Evidence map›Paper›PMID 19843858›Full record

ArticleCancer research2009

Activation of the PI3K/AKT pathway induces urothelial carcinoma of the renal pelvis: identification in human tumors and confirmation in animal models.

Chao-Nan Qian, Kyle A Furge, Jared Knol, Dan Huang, Jindong Chen, Karl J Dykema, Eric J Kort, Aaron Massie, Sok Kean Khoo, Kristin Vanden Beldt and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

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  18. The role of WNT signalling in urothelial cell carcinoma.Annals of the Royal College of Surgeons of England · 2015
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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

23 authors at 6 institutions in 4 countries.

Chao-Nan QianLaboratories of Cancer Genetics, Van Andel Research Institute, Grand Rapids, Michigan 49503, USA. chaonan.qian@vai.org
Kyle A Furge
Jared Knol
Dan Huang
Jindong Chen
Karl J Dykema
Eric J Kort
Aaron Massie
Sok Kean Khoo
Kristin Vanden Beldt
James H Resau
John Anema
Richard J Kahnoski
Hans Morreau
Philippe Camparo
Eva Comperat
Mathilde Sibony
Yves Denoux
Vincent Molinie
Annick Vieillefond
Charis Eng
Bart O Williams
Bin Tean Teh
Sun Yat-sen University Cancer Center · CNSun Yat-sen University · CNCorewell Health Blodgett Hospital · USLeiden University Medical Center · NLSpectrum Health · USVan Andel Institute · US

Funding

Selective Modulation of Thyroidal RadioiodineP01CA124570 · NCI · OHIO STATE UNIVERSITY · PI DE LA CHAPELLE, ALBERT · 2008 to 2017
$23.4M
NCI NIH HHS 1P01CA124570-01A1NCI NIH HHS P01 CA124570
6 · The paper itself

Abstract

Urothelial carcinoma of the renal pelvis is a deadly disease with an unclear tumorigenic mechanism. We conducted gene expression profiling on a set of human tumors of this type and identified a phosphatidylinositol 3-kinase (PI3K)/AKT activation expression signature in 76.9% (n = 13) of our samples. Sequence analysis found both activating mutations of PIK3CA (13.6%, n = 22) and loss of heterozygosity at the PTEN locus (25%, n = 8). In contrast, none of the other subtypes of kidney neoplasms (e.g., clear-cell renal cell carcinoma) harbored PIK3CA mutations (n = 87; P < 0.001). Immunohistochemical analysis of urothelial carcinoma samples found loss of PTEN protein expression (36.4%, n = 11) and elevation of phosphorylated mammalian target of rapamycin (mTOR; 63.6%, n = 11). To confirm the role of the PI3K/AKT pathway in urothelial carcinoma, we generated mice containing biallelic inactivation of Pten in the urogenital epithelia. These mice developed typical renal pelvic urothelial carcinomas, with an incidence of 57.1% in mice older than 1 year. Laser capture microdissection followed by PCR confirmed the deletion of Pten exons 4 and 5 in the animal tumor cells. Immunohistochemical analyses showed increased phospho-mTOR and phospho-S6K levels in the animal tumors. Renal lymph node metastases were found in 15.8% of the animals with urothelial carcinoma. In conclusion, we identified and confirmed an important role for the PI3K/AKT pathway in the development of urothelial carcinoma and suggested that inhibitors of this pathway (e.g., mTOR inhibitor) may serve as effective therapeutic agents.

Indexed as

AnimalsBiomarkers, TumorCarcinoma, PapillaryCarcinoma, Renal CellFemaleGene Expression ProfilingHumansImmunoenzyme TechniquesIntegrasesKidney NeoplasmsKidney PelvisLasersLoss of HeterozygosityMaleMiceMice, TransgenicBiomarkers, TumorCre recombinaseIntegrasesMTOR protein, humanmTOR protein, mousePhosphatidylinositol 3-KinasesProtein KinasesProto-Oncogene Proteins c-aktPTEN PhosphohydrolaseRibosomal Protein S6 Kinases, 70-kDaRNA, MessengerTOR Serine-Threonine Kinases

Identifiers

PMID19843858
PMCPMC2783739
OpenAlexW2104118000

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.