Evidence map›Paper›PMID 24355259›Full record

ArticleLung cancer (Amsterdam, Netherlands)2014

NF-κB protein expression associates with (18)F-FDG PET tumor uptake in non-small cell lung cancer: a radiogenomics validation study to understand tumor metabolism.

Viswam S Nair, Olivier Gevaert, Guido Davidzon, Sylvia K Plevritis, Robert West

Open access · greenAbstract read
In one paragraph

Article in Lung cancer (Amsterdam, Netherlands), 2014. 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
4.3field-weighted citation impact, top 6% 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, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. A multi-scale integrated analysis identifies KRT8 as a pan-cancer early biomarker.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2021
    Article
  10. Review
  11. A Role for FDG PET Radiomics in Personalized Medicine?Seminars in nuclear medicine · 2020
    Review
  12. Translational lung cancer research · 2020
    Article
  13. Review
  14. Article
  15. What can artificial intelligence teach us about the molecular mechanisms underlying disease?European journal of nuclear medicine and molecular imaging · 2019
    Review
  16. Article
  17. Diffusion-weighted MRI andEuropean journal of nuclear medicine and molecular imaging · 2019
    Article
  18. Article
  19. Article
  20. Cancer research · 2018
    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

5 authors at 2 institutions in 1 country.

Viswam S NairDivision of Pulmonary & Critical Care Medicine, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, United States. Electronic address: viswamnair@stanford.edu.
Olivier GevaertDepartment of Radiology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, United States.
Guido DavidzonDepartment of Radiology, Division of Nuclear Medicine, Loyola University Chicago, Stritch School of Medicine, 2160 S, 1st Avenue, Maywood, IL 60153, United States.
Sylvia K PlevritisDepartment of Radiology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, United States.
Robert WestDepartment of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, United States.
Stanford University · USLoyola University Chicago · US

Funding

Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
MODELING THE ROLE OF PROGRESSION IN FOLLICULAR LYMPHOMAU54CA149145 · NCI · STANFORD UNIVERSITY · PI PLEVRITIS, SYLVIA KATINA · 2010 to 2014
$12.1M
Academic Research Training in Pulmonary MedicineT32HL007948 · NHLBI · STANFORD UNIVERSITY · PI ROSEN, GLENN D. · 2002 to 2011
$2.3M
Discovery of Gene Expression Signatures in Cancer StromaR01CA129927 · NCI · STANFORD UNIVERSITY · PI WEST, ROBERT B · 2009 to 2013
$1.7M
NCATS NIH HHS UL1 TR001085NCI NIH HHS R01 CA129927NCI NIH HHS U54 CA149145NCRR NIH HHS UL1 RR025744NHLBI NIH HHS T32 HL00-7948NHLBI NIH HHS T32 HL007948
6 · The paper itself

Abstract

introductionWe previously demonstrated that NF-κB may be associated with (18)F-FDG PET uptake and patient prognosis using radiogenomics in patients with non-small cell lung cancer (NSCLC). To validate these results, we assessed NF-κB protein expression in an extended cohort of NSCLC patients.

methodsWe examined NF-κBp65 by immunohistochemistry (IHC) using a Tissue Microarray. Staining intensity was assessed by qualitative ordinal scoring and compared to tumor FDG uptake (SUVmax and SUVmean), lactate dehydrogenase A (LDHA) expression (as a positive control) and outcome using ANOVA, Kaplan Meier (KM), and Cox-proportional hazards (CPH) analysis.

results365 tumors from 355 patients with long-term follow-up were analyzed. The average age for patients was 67±11 years, 46% were male and 67% were ever smokers. Stage I and II patients comprised 83% of the cohort and the majority had adenocarcinoma (73%). From 88 FDG PET scans available, average SUVmax and SUVmean were 8.3±6.6, and 3.7±2.4 respectively. Increasing NF-κBp65 expression, but not LDHA expression, was associated with higher SUVmax and SUVmean (p=0.03 and 0.02 respectively). Both NF-κBp65 and positive FDG uptake were significantly associated with more advanced stage, tumor histology and invasion. Higher NF-κBp65 expression was associated with death by KM analysis (p=0.06) while LDHA was strongly associated with recurrence (p=0.04). Increased levels of combined NF-κBp65 and LDHA expression were synergistic and associated with both recurrence (p=0.04) and death (p=0.03).

conclusionsNF-κB IHC was a modest biomarker of prognosis that associated with tumor glucose metabolism on FDG PET when compared to existing molecular correlates like LDHA, which was synergistic with NF-κB for outcome. These findings recapitulate radiogenomics profiles previously reported by our group and provide a methodology for studying tumor biology using computational approaches.

Indexed as

AgedCarcinogenesisCarcinoma, Non-Small-Cell LungFemaleFluorodeoxyglucose F18Gene Expression Regulation, NeoplasticHumansKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedNeoplasm StagingNF-kappa BPositron-Emission TomographyPrognosisRecurrenceFluorodeoxyglucose F18NF-kappa BFDG PETGlucose metabolismLDHLung cancerNF-κBNSCLCRadiogenomicsRelA

Identifiers

PMID24355259
PMCPMC3922123
OpenAlexW1994378620

What OpenQuestion holds

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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.