Distinct roles of nutritional and inflammatory signatures in predicting pathological response versus long-term survival in locally advanced gastric cancer treated with neoadjuvant immunotherapy - Takeaways - MDSpire

Distinct roles of nutritional and inflammatory signatures in predicting pathological response versus long-term survival in locally advanced gastric cancer treated with neoadjuvant immunotherapy

  • By

  • Ying Dong

  • Lei Qian

  • YiChong Wang

  • Chunzhi Yuan

  • Wenjing Cui

  • Yue Shi

  • Jun Zhu

  • Xiaochen Ding

  • June 18, 2026

  • 0 min

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  • 1

    Neoadjuvant immunotherapy with chemotherapy improves outcomes in locally advanced gastric cancer (LAGC) but patient responses vary significantly.

  • 2

    The study evaluated the Prognostic Nutritional Index (PNI), Systemic Immune-inflammation Index (SII), and Creatinine to Cystatin C Ratio (CCR) as predictive biomarkers.

  • 3

    Patients achieving pathological complete response (pCR) had significantly better overall survival (OS) and disease-free survival (DFS) compared to non-pCR patients.

  • 4

    Low SII and high PNI and CCR levels were associated with improved OS and DFS, indicating their potential as prognostic indicators.

  • 5

    Integrating nutritional and inflammatory biomarkers into predictive models enhances risk stratification and personalized management for LAGC patients.

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