Evidence map›Paper›PMID 23727327›Full record

ArticleGynecologic oncology2013

Anti-HE4 antibodies in infertile women and women with ovarian cancer.

Ingegerd Hellstrom, Elizabeth Swisher, Karl Erik Hellstrom, Yuen Yee Yip, Kathy Agnew, Judith L Luborsky

Abstract read
In one paragraph

Article in Gynecologic oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Antibodies as biomarkers for cancer risk: a systematic review.Clinical and experimental immunology · 2022
    Pooled it
  2. Pooled it
  3. Article
  4. 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

6 authors at 3 institutions in 1 country.

Ingegerd HellstromDepartment of Pathology, Harborview Medical Center, Seattle, WA 98104, United States. ihellstr@u.washington.edu
Elizabeth Swisher
Karl Erik Hellstrom
Yuen Yee Yip
Kathy Agnew
Judith L Luborsky
Harborview Medical Center · USUniversity of Washington · USRush University Medical Center · US

Funding

Vaccinating against IGFBP-2 to prevent ovarian cancer relapseP50CA083636 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DRESCHER, CHARLES, URBAN, NICOLE DENISE · 1999 to 2015
$35.1M
Protein targets of ovarian and oocyte autoantibodiesR01AI055060 · NIAID · RUSH UNIVERSITY MEDICAL CENTER · PI LUBORSKY, JUDITH L · 2003 to 2007
$1.9M
Mesothelin as biomarker and therapeutic targetR01CA134487 · NCI · UNIVERSITY OF WASHINGTON · PI HELLSTROM, INGEGERD E · 2008 to 2011
$1.3M
NCI NIH HHS 1R01CA134487NCI NIH HHS P50 CA083636NCI NIH HHS P50CA83636NCI NIH HHS R01 CA134487NCI NIH HHS R01CA134487NIAID NIH HHS R01 AI055060PHS HHS R01A1055060
6 · The paper itself

Abstract

objectivesTo develop an assay for anti-HE4 antibodies and assess such antibodies in sera from women with increased epidemiologic risk for ovarian cancer (infertility) and patients with ovarian cancer in comparison to controls.

methodsAn ELISA was developed to measure antibodies to recombinant full length HE4 and cut-off values were determined for different levels of specificity (up to 99%).

resultsInfertile women more frequently had anti-HE4 antibodies than controls (23% at 98% specificity, p < 0.001) with antibodies most frequent in women with POF (31%) and ovulatory dysfunction (47%). There was also an increased frequency of anti-HE4 antibodies in patients with ovarian cancer (14% at 97% specificity, p < 0.01), but more women with certain types of infertility have anti-HE4 antibodies than women with ovarian cancer. Most patients with ovarian cancer have circulating HE4 antigen, which may interfere with detection of antibodies, while the level of HE4 antigen in sera from infertile women was not higher than in normal controls. There was a statistically significant correlation between antibodies to HE4 and antibodies to mesothelin in the same patients.

conclusionsWomen with certain types of infertility, which have increased risk to develop ovarian cancer, and women with ovarian cancer more frequently than controls have antibodies to HE4, a biomarker for ovarian cancer. The antibodies may reflect a tumor-promoting Th2 type of inflammation.

Indexed as

AdolescentAdultAntibodiesAntigensBiomarkers, TumorCase-Control StudiesEndometriosisFemaleGPI-Linked ProteinsHumansInfertility, FemaleMesothelinOvarian NeoplasmsOvulationPrimary Ovarian InsufficiencyProteinsAntibodiesAntigensBiomarkers, TumorGPI-Linked ProteinsMesothelinProteinsWAP Four-Disulfide Core Domain Protein 2WFDC2 protein, humanCancer diagnosticsInflammationTumor antigens

Identifiers

PMID23727327
PMCPMC3748160
OpenAlexW2166219333

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.