Evidence map›Paper›PMID 23011390›Full record

ArticleAnnals of surgery2013

Wnt pathway activation predicts increased risk of tumor recurrence in patients with stage I nonsmall cell lung cancer.

Mark Shapiro, Gal Akiri, Cynthia Chin, Juan P Wisnivesky, Mary B Beasley, Todd S Weiser, Scott J Swanson, Stuart A Aaronson

Abstract readComparative Study
In one paragraph

Article in Annals of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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

25 citing papers in PubMed.

  1. Review
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  10. Review
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  13. Long noncoding RNA LINC00673-v4 promotes aggressiveness of lung adenocarcinoma via activating WNT/β-catenin signaling.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  14. Article
  15. Article
  16. Roles of Wnt Target Genes in the Journey of Cancer Stem Cells.International journal of molecular sciences · 2017
    Review
  17. Article
  18. Article
  19. Article
  20. Wnt blockers inhibit the proliferation of lung cancer stem cells.Drug design, development and therapy · 2015
    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

8 authors.

Mark ShapiroDivision of Thoracic Surgery, The Mount Sinai Medical Center, New York, NY 10029, USA.
Gal Akiri
Cynthia Chin
Juan P Wisnivesky
Mary B Beasley
Todd S Weiser
Scott J Swanson
Stuart A Aaronson

Funding

WNT Receptor Signaling and CancerR01CA071672 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI AARONSON, STUART A · 1997 to 2009
$3.8M
Defining mechanisms and targets in Wnt addicted human malignancies (PQ22)R01CA170702 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI AARONSON, STUART A · 2012 to 2015
$1.4M
NCI NIH HHS R01 CA071672NCI NIH HHS R01 CA170702
6 · The paper itself

Abstract

objectiveTo determine the incidence of Wnt pathway activation in patients with stage I NSCLC and its influence on lung cancer recurrence.

backgroundDespite resection, the 5-year recurrence with localized stage I nonsmall cell lung cancer (NSCLC) is 18.4%-24%. Aberrant Wnt signaling activation plays an important role in a wide variety of tumor types. However, there is not much known about the role the Wnt pathway plays in patients with stage I lung cancer.

methodsTumor and normal lung tissues from 55 patients following resection for stage I NSCLC were subjected to glutathione S-transferase (GST) E-cadherin pulldown and immunoblot analysis to assess levels of uncomplexed β-catenin, a reliable measure of Wnt signaling activation. The β-catenin gene was also screened for oncogenic mutations in tumors with activated Wnt signaling. Cancer recurrence rates were correlated in a blinded manner in patients with Wnt pathway-positive and -negative tumors.

resultsTumors in 20 patients (36.4%) scored as Wnt positive, with only 1 exhibiting a β-catenin oncogenic mutation. Patients with Wnt-positive tumors experienced a significantly higher rate of overall cancer recurrence than those with Wnt-negative tumors (30.0% vs. 5.7%, P = 0.02), with 25.0% exhibiting distal tumor recurrence compared with 2.9% in the Wnt-negative group (P = 0.02).

conclusionsWnt pathway activation occurred in a substantial fraction of Stage I NSCLCs, which was rarely due to mutations. Moreover, Wnt pathway activation was associated with a significantly higher rate of tumor recurrence. These findings suggest that Wnt pathway activation reflects a more aggressive tumor phenotype and identifies patients who may benefit from more aggressive therapy in addition to resection.

Indexed as

Gene Expression Regulation, NeoplasticNeoplasm StagingAgedCarcinoma, Non-Small-Cell LungCell Line, TumorDNA, NeoplasmFemaleHumansIncidenceLungLung NeoplasmsMaleMutationNeoplasm Recurrence, LocalRetrospective StudiesSignal TransductionDNA, NeoplasmWnt Proteins

Identifiers

PMID23011390
PMCPMC3546156

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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.