Evidence map›Paper›PMID 23917080›Full record

ArticleGynecologic oncology2013

ABCB1 (MDR1) polymorphisms and ovarian cancer progression and survival: a comprehensive analysis from the Ovarian Cancer Association Consortium and The Cancer Genome Atlas.

Sharon E Johnatty, Jonathan Beesley, Bo Gao, Xiaoqing Chen, Yi Lu, Matthew H Law, Michelle J Henderson, Amanda J Russell, Ellen L Hedditch, Catherine Emmanuel and 41 more

Open access · bronzeAbstract 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 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  6. BeyondmedRxiv : the preprint server for health sciences · 2025
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  14. Identification of a Locus NearCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Article
  15. Article
  16. Article
  17. Review
  18. TheThe Journal of international medical research · 2019
    Article
  19. Article
  20. P-glycoprotein targeted and near-infrared light-guided depletion of chemoresistant tumors.Journal of controlled release : official journal of the Controlled Release Society · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

51 authors at 20 institutions in 6 countries.

Sharon E JohnattyQueensland Institute of Medical Research, Brisbane, Australia.
Jonathan Beesley
Bo Gao
Xiaoqing Chen
Yi Lu
Matthew H Law
Michelle J Henderson
Amanda J Russell
Ellen L Hedditch
Catherine Emmanuel
Sian Fereday
Penelope M Webb
Australian Ovarian Cancer Study Group
Ellen L Goode
Robert A Vierkant
Brooke L Fridley
Julie M Cunningham
Peter A Fasching
Matthias W Beckmann
Arif B Ekici
Estrid Hogdall
Susanne K Kjaer
Allan Jensen
Claus Hogdall
Robert Brown
Jim Paul
Sandrina Lambrechts
Evelyn Despierre
Ignace Vergote
Jenny Lester
Beth Y Karlan
Florian Heitz
Andreas du Bois
Philipp Harter
Ira Schwaab
Yukie Bean
Tanja Pejovic
Douglas A Levine
Marc T Goodman
Michael E Camey
Pamela J Thompson
Galina Lurie
Joellen Shildkraut
Andrew Berchuck
Kathryn L Terry
Daniel W Cramer
Murray D Norris
Michelle Haber
Stuart MacGregor
Anna deFazio
Georgia Chenevix-Trench
QIMR Berghofer Medical Research Institute · AUChildren's Cancer Institute Australia · AUBrigham and Women's Hospital · USCedars-Sinai Medical Center · USHelios Dr. Horst Schmidt Kliniken Wiesbaden · DEKU Leuven · BEThe University of Sydney · AUUniversity of Hawaiʻi at Mānoa · USDanish Cancer Society · DKDuke Medical Center · USMayo Clinic · USOregon Health & Science University · USCancer Research UK Clinical Trials Unit · GBFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHammersmith Hospital · GBMayo Clinic in Arizona · USMemorial Sloan Kettering Cancer Center · USPeter MacCallum Cancer Centre · AURigshospitalet · DKUniversitätsklinikum Erlangen · DE

Funding

Use of microfluidic tumor cultures to enable clinical trials of therapies for ovarian cancerP50CA136393 · NCI · MAYO CLINIC ROCHESTER · PI Zhenkun Lou · 2009 to 2026
$37.0M
Epidemiological and Clinical Translational Studies Post Genome-Wide AssociationU19CA148537 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI EASTON, DOUGLAS FREDERICK, EELES, ROSALIND · 2010 to 2014
$10.4M
OVARIAN CANCER RISK AND HYPERGONADOTROPIC HYPOGONADISMR01CA054419 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 1992 to 2007
$5.9M
A genome-wide association study for breast cancer in BRCA1 mutation carriersR01CA128978 · NCI · MAYO CLINIC ROCHESTER · PI COUCH, FERGUS JOSEPH · 2008 to 2012
$4.8M
COLLABORATIVE STUDY OF OVARIAN CANCER IN TWO RISK GROUPSR01CA058598 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI GOODMAN, MARC T · 1993 to 2012
$4.6M
Genetic Variation in the NF-kappaB Pathway and Ovarian Cancer EtiologyR01CA122443 · NCI · MAYO CLINIC ROCHESTER · PI GOODE, ELLEN L. · 2007 to 2012
$2.7M
Cancer Research UK 13086Cancer Research UK 15960Cancer Research UK C12292/A11174Cancer Research UK C1287/A10118Cancer Research UK C1287/A 10710Cancer Research UK C5047/A10692Cancer Research UK C5047/A15007Cancer Research UK C5047/A8384Cancer Research UK C536/A6689CIHRNCI NIH HHS 1 U19 CA 148537NCI NIH HHS CA128978NCI NIH HHS P50 CA136393NCI NIH HHS R01 CA054419NCI NIH HHS R01 CA058598NCI NIH HHS R01 CA122443NCI NIH HHS R01 CA128978NCI NIH HHS R01-CA54419NCI NIH HHS R01-CA58598NCI NIH HHS U19 CA148537
6 · The paper itself

Abstract

objectiveABCB1 encodes the multi-drug efflux pump P-glycoprotein (P-gp) and has been implicated in multi-drug resistance. We comprehensively evaluated this gene and flanking regions for an association with clinical outcome in epithelial ovarian cancer (EOC).

methodsThe best candidates from fine-mapping analysis of 21 ABCB1 SNPs tagging C1236T (rs1128503), G2677T/A (rs2032582), and C3435T (rs1045642) were analysed in 4616 European invasive EOC patients from thirteen Ovarian Cancer Association Consortium (OCAC) studies and The Cancer Genome Atlas (TCGA). Additionally we analysed 1,562 imputed SNPs around ABCB1 in patients receiving cytoreductive surgery and either 'standard' first-line paclitaxel-carboplatin chemotherapy (n=1158) or any first-line chemotherapy regimen (n=2867). We also evaluated ABCB1 expression in primary tumours from 143 EOC patients.

resultFine-mapping revealed that rs1128503, rs2032582, and rs1045642 were the best candidates in optimally debulked patients. However, we observed no significant association between any SNP and either progression-free survival or overall survival in analysis of data from 14 studies. There was a marginal association between rs1128503 and overall survival in patients with nil residual disease (HR 0.88, 95% CI 0.77-1.01; p=0.07). In contrast, ABCB1 expression in the primary tumour may confer worse prognosis in patients with sub-optimally debulked tumours.

conclusionOur study represents the largest analysis of ABCB1 SNPs and EOC progression and survival to date, but has not identified additional signals, or validated reported associations with progression-free survival for rs1128503, rs2032582, and rs1045642. However, we cannot rule out the possibility of a subtle effect of rs1128503, or other SNPs linked to it, on overall survival.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily B, Member 1CarboplatinCarcinoma, Ovarian EpithelialDisease-Free SurvivalDisease ProgressionDrug Resistance, MultipleDrug Resistance, NeoplasmFemaleHumansKaplan-Meier EstimateNeoplasms, Glandular and EpithelialOvarian NeoplasmsPaclitaxelPharmacogeneticsABCB1 protein, humanATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily B, Member 1CarboplatinPaclitaxelABCB1ChemotherapyGeneticsOutcomeOvarian cancerPolymorphisms

Identifiers

PMID23917080
PMCPMC3795832
OpenAlexW1997180190

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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.