Evidence map›Paper›PMID 41249451›Full record

ArticleBritish journal of cancer2026

Relative telomere length and senescence-associated inflammatory cytokines as blood-based prognostic markers in patients with advanced or resectable gastro-oesophageal adenocarcinoma.

Alan E Bilsland, Eilidh McCulloch, Sofie Degerman, Mattias Landfors, Jon Wadsley, Lucy Wall, Catherine Thompson, Iva Damyanova, Leslie Samuel, Russell Petty and 12 more

Erratum issuedAbstract read
In one paragraph

Article in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors.

Alan E BilslandSchool of Cancer Sciences, University of Glasgow, Glasgow, UK. alan.bilsland@glasgow.ac.uk.ORCID http://orcid.org/0000-0003-0957-3908
Eilidh McCullochSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.
Sofie DegermanDepartment of Medical Biosciences, and of Clinical Microbiology, Umea University, Umea, Sweden.ORCID http://orcid.org/0000-0002-2783-0712
Mattias LandforsDepartment of Medical Biosciences, and of Clinical Microbiology, Umea University, Umea, Sweden.
Jon WadsleyWeston Park Cancer Centre, Sheffield, UK.
Lucy WallEdinburgh Cancer Centre, Western General Hospital, Edinburgh, UK.
Catherine ThompsonUniversity Hospitals Morecambe Bay NHS Trust, Morecambe Bay, UK.
Iva DamyanovaMid Yorkshire NHS Trust, Pinderfields Hospital, Wakefield, UK.
Leslie SamuelAberdeen Royal Infirmary, Aberdeen, UK.ORCID http://orcid.org/0000-0002-8402-8670
Russell PettyUniversity of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0003-2055-4572
Ankit JainRussells Hall Hospital, Dudley, UK.
Liz-Anne LewsleyGlasgow Oncology Clinical Trials Unit, School of Cancer Sciences, University of Glasgow, Glasgow, UK.
Antonia MacMillanGlasgow Oncology Clinical Trials Unit, School of Cancer Sciences, University of Glasgow, Glasgow, UK.
Martin MacLeodNHS Greater Glasgow & Clyde, Glasgow, UK.
Jennifer WalkerSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.
Carol McCormickSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.
Elaine McCartneyGlasgow Oncology Clinical Trials Unit, School of Cancer Sciences, University of Glasgow, Glasgow, UK.
Patricia RoxburghSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0001-9869-591X
Jamie StoboGlasgow Oncology Clinical Trials Unit, School of Cancer Sciences, University of Glasgow, Glasgow, UK.
Fiona ThomsonSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.
T R Jeffry EvansSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.
W Nicol KeithSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.

Funding

Cancer Research UK (CRUK) C1348/A25355, C973/A9894, C6716/A9894, and C1348/A15960Cancer Research UK (CRUK) C58789/A25174, A15584, A100012Chief Scientist Office (CSO) C58789/A25174
6 · The paper itself

Abstract

backgroundCombination chemotherapy provides significant survival advantage in patients with advanced gastro-oesophageal adenocarcinoma compared with best supportive care. Peri-operative chemotherapy is standard of care for patients with operable disease. We hypothesised that biomarkers of genomic instability and inflammation may have clinical utility in these patients.

methodsWe initiated open-label, non-randomised biomarker studies in patients with advanced disease due to receive Epirubicin, Cisplatin and Capecitabine (ECX)/Epirubicin, Cisplatin and Fluorouracil (ECF) or Epirubicin, Oxaliplatin and Capecitabine (EOX)/Epirubicin, Oxaliplatin and Fluorouracil (EOF) regimens (advanced study, n = 375), and in patients planned to receive perioperative chemotherapy with the same regimen (peri-operative study, n = 306). Relative telomere length (RTL) in peripheral blood mononuclear cells (PBMCs) and plasma levels of 10 inflammatory cytokines were analysed to determine association with progression-free and overall survival, and response. Blood samples were collected prior to treatment and on each treatment cycle. Both studies comprised biomarker discovery and validation cohorts. Here we report analysis of the discovery cohorts.

resultsIn advanced disease, high pre-treatment levels of IL8 and IL10 associated with poor Progression Free Survival (PFS) and Overall Survival (OS) in univariate analysis, and IL6 with poor OS. In multivariate analysis, IL6 and IL8 remained associated with OS, and IL8 with PFS. In the perioperative study, cytokine levels were significantly lower and no relationships were observed. There was no association between RTL and any endpoint in either study.

conclusionsPre-treatment RTL was not prognostic, although IL6/IL8 were negative prognostic factors in advanced disease. Levels of these were lower in patients with localised disease, suggesting an association with disease progression. Further analysis of systemic inflammatory status in gastro-oesophageal adenocarcinoma may be promising for development of future predictive biomarker signatures.

Indexed as

AdenocarcinomaAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCytokinesEsophageal NeoplasmsStomach NeoplasmsTelomereTelomere HomeostasisAdultAgedCapecitabineCisplatinEpirubicinFemaleFluorouracilHumansBiomarkers, TumorCapecitabineCisplatinCytokinesEpirubicinFluorouracilInterleukin-8Oxaliplatin

Identifiers

PMID41249451
PMCPMC12820329

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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.