Evidence map›Paper›PMID 41285131›Full record

ArticleCancer science2026

Impacts of Mitochondrial Status After Neoadjuvant Chemotherapy in Esophageal Squamous Cell Carcinoma Patients.

Kotaro Sugawara, Shingo Sakashita, Takashi Fukuda, Chiaki Murakami, Daiji Oka, Gulanbar Amori, Yoshifumi Baba, Hiroaki Kanda, Noriko Motoi

Abstract read
In one paragraph

Article in Cancer science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kotaro SugawaraDepartment of Pathology, Saitama Cancer Center, Saitama, Japan.ORCID https://orcid.org/0000-0002-3272-1748
Shingo SakashitaDivision of Pathology, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Chiba, Japan.ORCID https://orcid.org/0000-0003-1133-3313
Takashi FukudaDepartment of Gastroenterological Surgery, Saitama Cancer Center Hospital, Saitama, Japan.
Chiaki MurakamiDepartment of Pathology, Saitama Cancer Center, Saitama, Japan.
Daiji OkaDepartment of Gastroenterological Surgery, Saitama Cancer Center Hospital, Saitama, Japan.
Gulanbar AmoriDepartment of Pathology, Saitama Cancer Center, Saitama, Japan.
Yoshifumi BabaDepartment of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hiroaki KandaDepartment of Pathology, Saitama Cancer Center, Saitama, Japan.
Noriko MotoiDepartment of Pathology, Saitama Cancer Center, Saitama, Japan.ORCID https://orcid.org/0000-0001-7098-3311

Funding

AMED 22hk0102080Ichiro Kanehara FoundationJSPS KAKENHI JP 25K19726NEXT KAKENHI 21K06900Takeda Science Foundation 2025041651
6 · The paper itself

Abstract

The prognostic significance of mitochondrial status after neoadjuvant chemotherapy (NAC) and its association with the tumor microenvironment (TME) in esophageal squamous cell carcinoma (ESCC) remains unclear. We analyzed 202 ESCC patients who underwent NAC followed by surgical resection. Mitochondrial status was quantified using an objective, immunohistochemistry-based scoring system (Mito-score). The optimal cut-off value was determined by receiver operating characteristic curve analysis. Clinicopathological features, TME parameters (T-cell density and programmed death ligand-1 [PD-L1] expression), and survival outcomes were compared between high and low Mito-score groups. Multivariate Cox regression identified independent prognostic factors for overall survival (OS) and cancer-specific survival (CSS). The high and low Mito-score groups comprised 140 (69.3%) and 62 (30.7%) patients, respectively. NAC response rates and ypStages III-IV frequencies were similar in the two groups. PD-L1 expression was significantly higher in high Mito-score tumors (p = 0.04), while T-cell densities did not differ. High Mito-score was associated with significantly worse OS (3-year OS: 51.9% vs. 72.6%, p = 0.001) across both ypStages I-II (p = 0.047) and ypStages III-IV (p = 0.01) subgroups. In ypStages III-IV, high Mito-score was also linked to poorer CSS (p = 0.01). Multivariate analysis confirmed high Mito-score to be an independent predictor of unfavorable OS and CSS. Overall, high Mito-score after NAC identifies ESCC patients with significantly poorer survival, particularly among those with advanced pathological stages, thereby possibly serving as an independent prognostic biomarker.

Indexed as

Carcinoma, Squamous CellEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaMitochondriaAdultAgedB7-H1 AntigenBiomarkers, TumorChemotherapy, AdjuvantFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm StagingPrognosisB7-H1 AntigenBiomarkers, TumorCD274 protein, humanesophageal squamous cell carcinomamitochondrianeoadjuvant chemotherapysurgerytumor microenvironment

Identifiers

PMID41285131
PMCPMC12861109

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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.