Evidence map›Paper›PMID 40585823›Full record

ArticleWorld journal of clinical oncology2025

Immunotherapy in gastrointestinal stromal tumors: Current landscape and future horizons.

Stavros P Papadakos, Alexandra Argyrou, Ioannis Karniadakis, Stamatina Vogli, Stamatios Theocharis

Abstract readEditorial
In one paragraph

Article in World journal of clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
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

5 authors.

Stavros P PapadakosFirst Department of Gastroenterology, Medical School of National and Kapodistrian University of Athens, General Hospital of Athens "Laiko", Athens 11527, Greece.
Alexandra ArgyrouFirst Department of Gastroenterology, Medical School of National and Kapodistrian University of Athens, General Hospital of Athens "Laiko", Athens 11527, Greece.
Ioannis KarniadakisUpper Gastrointestinal Surgery, Department of General Surgery, St. George's Hospital, St. George's University Hospitals NHS Foundation Trust, London 84790, United Kingdom.
Stamatina VogliDepartment of Gastroenterology, Metaxa Oncologic Hospital of Piraeus, Athens, Greece, Athens 18537, Greece.
Stamatios TheocharisFirst Department of Pathology, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece. stamtheo@med.uoa.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal stromal tumors (GISTs) feature a unique tumor microenvironment (TME) with abundant immune infiltrates, including CD8+ T cells and tertiary lymphoid structures, alongside significant immune escape mechanisms such as indoleamine 2,3-dioxygenase (IDO) overexpression, MHC I loss, and regulatory T-cell activity. These factors contribute to an immunosuppressive TME, limiting the effectiveness of immune responses. Recent proteomic and immune profiling has identified distinct immune clusters, ranging from highly infiltrated "hot" tumors to immune-desert "cold" tumors, offering new insights into immune heterogeneity and prognostic stratification. While tyrosine kinase inhibitors (TKIs) like imatinib have shown immunomodulatory effects, clinical trials with immune checkpoint inhibitors (ICIs) alone or in combination have yielded modest outcomes. This editorial examines the immunologic landscape of GIST, explores the interplay between ICIs and TKIs, and highlights emerging therapeutic strategies such as IDO inhibition, bispecific antibodies, and patient selection based on TME characteristics. These insights pave the way for more effective immunotherapy approaches in GIST.

Indexed as

Biomarker-driven therapyGastrointestinal stromal tumorsImmune checkpoint inhibitorsImmunotherapy strategiesTumor microenvironment

Identifiers

PMID40585823
PMCPMC12198869

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.