Evidence map›Paper›PMID 22048633›Full record

ArticleAnnals of surgical oncology2012

The combined expression of metaplasia biomarkers predicts the prognosis of gastric cancer.

Yun-Suhk Suh, Hyuk-Joon Lee, Eun-Jung Jung, Min-A Kim, Ki Taek Nam, James R Goldenring, Han-Kwang Yang, Woo Ho Kim

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Correlation of cadherin-17 protein expression with clinicopathological features and prognosis of patients with sporadic gastric cancer.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2015
    Pooled it
  2. Pooled it
  3. Cadherin 17 and digestive cancers: from diagnostic to therapeutic opportunities.Journal of experimental & clinical cancer research : CR · 2026
    Review
  4. Article
  5. Olfactomedin 4 in cancer development and progression.Biochimica et biophysica acta. Reviews on cancer · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Single-cell Profiling Uncovers aCancer research communications · 2023
    Article
  10. Evaluation of the Effectiveness ofMedicina (Kaunas, Lithuania) · 2021
    Article
  11. Molecular Alterations in Gastric Intestinal Metaplasia.International journal of molecular sciences · 2021
    Review
  12. Journal of clinical medicine · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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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

8 authors.

Yun-Suhk SuhDepartment of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Hyuk-Joon Lee
Eun-Jung Jung
Min-A Kim
Ki Taek Nam
James R Goldenring
Han-Kwang Yang
Woo Ho Kim

Funding

Mechanisms of Gastric Mucous Cell MetaplasiaR01DK071590 · NIDDK · VANDERBILT UNIVERSITY · PI GOLDENRING, JAMES RICHARD · 2008 to 2012
$2.2M
NIDDK NIH HHS R01 DK071590NIDDK NIH HHS R01 DK071590-S1
6 · The paper itself

Abstract

backgroundOur previous study indicated that gene expression profiling of intestinal metaplasia (IM) or spasmolytic polypeptide-expressing metaplasia (SPEM) can identify useful prognostic markers of early-stage gastric cancer, and seven metaplasia biomarkers (MUC13, CDH17, OLFM4, KRT20, LGALS4, MUC5AC, and REG4) were selectively expressed in 17-50% of gastric cancer tissues. We investigated whether the combined expression of these metaplasia biomarkers could predict the prognosis of advanced stage gastric cancer.

methodsThe expression of seven metaplasia biomarkers was evaluated immunohistochemically using tissue microarrays comprised of 450 gastric cancer patients. The clinicopathologic correlations and the prognostic impact were analyzed according to the expression of multiple biomarkers.

resultsMUC13, CDH17, LGALS4, and REG4 were significant prognostic biomarkers in univariate analysis. No expression of four markers was found in 56 cases (14.2%); 1 marker was seen in 67 cases (17%), 2 in 106 cases (27%), 3 in 101 cases (25.7%), and 4 in 63 cases (16%). Patients in which two or fewer proteins were expressed (group B) showed younger age, undifferentiated or diffuse type cancer, larger tumor size, larger number of metastatic lymph nodes, and more advanced stage than those in which three or more proteins were expressed (group A). In undifferentiated or stage II/III gastric cancer, the prognosis of group B was significantly poorer than that of group A by multivariate analysis.

conclusionsThe combined loss of expression of multiple metaplasia biomarkers is considered an independent prognostic indicator in undifferentiated or stage II/III gastric cancer.

Indexed as

AdenocarcinomaBiomarkers, TumorCadherinsFemaleGalectin 4Gene Expression ProfilingGranulocyte Colony-Stimulating FactorHumansImmunohistochemistryKeratin-20Lectins, C-TypeMaleMetaplasiaMiddle AgedMucin 5ACMucinsBiomarkers, TumorCadherinsCDH17 protein, humanGalectin 4Granulocyte Colony-Stimulating FactorKeratin-20KRT20 protein, humanLectins, C-TypeLGALS4 protein, humanMUC13 protein, humanMUC5AC protein, humanMucin 5ACMucinsOLFM4 protein, humanPancreatitis-Associated ProteinsREG4 protein, human

Identifiers

PMID22048633
PMCPMC3884694

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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.