Evidence map›Paper›PMID 22562149›Full record

ArticleWorld journal of urology2013

The impact of immunohistochemical expression of nitric oxide synthases on clinical and pathological features of renal cell carcinoma.

Stênio de Cássio Zequi, José Humberto G T Fregnani, Ricardo L Favaretto, Walter H Costa, Rodrigo S Madeira Campos, Francisco P Fonseca, Gustavo C Guimaraes, Fernando A Soares, Isabela W da Cunha, Ademar Lopes

Abstract readComparative Study
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In one paragraph

Article in World journal of urology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Stênio de Cássio ZequiUrology Division, Department of Pelvic Surgery, Hospital AC Camargo, Rua Professor Antonio Prudente, 211, Sao Paulo, SP, 01509-010, Brazil, steniozequi@uol.com.br.
José Humberto G T Fregnani
Ricardo L Favaretto
Walter H Costa
Rodrigo S Madeira Campos
Francisco P Fonseca
Gustavo C Guimaraes
Fernando A Soares
Isabela W da Cunha
Ademar Lopes
AC Camargo Hospital · BRHospital de Câncer de Barretos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the immunohistochemical expression of nitric oxide synthase (NOS) types 1, 2, and 3 in intratumoral and non-neoplastic samples of renal cell carcinoma (RCC) and correlate it with the clinical and pathological features of this malignancy.

methodsWe analyzed 110 patients with RCC underwent radical nephrectomy (RN) or partial nephrectomy (PN) by streptavidin-biotin peroxidase method, tissue microarray, and digital microscopy. As endpoints, NOS expression was correlated with pathological features, overall survival (OS), and cancer-specific survival (CSS).

resultsNon-neoplastic samples had higher NOS3 and lower NOS 2 levels than RCC tissues. Greater expression of all NOS isoforms was associated with larger tumors. High NOS1 expression correlated with microscopic venous invasion (MVI) (p = 0.046) and lymph node metastases (p = 0.007). High NOS2 expression was linked to MVI, more RN performed, and male gender (p = 0.035, p = 0.003, and p = 0.027, respectively). High NOS3 expression correlated with lymph node metastases (p = 0.039), microlymphatic invasion (p = 0.029), invasion of the renal pelvis and ureter (p = 0.004), RN (p = 0.003), and shorter OS (58.1 vs. 79.4 % respectively, p = 0.033) by univariate analysis. DFS was not influenced by any NOS isoform. By multivariate analysis, the risk factors for death were TNM stages III and IV (hazard ratio [HR] = 4.5), high Fuhrman's grade (HR = 2.9), Karnofsky performance status ≤80 (HR = 2.5), progression (HR = 5.5), and recurrence (HR = 6.3). Stage III disease was an independent risk factor for recurrence (HR = 9.5).

conclusionsHigh NOS expression in RCC is associated with a poor prognosis and larger tumors. NOS3 influences OS by univariate analysis.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Renal CellFemaleHumansImmunohistochemistryKidneyKidney NeoplasmsMaleMiddle AgedNeoplasm InvasivenessNeoplasm StagingNephrectomyNitric Oxide Synthase Type INitric Oxide Synthase Type IINitric Oxide Synthase Type INitric Oxide Synthase Type IINitric Oxide Synthase Type IIINOS1 protein, humanNOS2 protein, humanNOS3 protein, human

Identifiers

PMID22562149
OpenAlexW1983202433

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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.