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pmid:33030278

Tumor purity as a prognosis and immunotherapy relevant feature in gastric cancer.

Zhe Gong · Jieyun Zhang · Weijian Guo

Cancer medicine · 2020 doi:10.1002/cam4.3505

Paper

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Experiment

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Data

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Analysis

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title
Tumor purity as a prognosis and immunotherapy relevant feature in gastric cancer.
doi
10.1002/cam4.3505
pmid
33030278
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Zhe Gong
[1]
Jieyun Zhang
[2]
Weijian Guo
journal
Cancer medicine
year
2020
abstract
Tumor microenvironment (TME) has been illustrated their clinic pathological significance in predicting outcomes and therapeutic efficacy by more and more studies. Tumor purity, which reflects the features of TME, is defined as the proportion of cancer cell in the tumor tissue. However, the current staging and prognostic prediction system in gastric cancer (GC) paid little attention to TME. Therefore, we carried out the study to explore the role of tumor purity in GC. We retrospectively collected the clinical and transcriptomic data from four public data sets (n = 1340), GSE15459, GSE26253, GSE62254, and The Cancer Genome Atlas (TCGA). About 34 GC patients from Fudan University Shanghai Cancer Center (FUSCC) were assigned as an independent validation group. Tumor purity was measured by a computational method. Low tumor purity was associated with unfavorable prognosis, upregulated EMT and stemness pathways, more infiltrating of Tregs, M1 and M2 macrophages and a higher expression level of various immune checkpoints and chemokines recruiting immune suppressive cells. Our study indicates low tumor purity in GC was associated with unfavorable prognosis and immune-evasion phenotype. Further investigations toward tumor purity in GC may contribute to prognosis prediction and the decision of therapy strategies.
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We used ESTIMATE R package to infer tumor purity in gastric tumor tissue.
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The data sets generated and analyzed during the current study are available in the TCGA, GEO, and CCLE repository, TCGA: https://portal.gdc.cancer.gov GEO: https://www.ncbi.nlm.nih.gov/geo CCLE: https://portals.broadinstitute.org/ccle. FUSCC cohort data used and analyzed during the current study are available from the corresponding author on reasonable request.
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sections[21] "DATA AVAILABILITY STATEMENT" paragraph 2
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The data sets generated and analyzed during the current study are available in the TCGA, GEO, and CCLE repository, TCGA: https://portal.gdc.cancer.gov GEO: https://www.ncbi.nlm.nih.gov/geo CCLE: https://portals.broadinstitute.org/ccle. FUSCC cohort data used and analyzed during the current study are available from the corresponding author on reasonable request.
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GSM644948
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GSM644949
[431]
GSM644950
sample_count
432
group_sizes
null
group_sizes_basis
null
platform
8432
taxon
Homo sapiens
title
Gene expression profiling of formalin fixed paraffin embedded tumor tissue identifies gastric cancer patients who are at high risk after curative surgery plus adjuvant chemoradiotherapy
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[3] object · 15 fields
id
data:geo:GSE62254
role
raw
format
geo-series
media_type
application/vnd.ncbi.geo-series+json
uri
https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE62254
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE62254
version
null
note
The data sets generated and analyzed during the current study are available in the TCGA, GEO, and CCLE repository, TCGA: https://portal.gdc.cancer.gov GEO: https://www.ncbi.nlm.nih.gov/geo CCLE: https://portals.broadinstitute.org/ccle. FUSCC cohort data used and analyzed during the current study are available from the corresponding author on reasonable request.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The data sets generated and analyzed during the current study are available in the TCGA, GEO, and CCLE repository, TCGA: https://portal.gdc.cancer.gov GEO: https://www.ncbi.nlm.nih.gov/geo CCLE: https://portals.broadinstitute.org/ccle. FUSCC cohort data used and analyzed during the current study are available from the corresponding author on reasonable request.
