Evidence map›Paper›PMID 22143356›Full record

ArticleSurgery today2012

Relationship between expression of apoptosis-related proteins and the efficacy of postoperative chemotherapy in patients with T3 gastric cancer.

Shunichi Tsujitani, Hiroaki Saito, Toshiro Wakatsuki, Masahide Ikeguchi, Ken Shirabe, Masaru Morita, Yoshihiro Kakeji, Tokujiro Yano, Yoshihiko Maehara

Abstract readEvaluation Study
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In one paragraph

Article in Surgery today, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The prognostic significance of p53 expression in gastric cancer: a meta-analysis.Journal of cancer research and clinical oncology · 2015
    Pooled it
  2. Review
  3. Article
  4. Molecular mechanisms of chemoresistance in gastric cancer.World journal of gastrointestinal oncology · 2016
    Review
  5. Article
  6. Article
  7. 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

9 authors.

Shunichi TsujitaniDepartment of Surgery and Science, Graduate School of Medical Science, Kyushu University, Fukuoka, 812-8582, Japan. stsujitani@me.com
Hiroaki Saito
Toshiro Wakatsuki
Masahide Ikeguchi
Ken Shirabe
Masaru Morita
Yoshihiro Kakeji
Tokujiro Yano
Yoshihiko Maehara

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe investigated the relationship between the p53-dependent apoptotic pathway and the survival of patients with gastric cancer, retrospectively, to elucidate new biomarkers of uracil/tegafur (UFT) chemotherapy.

methodsWe examined the expression of p53, p21, Bax, and myeloid cell leukemia 1 (Mcl-1) proteins immunohistochemically in 105 patients who underwent curative gastrectomy for gastric cancer invading the serosa. Postoperative oral UFT was prescribed for 1 year. Kaplan-Meier survival curves were compared with the two-sided log-rank test.

resultsPositive staining for p53, p21, Bax, and Mcl-1 proteins was found in 63.8, 52.4, 39.0, and 72.4% of the subjects, respectively. Survival time did not differ significantly between the patients with and those without p53, p21, and Bax expression. However, patients with Mcl-1- tumors survived longer than those with Mcl-1+ tumors. Postoperative UFT treatment did not improve survival; however, adjuvant UFT significantly prolonged the survival of patients with p53-, p21-), Bax+, or Mcl-1+ tumors, but not of patients with p53+, p21+, Bax-, or Mcl-1- tumors.

conclusionsThe efficacy of adjuvant chemotherapy for gastric cancer may be affected by the status of apoptosis-related proteins such as p53, p21, Bax, and Mcl-1. However, because susceptibility to apoptosis did not explain the sensitivity of chemotherapeutic agents, further investigation of the mutual interaction between apoptosis-related proteins is required.

Indexed as

AdenocarcinomaAdultAgedAntimetabolites, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsApoptosisbcl-2-Associated X ProteinBiomarkers, TumorChemotherapy, AdjuvantCyclin-Dependent Kinase Inhibitor p21FemaleGastrectomyHumansKaplan-Meier EstimateMaleMiddle AgedAntimetabolites, AntineoplasticBAX protein, humanbcl-2-Associated X ProteinBiomarkers, TumorCDKN1A protein, humanCyclin-Dependent Kinase Inhibitor p21Myeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2TegafurTumor Suppressor Protein p53Uracil

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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.