Evidence map›Paper›PMID 24104963›Full record

ArticleBritish journal of cancer2013

Somatic copy number changes in DPYD are associated with lower risk of recurrence in triple-negative breast cancers.

E Gross, C Meul, S Raab, C Propping, S Avril, M Aubele, A Gkazepis, T Schuster, N Grebenchtchikov, M Schmitt and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

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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

15 authors at 6 institutions in 2 countries.

E GrossDepartment of Gynecology and Obstetrics, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
C Meul
S Raab
C Propping
S Avril
M Aubele
A Gkazepis
T Schuster
N Grebenchtchikov
M Schmitt
M Kiechle
J Meijer
R Vijzelaar
A Meindl
A B P van Kuilenburg
TUM Klinikum · DEAmsterdam UMC Location University of Amsterdam · NLMunich University of Applied Sciences · DEHelmholtz Zentrum München · DEMRC Holland (Netherlands) · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGenomic rearrangements at the fragile site FRA1E may disrupt the dihydropyrimidine dehydrogenase gene (DPYD) which is involved in 5-fluorouracil (5-FU) catabolism. In triple-negative breast cancer (TNBC), a subtype of breast cancer frequently deficient in DNA repair, we have investigated the susceptibility to acquire copy number variations (CNVs) in DPYD and evaluated their impact on standard adjuvant treatment.

methodsDPYD CNVs were analysed in 106 TNBC tumour specimens using multiplex ligation-dependent probe amplification (MLPA) analysis. Dihydropyrimidine dehydrogenase (DPD) expression was determined by immunohistochemistry in 146 tumour tissues.

resultsIn TNBC, we detected 43 (41%) tumour specimens with genomic deletions and/or duplications within DPYD which were associated with higher histological grade (P=0.006) and with rearrangements in the DNA repair gene BRCA1 (P=0.007). Immunohistochemical analysis revealed low, moderate and high DPD expression in 64%, 29% and 7% of all TNBCs, and in 40%, 53% and 7% of TNBCs with DPYD CNVs, respectively. Irrespective of DPD protein levels, the presence of CNVs was significantly related to longer time to progression in patients who had received 5-FU- and/or anthracycline-based polychemotherapy (hazard ratio=0.26 (95% CI: 0.07-0.91), log-rank P=0.023; adjusted for tumour stage: P=0.037).

conclusionGenomic rearrangements in DPYD, rather than aberrant DPD protein levels, reflect a distinct tumour profile associated with prolonged time to progression upon first-line chemotherapy in TNBC.

Indexed as

DNA Copy Number VariationsAntimetabolites, AntineoplasticBRCA1 ProteinChromosome Fragile SitesDihydrouracil Dehydrogenase (NADP)Down-RegulationFemaleFluorouracilGene DeletionGene DuplicationGene RearrangementHumansMiddle AgedNeoplasm Recurrence, LocalPrognosisRadiographyAntimetabolites, AntineoplasticBRCA1 ProteinBRCA1 protein, humanDihydrouracil Dehydrogenase (NADP)Fluorouracil

Identifiers

PMID24104963
PMCPMC3817342
OpenAlexW2061235159

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LicenceCC BY-NC-SA
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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.