Evidence map›Paper›PMID 21703203›Full record

ArticleJournal of hepatology2011

Gene-expression signature of vascular invasion in hepatocellular carcinoma.

Beatriz Mínguez, Yujin Hoshida, Augusto Villanueva, Sara Toffanin, Laia Cabellos, Swan Thung, John Mandeli, Daniela Sia, Craig April, Jian-Bing Fan and 8 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

87 citing papers in PubMed, 2 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
  2. Expression profiling of archival tumors for long-term health studies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2012
    Pooled it
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Beatriz MínguezMount Sinai Liver Cancer Program, (Division of Liver Diseases, Department of Medicine, Surgical Oncology, Department of Surgery, Department of Pathology, Department of Preventive Medicine), Mount Sinai School of Medicine, New York, NY 10029, USA.
Yujin Hoshida
Augusto Villanueva
Sara Toffanin
Laia Cabellos
Swan Thung
John Mandeli
Daniela Sia
Craig April
Jian-Bing Fan
Anja Lachenmayer
Radoslav Savic
Sasan Roayaie
Vincenzo Mazzaferro
Jordi Bruix
Myron Schwartz
Scott L Friedman
Josep M Llovet
Icahn School of Medicine at Mount Sinai · USConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESIllumina (United States) · USBroad Institute · USCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESInstitució Catalana de Recerca i Estudis Avançats · ES

Funding

The Role of KLF6 in Hepatic FibrosisR01DK056621 · NIDDK · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI FRIEDMAN, SCOTT L. · 2000 to 2019
$6.2M
THE ROLE OF STELLATE CELLS IN HEPATIC FIBROSISR01DK037340 · NIDDK · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI FRIEDMAN, SCOTT L. · 1987 to 2010
$3.5M
Integrative genomic analysis in hepatocellular carcinomaR01DK076986 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI LLOVET, JOSEP M · 2007 to 2011
$1.3M
NIDDK NIH HHS 1R01DK076986-01NIDDK NIH HHS R01 DK037340NIDDK NIH HHS R01 DK056621NIDDK NIH HHS R01 DK076986PHS HHS R01-37340PHS HHS R01-56621
6 · The paper itself

Abstract

BACKGROUND &

aimsVascular invasion is a major predictor of tumor recurrence after surgical treatments for hepatocellular carcinoma (HCC). While macroscopic vascular invasion can be detected by radiological techniques, pre-operative detection of microscopic vascular invasion, which complicates 30-40% of patients with early tumors, remains elusive.

methodsA total of 214 patients with hepatocellular carcinoma who underwent resection were included in the study. By using genome-wide gene-expression profiling of 79 hepatitis C-related hepatocellular carcinoma samples (training set), a gene-expression signature associated with vascular invasion was defined. The signature was validated in formalin-fixed paraffin-embedded tissues obtained from an independent set of 135 patients with various etiologies.

resultsA 35-gene signature of vascular invasion was defined in the training set, predicting vascular invasion with an accuracy of 69%. The signature was independently associated with the presence of vascular invasion (OR 3.38, 95% CI 1.48-7.71, p=0.003) along with tumor size (diameter greater than 3 cm, OR 2.66, 95% CI 1.17-6.05, p=0.02). In the validation set, the signature discarded the presence of vascular invasion with a negative predictive value of 0.77, and significantly improved the diagnostic power of tumor size alone (p=0.045).

conclusionsThe assessment of a gene-expression signature obtained from resected biopsied tumor specimens improved the diagnosis of vascular invasion beyond clinical variable-based prediction. The signature may aid in candidate selection for liver transplantation, and guide the design of clinical trials with experimental adjuvant therapies.

Indexed as

AdultAgedAged, 80 and overCarcinoma, HepatocellularFemaleGene Expression ProfilingHumansLiver NeoplasmsLiver TransplantationMaleMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalRisk Factors

Identifiers

PMID21703203
PMCPMC3624094
OpenAlexW2137211337

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.