Evidence map›Paper›PMID 39440351›Full record

ArticleJournal of pathology and translational medicine2025

The combination of CDX2 expression status and tumor-infiltrating lymphocyte density as a prognostic factor in adjuvant FOLFOX-treated patients with stage III colorectal cancers.

Ji-Ae Lee, Hye Eun Park, Hye-Yeong Jin, Lingyan Jin, Seung Yeon Yoo, Nam-Yun Cho, Jeong Mo Bae, Jung Ho Kim, Gyeong Hoon Kang

Abstract read
In one paragraph

Article in Journal of pathology and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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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

9 authors.

Ji-Ae LeeDepartment of Pathology, Seoul National University Bundang Hospital, Seongnam, Korea.
Hye Eun ParkDepartment of Pathology, Seoul National University Boramae Hospital, Seoul, Korea.
Hye-Yeong JinDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Lingyan JinDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Seung Yeon YooPathology Center, Seegene Medical Foundation, Seoul, Korea.
Nam-Yun ChoLaboratory of Epigenetics, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Jeong Mo BaeDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Jung Ho KimDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Gyeong Hoon KangDepartment of Pathology, Seoul National University College of Medicine, Seoul, Korea.

Funding

Ministry of Science and ICT 2021R1A2C1003542Ministry of Science and ICT RS-2023-00218623Ministry of Science and ICT RS-2024-00450408National Research Foundation of Korea
6 · The paper itself

Abstract

backgroundColorectal carcinomas (CRCs) with caudal-type homeobox 2 (CDX2) loss are recognized to pursue an aggressive behavior but tend to be accompanied by a high density of tumor-infiltrating lymphocytes (TILs). However, little is known about whether there is an interplay between CDX2 loss and TIL density in the survival of patients with CRC.

methodsStage III CRC tissues were assessed for CDX2 loss using immunohistochemistry and analyzed for their densities of CD8 TILs in both intraepithelial (iTILs) and stromal areas using a machine learning-based analytic method.

resultsCDX2 loss was significantly associated with a higher density of CD8 TILs in both intraepithelial and stromal areas. Both CDX2 loss and a high CD8 iTIL density were found to be prognostic parameters and showed hazard ratios of 2.314 (1.050-5.100) and 0.378 (0.175-0.817), respectively, for cancer-specific survival. A subset of CRCs with retained CDX2 expression and a high density of CD8 iTILs showed the best clinical outcome (hazard ratio of 0.138 [0.023-0.826]), whereas a subset with CDX2 loss and a high density of CD8 iTILs exhibited the worst clinical outcome (15.781 [3.939-63.230]).

conclusionsAltogether, a high density of CD8 iTILs did not make a difference in the survival of patients with CRC with CDX2 loss. The combination of CDX2 expression and intraepithelial CD8 TIL density was an independent prognostic marker in adjuvant chemotherapy-treated patients with stage III CRC.

Indexed as

CD8 antigensCDX2 transcription factorColorectal neoplasmsLymphocytes, tumor-infiltratingPrognosis

Identifiers

PMID39440351
PMCPMC11736276

What Socratic holds

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LicenceCC BY-NC
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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.