Evidence map›Paper›PMID 23197489›Full record

ArticleJournal of the National Cancer Institute2012

Retinoblastoma and phosphate and tensin homolog tumor suppressors: impact on ductal carcinoma in situ progression.

Erik S Knudsen, Thomas F Pajak, Maria Qeenan, A Kathleen McClendon, Benjamin D Armon, Gordon F Schwartz, Agnieszka K Witkiewicz

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Relevance of pRB Loss in Human Malignancies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
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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

7 authors at 1 institution in 1 country.

Erik S KnudsenDepartment of Pathology, University of Texas Southwestern, Dallas, TX 75390. knudsen.esk@gmail.com
Thomas F Pajak
Maria Qeenan
A Kathleen McClendon
Benjamin D Armon
Gordon F Schwartz
Agnieszka K Witkiewicz
The University of Texas Southwestern Medical Center · US

Funding

Action of RB Pathway in Breast Cancer TherapyR01CA129134 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI KNUDSEN, ERIK · 2010 to 2014
$1.7M
Impact of ErbB2 and RB Pathways on DCIS Progression and TreatmentR01CA163863 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI WITKIEWICZ, AGNIESZKA · 2012 to 2016
$1.6M
NCI NIH HHS CA129134NCI NIH HHS CA163863NCI NIH HHS R01 CA163863
6 · The paper itself

Abstract

backgroundA subset of patients with ductal carcinoma in situ (DCIS) will progress to invasive breast cancer. However, there are currently no markers to differentiate women at high risk from those at lower risk of developing invasive disease.

methodsThe association of two major tumor suppressor genes, retinoblastoma (RB) and phosphatase and tensin homolog (PTEN), with risk of any ipsilateral breast event (IBE) or progression to invasive breast cancer (IBC) was analyzed using data from 236 DCIS patients treated with breast conserving surgery with long-term follow-up. RB and PTEN expression was assessed with immunohistochemistry. The functional effects of RB and/or PTEN loss were modeled in MCF10A cells. Hazard ratios (HRs) were estimated with univariate and multivariable Cox regression models. All statistical tests were two-sided.

resultsLoss of RB immunoreactivity in DCIS was strongly associated with risk of IBE occurrence (HR = 2.64; 95% confidence interval [CI] = 1.64 to 4.25) and IBC recurrence (HR = 4.66; 95% CI = 2.19 to 9.93). The prognostic power of RB loss remained statistically significant in multivariable analyses. PTEN loss occurred frequently in DCIS but was not associated with recurrence or progression. However, patients with DCIS lesions that were both RB and PTEN deficient were at further increased risk for IBEs (HR = 3.39; 95% CI = 1.92 to 5.99) and IBC recurrence (HR = 6.1, 95% CI = 2.5 to 14.76). Preclinical modeling in MCF10A cells demonstrated that loss of RB and PTEN impacted proliferation, motility, and invasive properties.

conclusionsThese studies indicate that RB and PTEN together have prognostic utility and could be used to target aggressive treatment for patients with the greatest probability of benefit.

Indexed as

AdultAgedAnalysis of VarianceBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingDisease ProgressionFemaleFlow CytometryHumansImmunohistochemistryMiddle AgedNeoplasm InvasivenessOdds RatioPredictive Value of TestsPrognosisProportional Hazards ModelsPTEN PhosphohydrolasePTEN protein, humanTumor Suppressor Proteins

Identifiers

PMID23197489
PMCPMC3611820
OpenAlexW2148650802

What OpenQuestion holds

Textmetadata
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.