access_statement_kind
data_availability_statement
sample_accessions array · 300 items
[0]
GSM1523727
[1]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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[11]
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[14]
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[15]
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[16]
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[17]
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[18]
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[19]
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[20]
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[21]
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[22]
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[23]
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[24]
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[25]
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[26]
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[27]
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[28]
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[29]
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[30]
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[31]
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[32]
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[33]
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[34]
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[35]
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[36]
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[37]
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[38]
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[39]
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[40]
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[41]
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[42]
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[43]
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[44]
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[45]
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[46]
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[47]
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[48]
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[49]
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[50]
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[51]
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[52]
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[53]
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[54]
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[55]
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[56]
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[57]
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[58]
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[59]
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[60]
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[61]
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[62]
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[63]
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[64]
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[65]
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[66]
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[67]
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[68]
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[69]
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[70]
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[71]
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[72]
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[73]
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[74]
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[75]
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[76]
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[77]
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[78]
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[79]
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[80]
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[81]
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[82]
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[83]
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[84]
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[85]
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[87]
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[89]
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[90]
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[91]
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[92]
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[93]
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[94]
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[95]
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[96]
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[97]
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[98]
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[99]
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[100]
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[101]
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[102]
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[103]
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[104]
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[105]
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[106]
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[107]
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[108]
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[109]
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[110]
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[111]
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[112]
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[113]
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[114]
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[118]
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[120]
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[127]
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[129]
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[130]
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[131]
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[134]
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[135]
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[137]
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[138]
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[139]
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[140]
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[141]
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[142]
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[143]
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[145]
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[146]
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[147]
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[148]
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[149]
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[150]
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[151]
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[152]
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[153]
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[154]
GSM1523922
[155]
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[156]
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[157]
GSM1523925
[158]
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[159]
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[160]
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[161]
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[162]
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[163]
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[164]
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[165]
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[166]
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[167]
