Evidence map›Paper›PMID 39217196›Full record

ArticleBritish journal of cancer2024

Impact of clonal TP53 mutations with loss of heterozygosity on adjuvant chemotherapy and immunotherapy in gastric cancer.

Yun Gu, Mengyao Sun, Hanji Fang, Fei Shao, Chao Lin, Hao Liu, He Li, Hongyong He, Ruochen Li, Jieti Wang and 2 more

Abstract read
In one paragraph

Article in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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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

12 authors.

Yun GuDepartment of General Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Mengyao SunNHC Key Laboratory of Glycoconjugate Research, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fudan University, Shanghai, China.
Hanji FangNHC Key Laboratory of Glycoconjugate Research, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fudan University, Shanghai, China.
Fei ShaoDepartment of Oncology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chao LinDepartment of Emergency Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Hao LiuDepartment of Gastrointestinal Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
He LiDepartment of Gastrointestinal Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Hongyong HeDepartment of Emergency Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0001-7371-4133
Ruochen Li *Department of Emergency Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-4013-3281
Jieti Wang *Department of Endoscopy, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID http://orcid.org/0000-0002-7251-4225
Heng Zhang *Department of Gastrointestinal Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Jiejie Xu *NHC Key Laboratory of Glycoconjugate Research, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fudan University, Shanghai, China. jjxufdu@fudan.edu.cn.ORCID http://orcid.org/0000-0001-7431-9063

Funding

China Postdoctoral Science Foundation 2023M742327National Natural Science Foundation of China (National Science Foundation of China) 81972219National Natural Science Foundation of China (National Science Foundation of China) 82003019National Natural Science Foundation of China (National Science Foundation of China) 82103313National Natural Science Foundation of China (National Science Foundation of China) 82203201National Natural Science Foundation of China (National Science Foundation of China) 82272786National Natural Science Foundation of China (National Science Foundation of China) 82273192Natural Science Foundation of Shanghai (Natural Science Foundation of Shanghai Municipality) 23ZR1409900
6 · The paper itself

Abstract

backgroundThis study aimed to reveal the effect of TP53 status on clinical outcomes and underlying mechanism in gastric cancer (GC) patients.

methodsTP53 status was divided into three groups according to genome sequencing, namely clonal mutations with LOH (C-LOH), clonal diploid or subclonal mutations (CD-SC), and wild type (WT). The p53 protein activity was divided into over-expression (OE), Null and WT according to immunohistochemical staining. Four cohorts, including the TCGA, SMC, ZSHS and FUSCC cohort, were analyzed for association between TP53 mutation status and clinical outcomes and the underlying mechanism.

resultsIn TCGA cohort, TP53 CD-SC were associated with superior overall survival compared to TP53 C-LOH cases. GC patients could benefit from ACT only in TP53 CD-SC/ p53 OE and TP53/ p53 WT subgroups, and TP53 C-LOH subgroup demonstrated the worst response to pembrolizumab among three subgroups. Genomic and immunophenotypic deconvolution revealed that TP53 C-LOH, CD-SC and WT differed for genomic and immune-related features.

conclusionsTP53 C-LOH GCs with genomic instability and immune evasion phenotype have poor clinical outcomes in patients treated with ACT or immunotherapy.

Indexed as

ImmunotherapyLoss of HeterozygosityMutationStomach NeoplasmsTumor Suppressor Protein p53AgedAntibodies, Monoclonal, HumanizedChemotherapy, AdjuvantFemaleHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID39217196
PMCPMC11473753

What OpenQuestion holds

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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.