Evidence map›Paper›PMID 35043009›Full record

ArticleBritish journal of cancer2022

Primary tumour immune response and lymph node yields in colon cancer.

Nikhil Lal, Dedrick Kok Hong Chan, Minn E Ng, Louis Vermeulen, Simon James Alexander Buczacki

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Rethinking lymphadenectomy in the immunotherapy era of colorectal cancer: A hypothesis-generating perspective.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Review
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  15. The genomics of sporadic and hereditary colorectal cancer.Annals of the Royal College of Surgeons of England · 2024
    Review
  16. Inadequate Lymph Node Yield: An Inadequate Indication for Adjuvant Chemotherapy in Stage II Colon Cancer.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
    Article
  17. Preoperative contrast-enhanced CT imaging and clinicopathological characteristics analysis of mismatch repair-deficient colorectal cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
    Article
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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

5 authors at 3 institutions in 2 countries.

Nikhil LalNuffield Department of Surgical Sciences, Old Road Campus Research Building (ORCRB), University of Oxford, Oxford, UK. Nikhil.lal@conted.ox.ac.uk.ORCID http://orcid.org/0000-0002-6889-3496
Dedrick Kok Hong ChanNuffield Department of Surgical Sciences, Old Road Campus Research Building (ORCRB), University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-4237-8648
Minn E NgDepartment of Oncology, Old Road Campus Research Building (ORCRB), University of Oxford, Oxford, UK.
Louis VermeulenLaboratory for Experimental Oncology and Radiobiology (LEXOR), Center for Experimental Molecular Medicine (CEMM), Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-6066-789X
Simon James Alexander BuczackiNuffield Department of Surgical Sciences, Old Road Campus Research Building (ORCRB), University of Oxford, Oxford, UK.
University of Oxford · GBChurchill Hospital · GBOncode Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe mechanism underlying improved survival in non-metastatic colon cancer with higher lymph node (LN) yield is unknown. This study aimed to identify whether molecular features in the primary tumour were predictive of LN yield.

methodsClinical, genomic, transcriptomic, proteomic and methylation data of non-metastatic, colon cancers studied in The Cancer Genome Atlas were interrogated for associations with LN yield. Based on maximal survival effects, patients were segregated into high (>15) and low (≤15) LN yield. Gene set enrichment analysis was performed on transcriptomic changes to identify biological processes associated with LN yield. Correlations were validated in an independent set of Stage II colon cancers.

resultsHigh LN yield was found predictive of overall and disease-free survival. There was no association of higher LN yield and increasing nodal positivity. High LN yield was strongly linked with gene expression changes associated with the adaptive and dendritic cell immune response. This association was most prominent in node-negative cancers. Analogous findings were reproduced in the validation dataset.

conclusionThe study shows a strong association of an activated immune response in tumours with a high LN yield. Immunogenic tumours have a better prognosis, likely explaining the survival benefit with higher LN yields.

Indexed as

Colonic NeoplasmsProteomicsHumansImmunityLymph Node ExcisionLymph NodesNeoplasm StagingPrognosis

Identifiers

PMID35043009
PMCPMC9023574
OpenAlexW4206070184

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.