Evidence map›Paper›PMID 22235101›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2012

Pathway-specific analysis of gene expression data identifies the PI3K/Akt pathway as a novel therapeutic target in cervical cancer.

Julie K Schwarz, Jacqueline E Payton, Ramachandran Rashmi, Tao Xiang, Yunhe Jia, Phyllis Huettner, Buck E Rogers, Qin Yang, Mark Watson, Janet S Rader and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02437851 (A Multicenter Observational and Feasibility Study of Excision of Superficially Invasive Squamous Cell Carcinoma), which is not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
10.5field-weighted citation impact, top 2% 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.

NCT02437851 phase2completednot on this mapstarted 2015, after this paper: background citation

A Multicenter Observational and Feasibility Study of Excision of Superficially Invasive Squamous Cell Carcinoma (SISCCA) of the Anal Canal and Perianus in HIV-Infected Persons

TypeinterventionalSponsorAIDS Malignancy ConsortiumRan2015 to 2026Enrolled16ConditionsAnal Squamous Cell Carcinoma, HIV Infection, Stage 0 Anal Canal Cancer, Stage I Anal Canal CancerArmsTherapeutic Conventional Surgery
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 100 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Adenosinergic Signalling in Cervical Cancer Microenvironment.Expert reviews in molecular medicine · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Standardized Uptake Value forClinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Frontiers in oncology · 2021
    Article
  19. BioMed research international · 2021
    Article
  20. 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

11 authors at 2 institutions in 1 country.

Julie K SchwarzDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri 63110, USA. jschwarz@radonc.wustl.edu
Jacqueline E Payton
Ramachandran Rashmi
Tao Xiang
Yunhe Jia
Phyllis Huettner
Buck E Rogers
Qin Yang
Mark Watson
Janet S Rader
Perry W Grigsby
Mallinckrodt (United States) · USMedical College of Wisconsin · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Genetic Susceptibility to Cervical CancerR01CA095713 · NCI · WASHINGTON UNIVERSITY · PI RADER, JANET S. · 2003 to 2009
$1.8M
ROLE OF BRCA1/AKT1 PATHWAY IN THE TUMORIGENESISR01CA129440 · NCI · WASHINGTON UNIVERSITY · PI YANG, QIN · 2009 to 2013
$1.5M
NCI NIH HHS CA129440NCI NIH HHS P30 CA091842NCI NIH HHS P30 CA91842NCI NIH HHS R01 CA095713NCI NIH HHS R01 CA129440
6 · The paper itself

Abstract

purposeCervical tumor response on posttherapy 2[(18)F]fluoro-2-deoxy-d-glucose-positron emission tomography (FDG-PET) is predictive of survival outcome. The purpose of this study was to use gene expression profiling to identify pathways associated with tumor metabolic response. EXPERIMENTAL

designThis was a prospective tissue collection study for gene expression profiling of 62 pretreatment biopsies from patients with advanced cervical cancer. Patients were treated with definitive radiation. Fifty-three patients received concurrent chemotherapy. All patients underwent a pretreatment and a 3-month posttherapy FDG-PET/computed tomography (CT). Tumor RNA was harvested from fresh frozen tissue and hybridized to Affymetrix U133Plus2 GeneChips. Gene set enrichment analysis (GSEA) was used to identify signaling pathways associated with tumor metabolic response. Immunohistochemistry and in vitro FDG uptake assays were used to confirm our results.

resultsThere were 40 biopsies from patients with a complete metabolic response (PET-negative group) and 22 biopsies from patients with incomplete metabolic response (PET-positive group). The 3-year cause-specific survival estimates were 98% for the PET-negative group and 39% for the PET-positive group (P < 0.0001). GSEA identified alterations in expression of genes associated with the PI3K/Akt signaling pathway in patients with a positive follow-up PET. Immunohistochemistry using a tissue microarray of 174 pretreatment biopsies confirmed p-Akt as a biomarker for poor prognosis in cervical cancer. The phosphoinositide 3-kinase (PI3K) inhibitor LY294002 inhibited FDG uptake in vitro in cervical cancer cell lines.

conclusionsActivation of the PI3K/Akt pathway is associated with incomplete metabolic response in cervical cancer. Targeted inhibition of PI3K/Akt may improve response to chemoradiation.

Indexed as

Gene Expression ProfilingSignal TransductionAdultAgedAnimalsDeoxyglucoseFemaleHumansMiceMiddle AgedPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsProto-Oncogene Proteins c-aktSurvival AnalysisUterine Cervical NeoplasmsDeoxyglucosePhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsProto-Oncogene Proteins c-akt

Identifiers

PMID22235101
PMCPMC3627483
OpenAlexW2129358321

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Registered trials

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.