Evidence map›Paper›PMID 22065054›Full record

ArticleJournal of cancer research and clinical oncology2012

Expression of coagulation factors and their receptors in tumor tissue and coagulation factor upregulation in peripheral blood of patients with cerebral carcinoma metastases.

Jan Walter, Linn L Handel, Michael Brodhun, Denise van Rossum, Uwe-Karsten Hanisch, Lutz Liebmann, Frank Heppner, Roland Goldbrunner, Arend Koch, Susanne A Kuhn

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

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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

10 authors at 6 institutions in 2 countries.

Jan WalterDepartment of Neurosurgery, Medical Center of Friedrich-Schiller-University, University Hospital Jena, Erlanger Allee 101, 07747, Jena, Germany.
Linn L Handel
Michael Brodhun
Denise van Rossum
Uwe-Karsten Hanisch
Lutz Liebmann
Frank Heppner
Roland Goldbrunner
Arend Koch
Susanne A Kuhn
Friedrich Schiller University Jena · DECharité - Universitätsmedizin Berlin · DEUniversity of Göttingen · DEHelios Klinikum Erfurt · DESchiller International University · FRUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with malignancies often suffer from thrombembolic events that complicate the course of cancer disease and reduce the patients' quality of life or shorten the survival time in severe cases. This phenomenon is also known for patients with primary or secondary brain tumors; but the reasons are not identified.

methodsWe performed a prospective case-controlled study of patients with brain metastases but without any active peripheral tumor site. Blood of patients was collected perioperatively and investigated for coagulation factor activities. Moreover, we analyzed the expression of coagulation factors and their receptors within the tumor material of brain metastases from clear-cell renal cell carcinomas and small-cell carcinomas of the lung.

resultsHere, we show that even patients without an active peripheral tumor disease that means without any tumor masses outside the central nervous system after anticancer treatment by surgery, radiation therapy, or chemotherapy but with symptomatic brain metastasis develop an increased systemic activation of multiple coagulation factors. The pro-coagulatory state is expressed preoperatively, but also can be observed in the early postoperative period. Additionally to that, intracerebral metastases of clear-cell renal cell carcinomas and of small-cell carcinomas of the lung express prothrombin, thrombin, factor X, and the protease-activated receptors type 1, 2, 3, and 4.

conclusionsThese observations support the hypothesis of a link between the hemostatic system in the periphery and the malignant tumor disease even when the tumor is an intracerebral metastasis and the affected patient currently is free of a systemically active tumor. The results of this study support the hypothesis that the concerted action of coagulation factors and their receptors within the metastasis tissue itself and the systemic coagulation system could control the malignant behavior of tumor disease and make larger prospective trials mandatory.

Indexed as

AdultAgedAntithrombin IIIBlood Coagulation FactorsBrain NeoplasmsCarcinoma, Renal CellCarcinoma, Small CellCase-Control StudiesFemaleFibrin Fibrinogen Degradation ProductsFibrinogenHumansImmunohistochemistryKidney NeoplasmsLung NeoplasmsMaleAntithrombin IIIBlood Coagulation FactorsFibrin Fibrinogen Degradation Productsfibrin fragment DFibrinogenReceptors, Proteinase-Activated

Identifiers

PMID22065054
PMCPMC11824165
OpenAlexW1977083085

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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.