Evidence map›Paper›PMID 41250973›Full record

ReviewClinical and translational science2025

Gastric Signet Ring Cell Carcinoma: Tumor Microenvironment Reprogramming and Novel Therapeutic Targets With Emphasis on GRIN2D.

Dipali Raju, Swathi Prabhu, Anjal Maria, Shriya Narendra Shet Shirodkar, Rama Rao Damerla, Sanjiban Chakrabarty, Preethi S Shetty, Mahadev Rao, Naveena A N Kumar

Abstract readReview
In one paragraph

Review in Clinical and translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. 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

9 authors.

Dipali RajuDepartment of Surgical Oncology, Manipal Comprehensive Cancer Care Center, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0009-0006-2232-7065
Swathi PrabhuDivision of Oncopathology, Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-0742-5373
Anjal MariaDepartment of Pediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0009-0009-8145-885X
Shriya Narendra Shet ShirodkarDepartment of Nephrology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0009-0002-7882-6745
Rama Rao DamerlaDepartment of Medical Genetics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0001-6815-0097
Sanjiban ChakrabartyDepartment of Public Health Genomics, Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-6018-8098
Preethi S ShettyDepartment of Surgical Oncology, Manipal Comprehensive Cancer Care Center, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0001-9930-5020
Mahadev RaoDepartment of Pharmacy Practice, Medical College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0003-3322-5399
Naveena A N KumarDepartment of Surgical Oncology, Manipal Comprehensive Cancer Care Center, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-1759-1500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric Signet Ring Cell Carcinoma (GSRCC) is an increasingly recognized subtype of gastric cancer, particularly prevalent in South Asian populations and regions within India. This carcinoma is distinguished by its abundant cytoplasmic mucinous cells and aggressive clinical behavior, often affecting younger individuals and leading to a poor prognosis due to its advanced-stage presentation and resistance to standard treatments. A critical factor in its progression is the tumor's uniquely immunosuppressive and stromal-rich microenvironment, characterized by dysfunctional immune infiltrates, activation of cancer-associated fibroblasts, extracellular matrix remodeling, and complement cascade dysfunction. Recent research has highlighted the significance of key biomarkers, including MSMB, AGR2, CLDN18.2, and notably GRIN2D, which play roles in tumor angiogenesis, immune evasion, and metabolic reprogramming. The interaction of these elements contributes to therapeutic resistance and immune escape, thereby reducing the effectiveness of chemotherapy and checkpoint inhibitor immunotherapies. Innovative strategies that integrate stromal-targeting agents, complement modulators, anti-CLDN18.2 antibodies, and novel GRIN2D-targeted therapies, along with precision molecular profiling, offer potential for enhancing patient outcomes. Tailored approaches that incorporate early detection and dynamic biomarker monitoring may ultimately transform GSRCC management toward personalized, evidence-based therapies and prevention.

Indexed as

Carcinoma, Signet Ring CellReceptors, N-Methyl-D-AspartateStomach NeoplasmsTumor MicroenvironmentBiomarkers, TumorHumansMolecular Targeted TherapyPrognosisBiomarkers, TumorReceptors, N-Methyl-D-AspartateGastric Signet Ring Cell CarcinomaGRIN2Dimmune evasiontherapy resistancetumor microenvironment

Identifiers

PMID41250973
PMCPMC12624271

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.