinDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qianwei LaiDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yuchen ZhouDepartment of General Surgery, Cancer Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.
Jian HeDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yangda SongDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Minjun LiaoDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jiarun SunDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Meng LiDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Mingxia ZhangDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Weifang LiangDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yang BaiDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yongyuan ZhangHBVtech, Germantown, MD, United States.
Yuanping ZhouDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Nanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neutrophil extracellular traps (NETs) have been shown to play a pivotal role in promoting metastasis and immune escape in hepatocellular carcinoma (HCC). Therefore, noninvasive tests to detect the formation of NETs in tumors can have significant implications for the treatment and prognoses of patients. Here, we sought to develop and validate a computed tomography (CT)-based radiomics model to predict the gene expression profiles that regulate the formation of NETs in HCC. Methods: This study included 1133 HCC patients from five retrospective cohorts. Based on the mRNA expression levels of 69 biomarkers correlated with NET formation, a 6-gene score (NETs score, NETS) was constructed in cohort 1 from TCIA database (n=52) and validated in cohort 2 (n=232) from ICGC database and cohort 3 (n=365) from TCGA database. And then based on the radiomics features of CT images, a radiomics signature (RNETS) was developed in cohort 1 to predict NETS status (high- or low-NETS). We further employed two cohorts from Nanfang Hospital (Guangzhou, China) to evaluate the predictive power of RNETS in predicting prognosis in cohort 4 (n=347) and the responses to PD-1 inhibitor of HCC patients in cohort 5 (n=137). Results: For NETS, in cohort 1, the area under the curve (AUC) values predicting 1, 2, and 3-year overall survival (OS) were 0.836, 0.879, and 0.902, respectively. The low-NETS was associated with better survival and higher levels of immune cell infiltration. The RNETS yielded an AUC value of 0.853 in distinguishing between high-NETS or low-NETS and patients with low-RNETS were associated with significantly longer survival time in cohort 1 ( Conclusions: This study revealed that RNETS as a radiomics biomarker could effectively predict prognosis and immunotherapy response in HCC patients.

Indexed as

Carcinoma, HepatocellularExtracellular TrapsLiver NeoplasmsHumansImmune Checkpoint InhibitorsImmunotherapyRetrospective StudiesImmune Checkpoint Inhibitorscomputed tomographyhepatocellular carcinomaneutrophil extracellular trapsprognosisprogrammed death receptor-1radiomics

Identifiers

PMID37520528
PMCPMC10374215
OpenAlexW4384154007

What OpenQuestion holds

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LicenceCC BY
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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.