Evidence map›Paper›PMID 39949777›Full record

ArticleFrontiers in immunology2025

Characteristics and clinical significance of immune cells in omental milky spots of patients with gastric cancer.

Yasunobu Mano, Yuka Igarashi, Keisuke Komori, Itaru Hashimoto, Hayato Watanabe, Kosuke Takahashi, Kazuki Kano, Hirohito Fujikawa, Takanobu Yamada, Hidetomo Himuro and 7 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

17 authors.

Yasunobu Mano *Division of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Yuka Igarashi *Division of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Keisuke Komori *Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Itaru HashimotoDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Hayato WatanabeDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Kosuke TakahashiDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Kazuki KanoDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Hirohito FujikawaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Takanobu YamadaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Hidetomo HimuroDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Taku KouroDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Feifei WeiDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Kayoko TsujiDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Shun HoraguchiDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Mitsuru KomahashiDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Takashi OshimaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
Tetsuro SasadaDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The omentum is a common site of peritoneal metastasis in various cancers, including gastric cancer. It contains immune cell aggregates known as milky spots, which provide a microenvironment for peritoneal immunity by regulating innate and adaptive immune responses. In this study, we investigated gene expression profiles in cells from omental milky spots of patients with gastric cancer (n = 37) by RNA sequencing analysis and classified the patients into four groups (G1-4). Notably, significant differences were observed between the groups in terms of macroscopic type, lymphatic invasion, venous invasion, and pathological stage (pStage). G3, which was enriched in genes related to acquired immunity, showed earlier tumor stages (macroscopic type 0, Ly0, V0, and pStage I) and a better prognosis. In contrast, G4 showed enrichment of genes related to neutrophils and innate immunity; G1 and G2 showed no enrichment of innate or adaptive immune-related genes, suggesting an immune desert microenvironment. Cytometric analysis revealed significantly more T and B cells and fewer neutrophils in G3. Accordingly, the immune microenvironment in omental milky spots may vary depending on the stage of gastric cancer progression. When univariate Cox proportional hazards regression models were used to search for prognostically relevant genes specific to G3, 23 potential prognostic genes were identified as common genes associated with relapse-free survival and overall survival. In addition, the multivariate Cox proportional hazards model using these prognostic genes and clinicopathological information showed that combining the B cell marker

Indexed as

OmentumPeritoneal NeoplasmsStomach NeoplasmsAdultAgedBiomarkers, TumorClinical RelevanceFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansImmunity, InnateMaleMiddle AgedNeutrophilsPrognosisBiomarkers, Tumoradaptive immune responsesgastric cancerimmune microenvironmentlymphatic invasionomental milky spots

Identifiers

PMID39949777
PMCPMC11821591

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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.