Evidence map›Paper›PMID 40691286›Full record

ReviewNPJ precision oncology2025

Immunotherapy for diffuse gastric cancer: challenges and new avenues.

Yulong Zhou, Jian Li

Abstract readReview
In one paragraph

Review in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. 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

2 authors.

Yulong ZhouDepartment of General Surgery, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, China.
Jian LiDepartment of General Surgery, the Third Hospital of Mianyang, Sichuan Mental Health Center, Mianyang, Sichuan, China. 654747973@qq.com.

Funding

the Medical Research Project of The Third Hospital of Mianyang 202222the Scientific Research Projects of Health Commission of Mianyang City 202223
6 · The paper itself

Abstract

In recent years, several large clinical trials have demonstrated the survival benefits of immunotherapies, mainly immune checkpoint inhibitors (ICIs), in patients with gastric cancer (GC). However, not every GC patient responds equally to immunotherapy. Compared with patients with intestinal GC (IGC), patients with diffuse GC (DGC) are less likely to obtain a survival benefit from the currently approved ICIs. This histological determinant of immunotherapy efficacy in GC has attracted less attention, exposing some patients with DGC to unnecessary risks. Limited data suggest that the cold tumor immune microenvironment, which is shaped by histological and molecular characteristics, challenges the success of immunotherapy in patients with GC. Here, we review the possible mechanisms of resistance and propose new avenues to overcome resistance to immunotherapy in DGC.

Identifiers

PMID40691286
PMCPMC12280181

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.