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[168]
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[169]
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[170]
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[171]
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[172]
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[173]
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[174]
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[175]
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[176]
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[178]
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[179]
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[180]
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[181]
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[182]
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[183]
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[184]
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[185]
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[186]
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[187]
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[188]
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[189]
GSM1523957
[190]
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[191]
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[192]
GSM1523960
[193]
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[194]
GSM1523962
[195]
GSM1523963
[196]
GSM1523964
[197]
GSM1523965
[198]
GSM1523966
[199]
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[200]
GSM1523968
[201]
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[202]
GSM1523970
[203]
GSM1523971
[204]
GSM1523972
[205]
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[206]
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[207]
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[208]
GSM1523976
[209]
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[210]
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[211]
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[212]
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[213]
GSM1523981
[214]
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[215]
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[216]
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[217]
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[218]
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[219]
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[220]
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[221]
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[222]
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[223]
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[224]
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[225]
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[226]
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[227]
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[228]
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[229]
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[230]
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[231]
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[232]
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[233]
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[234]
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[235]
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[236]
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[237]
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[238]
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[239]
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[240]
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[241]
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[242]
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[243]
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[244]
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[245]
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[246]
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[247]
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[248]
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[249]
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[250]
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[251]
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[254]
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[255]
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[256]
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[257]
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[258]
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[259]
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[260]
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[261]
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[262]
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[263]
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[264]
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[265]
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[266]
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[267]
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[268]
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[269]
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[270]
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[271]
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[272]
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[273]
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[274]
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[275]
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[276]
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[277]
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[278]
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[279]
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[280]
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[281]
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[282]
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[283]
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[284]
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[285]
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[286]
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[287]
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[288]
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[289]
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[290]
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[291]
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[292]
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[293]
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[294]
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[295]
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[296]
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[297]
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[298]
GSM1524071
[299]
GSM1524072
sample_count
300
group_sizes
null
group_sizes_basis
null
platform
570
taxon
Homo sapiens
title
Molecular analysis of gastric cancer identifies discrete subtypes associated with distinct clinical characteristics and survival outcomes: the ACRG (Asian Cancer Research Group) study [gastric tumors]
resolution_checked_at
2026-11-01T15:39:55Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[4] object · 16 fields
id
asset:table:pmid:33030278:1
role
table
format
jats-table
media_type
application/vnd.jats.table+json
uri
null
sha256
sha256:8bb88a2a7d577c09de8d5e65fe7a32e51da5bb57a5328cd31323ae3eb00b5888
bytes
2215
access
open
state
verified
reader
read_table
reader_status
available
identifier
section[3]/table-wrap[1]#cam43505-tbl-0001
version
null
note
Patient characteristics of TCGA and FUSCC cohorts
structure object · 5 fields
pmcid
PMC7724479
section_index
3
section_title
Study samples
row_count
37
column_count
9
table object · 8 fields
label
Table 1
caption
Patient characteristics of TCGA and FUSCC cohorts
rows array · 37 items
[0] array · 3 items
