Evidence map›Paper›PMID 40775000›Full record

ArticleScientific reports2025

Impact of Tregs on tumor regression in locally advanced G/GEJ cancer patients undergoing neoadjuvant chemoimmunotherapy.

Yong Zhang, Chaoji Zhang, Peng Qin, Baozhen Ma, Anqi Lyu, Fang Zhang, Tiepeng Li, Lu Han, Yiman Shang, Zibing Wang and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 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. 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

12 authors.

Yong Zhang *Department of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Chaoji Zhang *Department of Cardiac Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China.
Peng QinDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Baozhen MaDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Anqi LyuDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Fang ZhangDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Tiepeng LiDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Lu HanDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Yiman ShangDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Zibing WangDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China.
Quanli GaoDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China. gaoquanli2015@126.com.
Lingdi ZhaoDepartment of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou City, 450008, China. lingdi1010@126.com.

Funding

Henan provincial Medical Science and Technology Research Project LHGJ20210206Henan Provincial Scientific and Technological Project 232102310102
6 · The paper itself

Abstract

Neoadjuvant chemoimmunotherapy has transformed the treatment of locally advanced gastric or gastroesophageal junction (G/GEJ) cancer. However, identifying reliable predictive markers for treatment efficacy remains challenging. We conducted a retrospective analysis to evaluate the prognostic value of peripheral blood regulatory T (Treg) cells in patients with G/GEJ cancer undergoing neoadjuvant chemoimmunotherapy followed by curative resection. From July 2020 to May 2023, 79 patients met the inclusion criteria. All patients achieved R0 resection following D2 radical surgery, with 26.6% exhibiting a pathological complete response (pCR). Significant differences in Treg cells, T/Treg ratios, and CD4+/Treg ratios were observed between patients with pCR and those without after one treatment cycle (P = 0.0054, 0.0489, and 0.0434, respectively). Patients were categorized based on changes in Treg cell counts post-treatment, revealing a higher pCR rate in those with reduced Treg cells (P = 0.014). Changes in Treg cell counts after one cycle of neoadjuvant chemoimmunotherapy serve as a promising predictive marker for pCR in locally advanced G/GEJ cancer patients. This finding supports the development of personalized treatment strategies, enhancing outcomes in this challenging clinical landscape.

Indexed as

Esophageal NeoplasmsEsophagogastric JunctionImmunotherapyNeoadjuvant TherapyStomach NeoplasmsT-Lymphocytes, RegulatoryAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeGastric or gastroesophageal junction cancerNeoadjuvant chemoimmunotherapyPersonalized treatmentPredictive markersRegulatory T cells

Identifiers

PMID40775000
PMCPMC12332155

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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.