Evidence map›Paper›PMID 37965317›Full record

ArticleFrontiers in immunology2023

The oesophageal adenocarcinoma tumour immune microenvironment dictates outcomes with different modalities of neoadjuvant therapy - results from the AGITG DOCTOR trial and the cancer evolution biobank.

James M Lonie, Sandra Brosda, Vanessa F Bonazzi, Lauren G Aoude, Kalpana Patel, Ian Brown, Sowmya Sharma, Guy Lampe, Venkateswar Addala, Lambros T Koufariotis and 4 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.9field-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

9 citing papers in PubMed, 9 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

14 authors at 4 institutions in 1 country.

James M LonieSurgical Oncology Group, Frazer Institute, The University of Queensland, Brisbane, QLD, Australia.
Sandra BrosdaSurgical Oncology Group, Frazer Institute, The University of Queensland, Brisbane, QLD, Australia.
Vanessa F BonazziSurgical Oncology Group, Frazer Institute, The University of Queensland, Brisbane, QLD, Australia.
Lauren G AoudeSurgical Oncology Group, Frazer Institute, The University of Queensland, Brisbane, QLD, Australia.
Kalpana PatelSurgical Oncology Group, Frazer Institute, The University of Queensland, Brisbane, QLD, Australia.
Ian BrownFaculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Sowmya SharmaMedlab Pathology, Sydney, NSW, Australia.
Guy LampeDepartment of Anatomical Pathology, Central Laboratory Pathology Queensland, Brisbane, QLD, Australia.
Venkateswar AddalaMedical Genomics, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Lambros T KoufariotisMedical Genomics, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Scott WoodMedical Genomics, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Nicola WaddellMedical Genomics, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Riccardo DolcettiFaculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Andrew P BarbourSurgical Oncology Group, Frazer Institute, The University of Queensland, Brisbane, QLD, Australia.
The University of Queensland · AUQIMR Berghofer Medical Research Institute · AUNew South Wales Department of Health · AUPrincess Alexandra Hospital · AU

Funding

Medical Research Council APP1109048
6 · The paper itself

Abstract

A plateau in treatment effect can be seen for the current 'one-size-fits-all' approach to oesophageal adenocarcinoma (OAC) management using neoadjuvant chemoradiotherapy (nCRT) or chemotherapy (nCT). In OAC, the tumour microenvironment (TME) is largely immunosuppressed, however a subgroup of patients with an immune-inflamed TME exist and show improved outcomes. We aimed to understand the overall immune-based mechanisms underlying treatment responses and patient outcomes in OAC, and in relation to neoadjuvant therapy modality. This study included 107 patients; 68 patients were enrolled in the Australian Gastro-Intestinal Trials Group sponsored DOCTOR Trial, and 38 patients were included from the Cancer Evolution Biobank. Matched pre-treatment and post-treatment tumour biopsies were used to perform multi-modality analysis of the OAC TME including NanoString mRNA expression analysis, multiplex and single colour immunohistochemistry (IHC), and peripheral blood mononuclear cell analysis of tumour-antigen specific T cell responses. Patients with the best clinicopathological outcomes and survival had an immune-inflamed TME enriched with anti-tumour immune cells and pathways. Those with the worst survival showed a myeloid T regulatory cell enriched TME, with decreased CD8

Indexed as

AdenocarcinomaNeoadjuvant TherapyAustraliaBiological Specimen BanksBiomarkersEsophageal NeoplasmsHumansLymphocytes, Tumor-InfiltratingTumor MicroenvironmentBiomarkersneoadjuvant therapyoesophageal adenocarcinomasurvivaltreatment responsetumour microenvironment

Identifiers

PMID37965317
PMCPMC10642165
OpenAlexW4387580705

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.