Evidence map›Paper›PMID 41857153›Full record

ArticleScientific reports2026

Prognostic impact of sarcopenia and blood biomarkers in advanced non-small cell lung cancer on first-line immune checkpoint inhibitors.

Jieun Park, Juwhan Choi, Seunghun Lee, Jihyun Park, Chae Rin Kim, Yeonwoo Lee, Yulim Lee, Young Kee Shin, Sung Yong Lee

Abstract read
In one paragraph

Article in Scientific reports, 2026. 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

9 authors.

Jieun Park *Research Institute of Pharmaceutical Science, College of Pharmacy, Seoul National University, Seoul, Republic of Korea.
Juwhan Choi *Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul, Republic of Korea.
Seunghun LeeDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul, Republic of Korea.
Jihyun ParkDepartment of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, Republic of Korea.
Chae Rin KimDepartment of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, Republic of Korea.
Yeonwoo LeeDepartment of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, Republic of Korea.
Yulim LeeDepartment of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, Republic of Korea.
Young Kee ShinResearch Institute of Pharmaceutical Science, College of Pharmacy, Seoul National University, Seoul, Republic of Korea. ykeeshin@snu.ac.kr.
Sung Yong LeeDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul, Republic of Korea. syl0801@korea.ac.kr.

Funding

Basic Science Research Program of NRF of Korea NRF-2022R1A6A1A03046247, RS-2024-00451303Basic Science Research Program of NRF of Korea RS-2024-00457079Korea Guro hospital research program K2406771
6 · The paper itself

Abstract

Although immune checkpoint inhibitors (ICIs) have improved outcomes in advanced non-small cell lung cancer (NSCLC), the prognostic tools for programmed death-ligand 1 (PD-L1), the only approved biomarker, remain limited. We comprehensively evaluated the prognostic impact of sarcopenia and various blood biomarkers in 74 NSCLC patients receiving first-line ICIs. Sarcopenia was diagnosed using dual-energy X-ray absorptiometry. Cytokines and myokines in peripheral blood samples were assessed using Enzyme-linked immunosorbent assay (ELISA) and cytometric bead array, while lymphocyte subsets were characterized using flow cytometry. Sarcopenia group had significantly shorter progression-free survival (PFS) (P = 0.018). Sarcopenia was revealed as an independent poor prognostic factor for PFS (HR 2.63, 95% CI 1.19−5.8; P = 0.017). Patients with sarcopenia showed elevated levels of inflammatory cytokines (interleukin (IL)-6, IL-8, IL-10, IL-15, and tumor necrosis factor). Furthermore, sarcopenia index and muscle mass were negatively correlated with exhausted CD8 + T cells (CD8 + TIGIT+). The sarcopenia with high TIGIT expression group exhibited the worst prognosis (HR 3.5, P = 0.0087). Sarcopenia, immune-related blood biomarkers and high TIGIT expression were identified as independent poor prognostic factors in advanced NSCLC patients receiving first-line ICI therapy.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungImmune Checkpoint InhibitorsLung NeoplasmsSarcopeniaAgedBiomarkersCytokinesFemaleHumansMaleMiddle AgedPrognosisBiomarkersBiomarkers, TumorCytokinesImmune Checkpoint InhibitorsImmunotherapyNon-small-cell lung cancerPrognostic biomarkerSarcopeniaSystemic inflammatory statusT lymphocytes

Identifiers

PMID41857153
PMCPMC13234318

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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.