Evidence map›Paper›PMID 19936203›Full record

ArticlePloS one2009

CRX is a diagnostic marker of retinal and pineal lineage tumors.

Sandro Santagata, Cecile L Maire, Ahmed Idbaih, Lars Geffers, Mick Correll, Kristina Holton, John Quackenbush, Keith L Ligon

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Digital PCR Quantification of a CirculatingInternational journal of molecular sciences · 2026
    Article
  3. Article
  4. Histopathology and Molecular Pathology of Pineal Region Tumors.Advances and technical standards in neurosurgery · 2026
    Review
  5. Pineal Gland Parenchyma Tumors.Advances and technical standards in neurosurgery · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Histopathology and molecular pathology of pediatric pineal parenchymal tumors.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
  12. Cancers · 2022
    Article
  13. Article
  14. Bone metastasis of retinoblastoma five years after primary treatment.American journal of ophthalmology case reports · 2020
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

8 authors at 4 institutions in 2 countries.

Sandro SantagataDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.
Cecile L Maire
Ahmed Idbaih
Lars Geffers
Mick Correll
Kristina Holton
John Quackenbush
Keith L Ligon
Dana-Farber Cancer Institute · USBrigham and Women's Hospital · USHarvard University · USMax Planck Institute for Biophysical Chemistry · DE

Funding

Heat Shock Directed Drug Discovery For The Treatment Of GliomasK08NS064168 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI SANTAGATA, SANDRO · 2008 to 2012
$900k
Olig function in CNS development and tumorigenesisK08NS047213 · NINDS · DANA-FARBER CANCER INST · PI LIGON, KEITH LLOYD · 2004 to 2008
$876k
NINDS NIH HHS K08 NS047213NINDS NIH HHS K08 NS064168NINDS NIH HHS NS047213NINDS NIH HHS NS064168
6 · The paper itself

Abstract

backgroundCRX is a homeobox transcription factor whose expression and function is critical to maintain retinal and pineal lineage cells and their progenitors. To determine the biologic and diagnostic potential of CRX in human tumors of the retina and pineal, we examined its expression in multiple settings. METHODOLOGY/PRINCIPAL

findingsUsing situ hybridization and immunohistochemistry we show that Crx RNA and protein expression are exquisitely lineage restricted to retinal and pineal cells during normal mouse and human development. Gene expression profiling analysis of a wide range of human cancers and cancer cell lines also supports that CRX RNA is highly lineage restricted in cancer. Immunohistochemical analysis of 22 retinoblastomas and 13 pineal parenchymal tumors demonstrated strong expression of CRX in over 95% of these tumors. Importantly, CRX was not detected in the majority of tumors considered in the differential diagnosis of pineal region tumors (n = 78). The notable exception was medulloblastoma, 40% of which exhibited CRX expression in a heterogeneous pattern readily distinguished from that seen in retino-pineal tumors. CONCLUSIONS/SIGNIFICANCE: These findings describe new potential roles for CRX in human cancers and highlight the general utility of lineage restricted transcription factors in cancer biology. They also identify CRX as a sensitive and specific clinical marker and a potential lineage dependent therapeutic target in retinoblastoma and pineoblastoma.

Indexed as

AnimalsCell LineageGene Expression ProfilingGene Expression Regulation, DevelopmentalGene Expression Regulation, NeoplasticHomeodomain ProteinsHumansMiceMice, Inbred C57BLModels, GeneticNeoplasmsPineal GlandRetinaRetinal NeoplasmsTrans-Activatorscone rod homeobox proteinHomeodomain ProteinsTrans-Activators

Identifiers

PMID19936203
PMCPMC2775954
OpenAlexW2167444703

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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 OpenQuestion graph.