Evidence map›Paper›PMID 20960509›Full record

ArticleCancer2011

Association of hyaluronic acid family members (HAS1, HAS2, and HYAL-1) with bladder cancer diagnosis and prognosis.

Mario W Kramer, Diogo O Escudero, Soum D Lokeshwar, Roozbeh Golshani, Obi O Ekwenna, Kristell Acosta, Axel S Merseburger, Mark Soloway, Vinata B Lokeshwar

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
4.0field-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

66 citing papers in PubMed, 124 citations in OpenAlex.

  1. Article
  2. Skin-Whitening, Antiwrinkle, and Moisturizing Effects ofInternational journal of molecular sciences · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

6 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 2 countries.

Mario W KramerDepartment of Urology, Hannover Medical School (MHH), Hannover, Germany.
Diogo O Escudero
Soum D Lokeshwar
Roozbeh Golshani
Obi O Ekwenna
Kristell Acosta
Axel S Merseburger
Mark Soloway
Vinata B Lokeshwar
University of Miami · USMedizinische Hochschule Hannover · DE

Funding

Mechanisms of Bladder Cancer ProgressionR01CA072821 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LOKESHWAR, VINATA B · 2003 to 2014
$2.4M
Glycosaminoglycan-based inhibitors for treatment of prostate cancerR01CA123063 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LOKESHWAR, VINATA B · 2007 to 2010
$1.0M
NCI NIH HHS 2R01CA072821-11NCI NIH HHS R01 CA072821NCI NIH HHS R01 CA123063NCI NIH HHS R01CA123063-03NCI NIH HHS R01CA123063-04
6 · The paper itself

Abstract

backgroundCancer biomarkers are the backbone for the implementation of individualized approaches to bladder cancer (BCa). Hyaluronic acid (HA) and all 7 members of the HA family, that is, HA synthases (HA1, HA2, HA3), HYAL-1 hyaluronidase, and HA receptors (CD44s, CD44v, and RHAMM), function in tumor growth and progression. However, the diagnostic and prognostic potential of these 7 HA family members has not been compared simultaneously in any cancer. We evaluated the diagnostic and prognostic potential of HA family members in BCa.

methodsUsing quantitative PCR and immunohistochemistry, expression of HA family members was evaluated in prospectively collected bladder tissues (n = 72); mean and median follow-up were 29.6 ± 5.3 and 24 months, respectively. Transcript levels were also measured in exfoliated urothelial cells from urine specimens (n = 148).

resultsAmong the HA family members, transcript levels of the HA synthases, HYAL-1, CD44v, and RHAMM were 4- to 16-fold higher in BCa tissues than in normal tissues (P < .0001); however, CD44s levels were lower. In univariate and multivariate analyses, tumor stage (P = .003), lymph node invasion (P = .033), HYAL-1 (P = .019), and HAS1 (P = .027) transcript levels, and HYAL-1 staining (P = .021) were independently associated with metastasis. Tumor stage (P = .019) and HYAL-1 (P = .046) transcript levels were also associated with disease-specific mortality. Although HA synthase and HYAL-1 transcript levels were elevated in exfoliated urothelial cells from BCa patients, the combined HAS2-HYAL-1 expression detected BCa with an overall sensitivity of 85.4% and a specificity of 79.5% and predicted BCa recurrence within 6 months (P = .004; RR = 6.7).

conclusionsHYAL-1 and HAS1 expression predicted BCa metastasis, and HYAL-1 expression also predicted disease-specific survival. Furthermore, the combined HAS2-HYAL-1 biomarker detected BCa and significantly predicted its recurrence.

Indexed as

AdultAgedBiomarkers, TumorCarcinomaFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticGlucuronosyltransferaseHumansHyaluronan SynthasesHyaluronic AcidHyaluronoglucosaminidaseMaleMiddle AgedMolecular Diagnostic TechniquesMultigene FamilyBiomarkers, TumorGlucuronosyltransferaseHAS1 protein, humanHAS2 protein, humanHyaluronan SynthasesHyaluronic AcidHyaluronoglucosaminidase

Identifiers

PMID20960509
PMCPMC3025265
OpenAlexW2084764446

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.