Evidence map›Paper›PMID 22444239›Full record

ArticleNuclear medicine and biology2012

Tryptophan metabolism in breast cancers: molecular imaging and immunohistochemistry studies.

Csaba Juhász, Zeina Nahleh, Ian Zitron, Diane C Chugani, Majid Z Janabi, Sudeshna Bandyopadhyay, Rouba Ali-Fehmi, Thomas J Mangner, Pulak K Chakraborty, Sandeep Mittal and 1 more

Abstract read
In one paragraph

Article in Nuclear medicine and biology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 21% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Radiopharmaceuticals and their applications in medicine.Signal transduction and targeted therapy · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. International journal of molecular sciences · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. CMBD: a manually curated cancer metabolic biomarker knowledge database.Database : the journal of biological databases and curation · 2021
    Article
  19. 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 3 institutions in 1 country.

Csaba JuhászPET Center and Translational Imaging Laboratory, Children's Hospital of Michigan, Detroit, MI 48201, USA. juhasz@pet.wayne.edu
Zeina Nahleh
Ian Zitron
Diane C Chugani
Majid Z Janabi
Sudeshna Bandyopadhyay
Rouba Ali-Fehmi
Thomas J Mangner
Pulak K Chakraborty
Sandeep Mittal
Otto Muzik
Wayne State University · USThe Barbara Ann Karmanos Cancer Institute · USChildren's Hospital of Michigan · US

Funding

Tryptophan Metabolism in Human Brain TumorsR01CA123451 · NCI · WAYNE STATE UNIVERSITY · PI JUHASZ, CSABA, MITTAL, SANDEEP · 2008 to 2018
$3.1M
NCI NIH HHS CA123451NCI NIH HHS N01 CO012400NCI NIH HHS N01-CO-12400NCI NIH HHS R01 CA123451
6 · The paper itself

Abstract

introductionTryptophan oxidation via the kynurenine pathway is an important mechanism of tumoral immunoresistance. Increased tryptophan metabolism via the serotonin pathway has been linked to malignant progression in breast cancer. In this study, we combined quantitative positron emission tomography (PET) with tumor immunohistochemistry to analyze tryptophan transport and metabolism in breast cancer.

methodsDynamic α-[(11)C]methyl-l-tryptophan (AMT) PET was performed in nine women with stage II-IV breast cancer. PET tracer kinetic modeling was performed in all tumors. Expression of L-type amino acid transporter 1 (LAT1), indoleamine 2,3-dioxygenase (IDO; the initial and rate-limiting enzyme of the kynurenine pathway) and tryptophan hydroxylase 1 (TPH1; the initial enzyme of the serotonin pathway) was assessed by immunostaining of resected tumor specimens.

resultsTumor AMT uptake peaked at 5-20 min postinjection in seven tumors; the other two cases showed protracted tracer accumulation. Tumor standardized uptake values (SUVs) varied widely (2.6-9.8) and showed a strong positive correlation with volume of distribution values derived from kinetic analysis (P<.01). Invasive ductal carcinomas (n=6) showed particularly high AMT SUVs (range, 4.7-9.8). Moderate to strong immunostaining for LAT1, IDO and TPH1 was detected in most tumor cells.

conclusionsBreast cancers show differential tryptophan kinetics on dynamic PET. SUVs measured 5-20 min postinjection reflect reasonably the tracer's volume of distribution. Further studies are warranted to determine if in vivo AMT accumulation in these tumors is related to tryptophan metabolism via the kynurenine and serotonin pathways.

Indexed as

Positron-Emission TomographyAdultBreast NeoplasmsFemaleGene Expression Regulation, NeoplasticHumansImmunohistochemistryIndoleamine-Pyrrole 2,3,-DioxygenaseKineticsLarge Neutral Amino Acid-Transporter 1Middle AgedTryptophanTryptophan Hydroxylasealpha-methyltryptophanIndoleamine-Pyrrole 2,3,-DioxygenaseLarge Neutral Amino Acid-Transporter 1TPH1 protein, humanTryptophanTryptophan Hydroxylase

Identifiers

PMID22444239
PMCPMC3443322
OpenAlexW2024927014

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.