Evidence map›Paper›PMID 24287398›Full record

ArticleMolecular oncology2014

Claudin-2 is an independent negative prognostic factor in breast cancer and specifically predicts early liver recurrences.

Siker Kimbung, Anikó Kovács, Pär-Ola Bendahl, Per Malmström, Mårten Fernö, Thomas Hatschek, Ingrid Hedenfalk

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Molecular oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01433614 (Treatment With the Combination of Epirubicin and Paclitaxel Alone or Together With Capecitabine as First Line Treatment in Metastatic Breast Cancer. A Multicenter, Randomized Phase III Study), which is not on this map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 9% 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.

NCT01433614 phase3completednot on this map

Treatment With the Combination of Epirubicin and Paclitaxel Alone or Together With Capecitabine as First Line Treatment in Metastatic Breast Cancer. A Multicenter, Randomized Phase III Study

TypeinterventionalSponsorThomas HatschekRan2002 to 2013Enrolled304ConditionsMetastatic Breast CancerArmsEpirubicin, Paclitaxel, Capecitabine
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
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  15. CD169Cancers · 2023
    Article
  16. Review
  17. Clinical Significance of Claudin Expression in Oral Squamous Cell Carcinoma.International journal of molecular sciences · 2022
    Article
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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 3 institutions in 1 country.

Siker KimbungDivision of Oncology, Department of Clinical Sciences, Lund, Lund University, Sweden; CREATE Health Strategic Center for Translational Cancer Research, Lund University, Lund, Sweden.
Anikó KovácsDepartment of Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Pär-Ola BendahlDivision of Oncology, Department of Clinical Sciences, Lund, Lund University, Sweden.
Per MalmströmDivision of Oncology, Department of Clinical Sciences, Lund, Lund University, Sweden; Skåne Department of Oncology, Skåne University Hospital, Lund, Sweden.
Mårten FernöDivision of Oncology, Department of Clinical Sciences, Lund, Lund University, Sweden.
Thomas HatschekDepartment of Oncology and Pathology, Karolinska Institutet and Karolinska University Hospital, Sweden.
Ingrid HedenfalkDivision of Oncology, Department of Clinical Sciences, Lund, Lund University, Sweden; CREATE Health Strategic Center for Translational Cancer Research, Lund University, Lund, Sweden. Electronic address: Ingrid.Hedenfalk@med.lu.se.
Lund University · SEKarolinska University Hospital · SESahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredicting any future metastatic site of early-stage breast cancer is important as it significantly influences the prognosis of advanced disease. This study aimed at investigating the potential of claudin-2, over-expressed in breast cancer liver metastases, as a biomarker for predicting liver metastatic propensity in primary breast cancer.

methodsClaudin-2 expression was analyzed in two independent cohorts. Cohort 1 included 304 women with metastatic breast cancer diagnosed between 2002 and 2007, while cohort 2 included 237 premenopausal women with early-stage node-negative breast cancer diagnosed between 1991 and 1994. Global transcriptional profiling of fine-needle aspirates from metastases was performed, followed by immunohistochemical analyses in archival primary tumor tissue. Associations between claudin-2 expression and relapse site were assessed by univariable and multivariable Cox regression models including conventional prognostic factors. Two-sided statistical tests were used.

resultsCLDN2 was significantly up-regulated (P < 0.001) in liver metastases compared to other metastatic sites. Claudin-2 protein was more frequently expressed in primary tumors from patients who subsequently developed liver metastases (P = 0.02) and high expression was associated with a shorter metastasis-free interval (cohort 1, HR = 1.4, 95% CI = 1.0-1.9; cohort 2, HR = 2.2, 95% CI = 1.3-3.5). Specifically, a significantly shorter interval between primary tumor diagnosis and liver-specific recurrence was observed among patients with high levels of claudin-2 expression in the primary tumor (cohort 1, HR = 2.3, 95% CI = 1.3-3.9).

conclusionThese results suggest a novel role for claudin-2 as a prognostic biomarker with the ability to predict not only the likelihood of a breast cancer recurrence, but more interestingly, the liver metastatic potential of the primary tumor.

Indexed as

Up-RegulationBreastBreast NeoplasmsClaudin-2Cohort StudiesFemaleHumansLiverLiver NeoplasmsMiddle AgedNeoplasm Recurrence, LocalPrognosisTranscriptomeClaudin-2BCSSBreast cancerbreast cancer specific survivalCIClaudin-2claudin-2 mRNACLDN2confidence intervalERestrogen receptorhazard ratioHRIHCimmunohistochemistryLiMFSLiver metastasisliver metastasis-free survivalLNMlymph node metastasisodds ratioORPRprogesterone receptorPrognostic biomarkerrelapse-free survivalRFStissue microarrayTMA

Identifiers

PMID24287398
PMCPMC5528500
OpenAlexW2116701980

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Registered trials

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.