Evidence map›Paper›PMID 32924090›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2021

Expression of the immune checkpoint molecule V-set immunoglobulin domain-containing 4 is associated with poor prognosis in patients with advanced gastric cancer.

So-Woon Kim, Jin Roh, Hye Seung Lee, Min-Hee Ryu, Young-Soo Park, Chan-Sik Park

Open access · bronzeAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.8field-weighted citation impact, top 7% of its field
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

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. Article
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  5. Article
  6. VSIG4Journal of experimental & clinical cancer research : CR · 2025
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  10. Review
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  18. The Pan-Cancer Crosstalk Between theFrontiers in cell and developmental biology · 2022
    Article
  19. Article
  20. High Expression of the Component 3a Receptor 1 (C3AR1) Gene in Stomach Adenocarcinomas Infers a Poor Prognosis and High Immune-Infiltration Levels.Medical science monitor : international medical journal of experimental and clinical research · 2021
    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

6 authors at 4 institutions in 1 country.

So-Woon KimDepartment of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Jin RohDepartment of Pathology, Ajou University School of Medicine, Suwon, Republic of Korea.
Hye Seung LeeDepartment of Pathology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Min-Hee RyuDepartment of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Young-Soo ParkDepartment of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. youngsoopark@amc.seoul.kr.
Chan-Sik ParkDepartment of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. csikpark@amc.seoul.kr.
Ulsan College · KRUniversity of Ulsan · KRAjou University · KRSeoul National University Bundang Hospital · KR

Funding

Asan Institute for Life Sciences 2019IL0841Asan Institute for Life Sciences, Asan Medical Center 2019IL0527Ministry of Science, ICT and Future Planning NRF-2020R1A2C2006362
6 · The paper itself

Abstract

backgroundRecent clinical studies on immune checkpoint (IC) inhibitors in the context of advanced gastric cancer (AGC) have failed to show significant survival benefits but have suggested the possible role of IC inhibitors in anti-AGC immunity. Considering the low efficacy of targeted drugs in AGC, there is an urgent need for the discovery of new targets for the development of immunotherapeutics and prognostic markers for patient selection. This study aimed to investigate the expression of a new IC molecule, V-set Ig domain-containing 4 (VSIG4), and its clinical significance in AGC and other major cancers.

methodsWe analyzed the expression of VSIG4 and its correlation with survival in various carcinomas, including 882 surgically resected samples from patients with stage II-III AGC (two academic hospitals).

resultsVSIG4 positivity in AGC was significantly associated with overall survival (OS; Hazard ratio (HR) = 2.661, 95% confidence interval [CI] = 2.012-3.519, P < 0.001) and event-free survival (HR = 2.8, 95% CI = 2.18-3.72, P < 0.001). These findings were successfully validated in independent cohorts. VSIG4 expression was also significantly correlated with low intratumoral CD8 + T-cell infiltration (CD8i) (P = 0.029) and high Foxp3 + /CD8i ratio (P = 0.026), which is consistent with the previously reported immunological function of VSIG4. However, VSIG4 expression was not associated with survival in other cancers (colon, P = 0.459; lung, P = 0.275; kidney, P = 0.121; breast, P = 0.147).

conclusionOur results suggest that VSIG4 is an independent prognostic factor in AGC and also implies that VSIG4 is a second-tier IC molecule in AGC, thus, providing an important basis for the development of gastric cancer-specific immunotherapeutics.

Indexed as

Biomarkers, TumorFemaleGastric MucosaHumansMaleMiddle AgedNeoplasm StagingPrognosisProgression-Free SurvivalProportional Hazards ModelsReceptors, ComplementRetrospective StudiesStomach NeoplasmsSurvival RateBiomarkers, TumorReceptors, ComplementVSIG4 protein, humanAdvanced gastric cancerImmune checkpoint moleculeImmunotherapyTumor microenvironmentV-set Ig domain-containing 4

Identifiers

PMID32924090
OpenAlexW3085371977

What Socratic holds

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Registered trials

None linked

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 Socratic graph.