Evidence map›Paper›PMID 24394557›Full record

ArticleProstate cancer and prostatic diseases2014

An expression signature at diagnosis to estimate prostate cancer patients' overall survival.

Z Peng, L Skoog, H Hellborg, G Jonstam, I-L Wingmo, M Hjälm-Eriksson, U Harmenberg, G C Cedermark, K Andersson, L Ahrlund-Richter and 5 more

Abstract read
In one paragraph

Article in Prostate cancer and prostatic diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

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  14. TRA-1-60-positive/CD45Heliyon · 2020
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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.

Z PengDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
L Skoog1] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden [2] Department of Clinical Pathology/Cytology, Karolinska University Hospital, Stockholm, Sweden.
H HellborgRegional Oncologic Center, Karolinska University Hospital, Stockholm, Sweden.
G JonstamDepartment of Clinical Oncology, Karolinska University Hospital, Stockholm, Sweden.
I-L WingmoDepartment of Clinical Pathology/Cytology, Karolinska University Hospital, Stockholm, Sweden.
M Hjälm-Eriksson1] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden [2] Department of Clinical Oncology, Karolinska University Hospital, Stockholm, Sweden.
U Harmenberg1] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden [2] Department of Clinical Oncology, Karolinska University Hospital, Stockholm, Sweden.
G C Cedermark1] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden [2] Department of Clinical Oncology, Karolinska University Hospital, Stockholm, Sweden.
K AnderssonDepartment of Oncology, Radiology and Radiation Sciences, Uppsala University, Uppsala, Sweden.
L Ahrlund-RichterDepartment of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden.
S PramanaDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Y PawitanDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
M Nistér1] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden [2] Department of Clinical Pathology/Cytology, Karolinska University Hospital, Stockholm, Sweden.
S Nilsson1] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden [2] Department of Clinical Oncology, Karolinska University Hospital, Stockholm, Sweden.
C Li1] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden [2] Department of Clinical Oncology, Karolinska University Hospital, Stockholm, Sweden.ORCID 000000034331079X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to identify biomarkers for estimating the overall and prostate cancer (PCa)-specific survival in PCa patients at diagnosis.

methodsTo explore the importance of embryonic stem cell (ESC) gene signatures, we identified 641 ESC gene predictors (ESCGPs) using published microarray data sets. ESCGPs were selected in a stepwise manner, and were combined with reported genes. Selected genes were analyzed by multiplex quantitative polymerase chain reaction using prostate fine-needle aspiration samples taken at diagnosis from a Swedish cohort of 189 PCa patients diagnosed between 1986 and 2001. Of these patients, there was overall and PCa-specific survival data available for 97.9%, and 77.9% were primarily treated by hormone therapy only. Univariate and multivariate Cox proportional hazard ratios and Kaplan-Meier plots were used for the survival analysis, and a k-nearest neighbor (kNN) algorithm for estimating overall survival.

resultsAn expression signature of VGLL3, IGFBP3 and F3 was shown sufficient to categorize the patients into high-, intermediate- and low-risk subtypes. The median overall survival times of the subtypes were 3.23, 4.00 and 9.85 years, respectively. The difference corresponded to hazard ratios of 5.86 (95% confidence interval (CI): 2.91-11.78, P<0.001) for the high-risk subtype and 3.45 (95% CI: 1.79-6.66, P<0.001) for the intermediate-risk compared with the low-risk subtype. The kNN models that included the gene expression signature outperformed the one designed on clinical parameters alone.

conclusionsThe expression signature can potentially be used to estimate overall survival time. When validated in future studies, it could be integrated in the routine clinical diagnostic and prognostic procedure of PCa for an optimal treatment decision based on the estimated survival benefit.

Indexed as

Gene Expression Regulation, NeoplasticTranscriptomeAgedAged, 80 and overCell Line, TumorCluster AnalysisGene Expression ProfilingHumansMaleMiddle AgedNeoplasm GradingNeoplasm StagingPrognosisProstatic NeoplasmsReproducibility of ResultsROC Curve

Identifiers

PMID24394557
PMCPMC3921673

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LicenceCC BY-NC-ND
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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.