[0]
Variable
[1]
TCGA cohort
[2]
FUSCC cohort
[1] array · 4 items
[0]
Low purity (N = 203)
[1]
High purity (N = 204)
[2]
Low purity (N = 17)
[3]
High purity (N = 17)
[2] array · 5 items
[0]
Median purity
[1]
64.04%
[2]
86.51%
[3]
55.63%
[4]
81.90%
[3] array · 8 items
[0]
N
[1]
%
[2]
N
[3]
%
[4]
N
[5]
%
[6]
N
[7]
%
[4] array · 9 items
[0]
Sex
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[5] array · 9 items
[0]
Male
[1]
125
[2]
61.58
[3]
136
[4]
66.67
[5]
16
[6]
94.12
[7]
14
[8]
82.35
[6] array · 9 items
[0]
Female
[1]
78
[2]
38.42
[3]
68
[4]
33.33
[5]
1
[6]
5.88
[7]
3
[8]
17.65
[7] array · 9 items
[0]
Age
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[8] array · 9 items
[0]
<56
[1]
38
[2]
18.72
[3]
30
[4]
14.71
[5]
5
[6]
29.41
[7]
5
[8]
29.41
[9] array · 9 items
[0]
≥56
[1]
163
[2]
80.30
[3]
173
[4]
84.80
[5]
12
[6]
70.59
[7]
12
[8]
70.59
[10] array · 9 items
[0]
Unknown
[1]
2
[2]
0.99
[3]
1
[4]
0.49
[5]
0
[6]
0.00
[7]
0
[8]
0.00
[11] array · 9 items
[0]
TNMstage
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[12] array · 9 items
[0]
1
[1]
17
[2]
8.37
[3]
36
[4]
17.65
[5]
9
[6]
52.94
[7]
11
[8]
64.71
[13] array · 9 items
[0]
2
[1]
65
[2]
32.02
[3]
57
[4]
27.94
[5]
8
[6]
47.06
[7]
6
[8]
35.29
[14] array · 9 items
[0]
3
[1]
85
[2]
41.87
[3]
81
[4]
39.71
[5]
0
[6]
0.00
[7]
0
[8]
0.00
[15] array · 9 items
[0]
4
[1]
20
[2]
9.85
[3]
21
[4]
10.29
[5]
0
[6]
0.00
[7]
0
[8]
0.00
[16] array · 9 items
[0]
Unknown
[1]
16
[2]
7.88
[3]
9
[4]
4.41
[5]
0
[6]
0.00
[7]
0
[8]
0.00
[17] array · 9 items
[0]
pT
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[18] array · 9 items
[0]
1
[1]
2
[2]
0.99
[3]
18
[4]
8.82
[5]
14
[6]
82.35
[7]
14
[8]
82.35
[19] array · 9 items
[0]
2
[1]
42
[2]
20.59
[3]
44
[4]
21.57
[5]
0
[6]
0.00
[7]
0
[8]
0.00
[20] array · 9 items
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3
[1]
88
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43.35
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91
[4]
44.61
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0
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0.00
[7]
1
[8]
5.88
[21] array · 9 items
[0]
4
[1]
63
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31.03
[3]
50
[4]
24.51
[5]
3
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17.65
[7]
2
[8]
11.76
[22] array · 9 items
[0]
Unknown
[1]
8
[2]
3.94
[3]
1
[4]
0.49
[5]
0
[6]
0.00
[7]
0
[8]
0.00
[23] array · 9 items
[0]
pN
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[24] array · 9 items
[0]
0
[1]
56
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27.59
[3]
63
[4]
30.88
[5]
7
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41.18
[7]
10
[8]
58.82
[25] array · 9 items
[0]
1
[1]
58
[2]
27.59
[3]
52
[4]
25.49
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5
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29.41
[7]
4
[8]
23.53
[26] array · 9 items
[0]
2
[1]
39
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19.21
[3]
39
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19.12
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2
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11.76
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0
[8]
0.00
[27] array · 9 items
[0]
3
[1]
40
[2]
19.70
[3]
41
[4]
20.10
[5]
3
[6]
17.65
[7]
3
[8]
17.65
[28] array · 9 items
[0]
Unknown
[1]
10
[2]
4.93
[3]
9
[4]
4.41
[5]
0
[6]
0.00
[7]
0
[8]
0.00
[29] array · 9 items
[0]
pM
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[30] array · 9 items
[0]
0
[1]
180
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88.67
[3]
182
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89.22
[5]
17
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100.00
[7]
17
[8]
100.00
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1
[1]
15
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12
[4]
5.88
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0
[6]
0.00
[7]
0
[8]
0.00
[32] array · 9 items
[0]
Unknown
[1]
8
[2]
3.94
[3]
10
[4]
4.90
[5]
0
[6]
0.00
[7]
0
[8]
0.00
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178
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87.68
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194
[4]
95.10
[5]
15
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88.24
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16
[8]
94.12
[35] array · 9 items
[0]
Mucinous adenocarcinoma/Signet ring cell carcinoma
[1]
23
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11.33
[3]
9
[4]
4.41
[5]
2
[6]
11.76
[7]
1
[8]
5.88
[36] array · 9 items
[0]
Unknown
[1]
2
[2]
0.99
[3]
1
[4]
0.49
[5]
0
[6]
0.00
[7]
0
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0.00
locator
section[3]/table-wrap[1]#cam43505-tbl-0001
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asset:table:pmid:33030278:2
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sha256:dfc59893468a1f2cbc3398750e404a0f423480550bcc10cf888871a868c8b4f3
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Univariate and multivariate Cox regression analyses for OS in TCGA cohort
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PMC7724479
section_index
8
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Associations between tumor purity and clinical characteristics and patients’ prognosis
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14
column_count
5
table object · 8 fields
label
Table 2
caption
Univariate and multivariate Cox regression analyses for OS in TCGA cohort
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[0]
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p value
[2]
HR (95% CI)
[3]
p value
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[0]
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[1]
1.9 (1.2‐3)
[2]
0.0065
[3]
[4]
[3] array · 5 items
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<56
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1
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≥56
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2.304 (1.442‐3.682)
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<0.001
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1.2 (0.82‐1.6)
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0.41
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1.498 (0.757‐2.964)
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2.483 (1.312‐4.698)
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[10] array · 5 items
[0]
4
[1]
[2]
[3]
5.228 (2.536‐10.779)
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<0.001
[11] array · 5 items
[0]
Tumor purity
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1.5 (1.0‐2.0)
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0.026
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[4]
[12] array · 5 items
[0]
High purity
[1]
[2]
[3]
1
[4]
Ref
[13] array · 5 items
[0]
Low purity
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[2]
[3]
1.587 (1.135‐2.220)
[4]
0.007
locator
section[8]/table-wrap[1]#cam43505-tbl-0002
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asset:table:pmid:33030278:3
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The expression levels of immune checkpoints and chemokines between different tumor purity groups in TCGA and FUSCC cohorts
structure object · 5 fields
pmcid
PMC7724479
section_index
11
section_title
Low‐purity group had a higher expression level of immune checkpoints and chemokines
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14
column_count
8
table object · 8 fields
label
Table 3
caption
The expression levels of immune checkpoints and chemokines between different tumor purity groups in TCGA and FUSCC cohorts
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[0] array · 4 items
[0]
[1]
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[2]
TCGA‐STAD
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FUSCC
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low purity
[1]
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[2]
low purity
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[0]
avg.
[1]
avg.
[2]
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[3]
avg.
[4]
avg.
