Evidence map›Paper›PMID 41312055›Full record

ArticleTherapeutic advances in medical oncology2025

CircRNA signature predicts immunotherapy response in advanced non-small cell lung cancer.

Xin Li, Shixiang Wang, Yanru Cui, Su-Han Jin, Junzhu Xu, Chi Zhang, Juanyan Shen, Hu Ma, Jian-Guo Zhou

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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.

Xin LiDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, P.R. China.ORCID https://orcid.org/0009-0004-0253-4097
Shixiang WangDepartment of Biomedical Informatics, School of Life Sciences, Central South University, Changsha, P.R. China.
Yanru CuiMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.
Su-Han JinDepartment of Orthodontics, Affiliated Stomatological Hospital of Zunyi Medical University, Zunyi, P.R. China.
Junzhu XuDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, P.R. China.
Chi ZhangDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, P.R. China.
Juanyan ShenDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, P.R. China.
Hu MaDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P.R. China.
Jian-Guo ZhouDepartment of Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P.R. China.ORCID https://orcid.org/0000-0002-5021-3739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICIs) offer significant benefits for advanced non-small cell lung cancer (NSCLC) but yield objective response rates of only 10%-30% in unselected patients. Circular RNAs (circRNAs), implicated in cancer RNA dysregulation, may serve as biomarkers for ICI response. Objectives: Identify circRNA signature to predict atezolizumab efficacy of NSCLC. Design: This study analyzed circRNA expression profiles from 891 advanced NSCLC patients in the OAK and POPLAR clinical studies. Methods: Based on The Cancer CircRNA Immunome Atlas database, we identified circRNAs associated with the efficacy of immunotherapy in NSCLC patients. Then, we establish predictive models for immunotherapy efficacy using multiple methods and conduct performance verification. Finally, we performed Gene Set Enrichment Analysis and Gene Set Variation Analysis to explore potential mechanisms. Results: We identified an 11-circRNA signature, named circRNA-Sig, which predicted atezolizumab efficacy with an area under the curve of 0.71 in OAK and 0.67 in POPLAR. Survival analysis in OAK showed patients with low circRNA-Sig scores benefited more from ICI than chemotherapy (hazard ratio (HR) = 1.347; 95% confidence interval (CI): 1.049-1.730; Conclusion: This circRNA-Sig model, validated across two large cohorts, offers a novel, clinically actionable tool for stratifying NSCLC patients for atezolizumab therapy, potentially enhancing personalized treatment strategies.

Indexed as

atezolizumabcircular RNAsnon-small cell lung cancerpredictive biomarker

Identifiers

PMID41312055
PMCPMC12647551

What Socratic holds

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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.