Evidence map›Paper›PMID 39915459›Full record

ReviewCell death & disease2025

Overcoming immunotherapy resistance in gastric cancer: insights into mechanisms and emerging strategies.

Dingtian Luo, Jing Zhou, Shuiliang Ruan, Binzhong Zhang, Huali Zhu, Yangming Que, Shijie Ying, Xiaowen Li, Yuanmin Hu, Zhengwei Song

Abstract readReview
In one paragraph

Review in Cell death & disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

45 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

10 authors.

Dingtian Luo *Gastroenterology Department, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Jing Zhou *Department of Surgery, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Shuiliang RuanGastroenterology Department, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Binzhong ZhangDepartment of Surgery, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Huali ZhuGastroenterology Department, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Yangming QueGastroenterology Department, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Shijie YingGastroenterology Department, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Xiaowen LiPathology Department, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Yuanmin HuIntensive Care Unit, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China. 396131252@qq.com.ORCID 0009-0009-9223-7059
Zhengwei SongDepartment of Surgery, the Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China. doctorsongzw@zjxu.edu.cn.ORCID 0009-0003-8045-8950

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric cancer (GC) remains a leading cause of cancer-related mortality worldwide, with limited treatment options in advanced stages. Immunotherapy, particularly immune checkpoint inhibitors (ICIs) targeting PD1/PD-L1, has emerged as a promising therapeutic approach. However, a significant proportion of patients exhibit primary or acquired resistance, limiting the overall efficacy of immunotherapy. This review provides a comprehensive analysis of the mechanisms underlying immunotherapy resistance in GC, including the role of the tumor immune microenvironment, dynamic PD-L1 expression, compensatory activation of other immune checkpoints, and tumor genomic instability. Furthermore, the review explores GC-specific factors such as molecular subtypes, unique immune evasion mechanisms, and the impact of Helicobacter pylori infection. We also discuss emerging strategies to overcome resistance, including combination therapies, novel immunotherapeutic approaches, and personalized treatment strategies based on tumor genomics and the immune microenvironment. By highlighting these key areas, this review aims to inform future research directions and clinical practice, ultimately improving outcomes for GC patients undergoing immunotherapy.

Indexed as

Drug Resistance, NeoplasmImmunotherapyStomach NeoplasmsAnimalsB7-H1 AntigenHumansImmune Checkpoint InhibitorsTumor MicroenvironmentB7-H1 AntigenImmune Checkpoint Inhibitors

Identifiers

PMID39915459
PMCPMC11803115

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.