[5]
p value
[3] array · 8 items
[0]
Immune checkpoints
[1]
PD‐L1
[2]
155.72
[3]
45.36
[4]
0.009
[5]
2.29
[6]
2.06
[7]
0.769
[4] array · 7 items
[0]
PD‐1
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119.82
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42.55
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LAG3
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312.98
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110.78
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0.155
[6] array · 7 items
[0]
TIGIT
[1]
143.33
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44.29
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0.039
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CTLA‐4
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1114.46
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0.033
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[0]
TIM‐3
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478.43
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CCL1
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0.5
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1160.36
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0.001
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175.93
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63.11
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0.89
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0.136
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CCL5
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1850.66
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561.2
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<0.001
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23.45
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7.85
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0.118
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280.43
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101.46
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section[11]/table-wrap[1]#cam43505-tbl-0003
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asset:data:geo:GSE26253 licence not read
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cox_ph
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Cox regression
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ESTIMATE algorithm
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We used ESTIMATE R package to infer tumor purity in gastric tumor tissue.
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method.reader_named_unmapped
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complete
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capability:computational_analysis
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meta_analysis
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gwas
candidate
Automated Assays Laravel application and simulated adapters
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cox_ph
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basis
The paper names the method it used and the corpus's method extractor maps it onto the DSL catalogue: cox_proportional_hazards.
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tier
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capability_id
capability:computational_analysis
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The computational analysis is owned. The physical bench the paper used is not, so a physical validation cannot be run here.
data object · 6 fields
tier
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[0]
GSE15459
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GSE26253
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GSE62254
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[0]
GSE15459
[1]
GSE26253
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GSE62254
statements array · 1 item
[0]
The data sets generated and analyzed during the current study are available in the TCGA, GEO, and CCLE repository, TCGA: https://portal.gdc.cancer.gov GEO: https://www.ncbi.nlm.nih.gov/geo CCLE: https://portals.broadinstitute.org/ccle. FUSCC cohort data used and analyzed during the current study are available from the corresponding author on reasonable request.
basis
The paper names GSE15459, GSE26253, GSE62254 in Gene Expression Omnibus (GEO) and the accession resolves in the repository. No dataset was downloaded and no licence was read.
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cox_ph
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source:pmid:33030278
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extraction_review
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minimax
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PMID 33030278 full text
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GEO GSE15459
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Complete file
{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33030278", "kind": "science-record", "revision": 6, "content_hash": "sha256:cf8a0d801419e2e67bc75c01777cef17cccb5376f85fdcce551acbfd13b48ccc", "created_at": "2026-11-01T15:41:12Z", "updated_at": "2026-11-01T21:23:55Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Tumor purity as a prognosis and immunotherapy relevant feature in gastric cancer.", "doi": "10.1002/cam4.3505", "pmid": "33030278", "authors": ["Zhe Gong", "Jieyun Zhang", "Weijian Guo"], "journal": "Cancer medicine", "year": 2020, "abstract": "Tumor microenvironment (TME) has been illustrated their clinic pathological significance in predicting outcomes and therapeutic efficacy by more and more studies. Tumor purity, which reflects the features of TME, is defined as the proportion of cancer cell in the tumor tissue. However, the current staging and prognostic prediction system in gastric cancer (GC) paid little attention to TME. Therefore, we carried out the study to explore the role of tumor purity in GC. We retrospectively collected the clinical and transcriptomic data from four public data sets (n = 1340), GSE15459, GSE26253, GSE62254, and The Cancer Genome Atlas (TCGA). About 34 GC patients from Fudan University Shanghai Cancer Center (FUSCC) were assigned as an independent validation group. Tumor purity was measured by a computational method. Low tumor purity was associated with unfavorable prognosis, upregulated EMT and stemness pathways, more infiltrating of Tregs, M1 and M2 macrophages and a higher expression level of various immune checkpoints and chemokines recruiting immune suppressive cells. Our study indicates low tumor purity in GC was associated with unfavorable prognosis and immune-evasion phenotype. Further investigations toward tumor purity in GC may contribute to prognosis prediction and the decision of therapy strategies.", "claims": [{"id": "claim-method", "statement": "We used ESTIMATE R package to infer tumor purity in gastric tumor tissue.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33030278", "locator": "sections[5] \"Bioinformatic analysis\" paragraph 2", "quote": "We used ESTIMATE R package to infer tumor purity in gastric tumor tissue."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The data sets generated and analyzed during the current study are available in the TCGA, GEO, and CCLE repository, TCGA: https://portal.gdc.cancer.gov GEO: https://www.ncbi.nlm.nih.gov/geo CCLE: https://portals.broadinstitute.org/ccle. 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