Evidence mapPaperPMID 35970919Full record

ArticleNature medicine2022

Genomic and transcriptomic determinants of response to neoadjuvant therapy in rectal cancer.

Walid K Chatila, Jin K Kim, Henry Walch, Michael R Marco, Chin-Tung Chen, Fan Wu, Dana M Omer, Danny N Khalil, Karuna Ganesh, Xuan Qu and 27 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 3 pooled it
14.3field-weighted citation impact, top 1% 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

91 citing papers in PubMed, 3 syntheses or guidelines pooled it, 140 citations in OpenAlex.

  1. Pooled it
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  12. Targeting metabolic dependencies to reverse chemoradiotherapy resistance in colorectal cancer.Journal of experimental & clinical cancer research : CR · 2026
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  14. KRASCellular & molecular biology letters · 2026
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  19. Perianal Intestinal-Type Paget Disease With and Without Invasion, Unassociated With Internal Malignancy: A Distinct Form of Primary Perianal Adenocarcinoma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2026
    Article
  20. Article

31 more citing papers are in PubMed but not listed here.

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

37 authors at 3 institutions in 1 country.

Walid K ChatilaMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-5474-218X
Jin K KimColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-4373-1431
Henry WalchMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Michael R MarcoColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Chin-Tung ChenColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Fan WuColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-3960-320X
Dana M OmerColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Danny N KhalilDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-4688-0958
Karuna GaneshColorectal Cancer Research Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-4948-1082
Xuan QuColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anisha LuthraMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Seo-Hyun ChoiColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-3244-0871
Yu-Jui HoCancer Biology and Genetics Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ritika KundraMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-6723-2859
Katharine I GrovesColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Oliver S ChowDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York-Presbyterian, New York, NY, USA.
Andrea CercekColorectal Cancer Research Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Martin R WeiserColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Maria WidmarColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Iris H WeiColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-9006-9105
Emmanouil P PappouColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Garrett M NashColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Philip B PatyColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-7045-2112
Qian ShiDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-4640-8832
Efsevia VakianiColorectal Cancer Research Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-0227-3523
S Duygu SelcukluMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Mark T A DonoghueMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
David B SolitMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-6614-802X
Michael F BergerMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jinru ShiaColorectal Cancer Research Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-4351-2511
Raphael PelossofColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Paul B RomesserColorectal Cancer Research Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Rona YaegerColorectal Cancer Research Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-7233-5454
J Joshua SmithColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-2538-5456
Nikolaus SchultzMarie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-0131-4904
Francisco Sanchez-VegaDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. sanchezf@mskcc.org.ORCID http://orcid.org/0000-0002-2990-4893
Julio Garcia-AguilarColorectal Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. garciaaj@mskcc.org.ORCID http://orcid.org/0000-0003-2451-0948
Memorial Sloan Kettering Cancer Center · USCornell University · USMayo Clinic in Florida · US

Funding

The Patient-Reported Outcomes, Community-Engagement and Language (PRO-CEL) CoreP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · 1985 to 2025
$88.4M
Timing of Rectal Cancer Response to ChemoradiationR01CA090559 · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · 2003 to 2005
$1.9M
SURGICAL ONCOLOGY RESEARCH TRAINING PROGRAMT32CA009501 · SLOAN-KETTERING INSTITUTE FOR CANCER RES · 1985 to 2025
$1.7M
Tri-Institutional PhD Program in Computational Biology & MedicineT32GM132083 · WEILL MEDICAL COLL OF CORNELL UNIV · 2025 to 2025
$534k
Investigating the contribution of cellular senescence to the efficacy of radiation therapy.K08CA255574 · SLOAN-KETTERING INST CAN RESEARCH · 2025 to 2025
$218k
NCI NIH HHS K08 CA255574NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA090559NCI NIH HHS T32 CA009501NIGMS NIH HHS T32 GM132083
6 · The paper itself

Abstract

The incidence of rectal cancer is increasing in patients younger than 50 years. Locally advanced rectal cancer is still treated with neoadjuvant radiation, chemotherapy and surgery, but recent evidence suggests that patients with a complete response can avoid surgery permanently. To define correlates of response to neoadjuvant therapy, we analyzed genomic and transcriptomic profiles of 738 untreated rectal cancers. APC mutations were less frequent in the lower than in the middle and upper rectum, which could explain the more aggressive behavior of distal tumors. No somatic alterations had significant associations with response to neoadjuvant therapy in a treatment-agnostic manner, but KRAS mutations were associated with faster relapse in patients treated with neoadjuvant chemoradiation followed by consolidative chemotherapy. Overexpression of IGF2 and L1CAM was associated with decreased response to neoadjuvant therapy. RNA-sequencing estimates of immune infiltration identified a subset of microsatellite-stable immune hot tumors with increased response and prolonged disease-free survival.

Indexed as

Neoadjuvant TherapyRectal NeoplasmsChemoradiotherapyGenomicsHumansNeoplasm Recurrence, LocalNeoplasm StagingRetrospective StudiesTranscriptomeTreatment Outcome

Identifiers

PMID35970919
PMCPMC9801308
OpenAlexW4291903684

What Socratic 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 Socratic graph.