Evidence map›Paper›PMID 24454870›Full record

ArticlePloS one2014

Prognostic significance and molecular mechanism of ATP-binding cassette subfamily C member 4 in resistance to neoadjuvant radiotherapy of locally advanced rectal carcinoma.

Zhiqi Yu, Chang Zhang, Rui Chai, Yan Du, Xianhua Gao, Junjie Xing, Enda Yu, Wei Zhang, Xiaoqing Zhang, Guangwen Cao and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 11 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

11 authors at 3 institutions in 1 country.

Zhiqi YuDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Chang ZhangDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Rui ChaiDepartment of Colorectal Surgery, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.
Yan DuDepartment of Epidemiology, College of Basic Medical Sciences, Second Military Medical University, Shanghai, China.
Xianhua GaoDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Junjie XingDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Enda YuDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Wei ZhangDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Xiaoqing ZhangDepartment of Radiotherapy, Changhai Hospital, Second Military Medical University, Shanghai, China.
Guangwen CaoDepartment of Epidemiology, College of Basic Medical Sciences, Second Military Medical University, Shanghai, China.
Chuangang FuDepartment of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Second Military Medical University · CNChanghai Hospital · CNZhejiang Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMechanism of radioresistance in rectal carcinoma remains largely unknown. We aimed to evaluate the predictive role of ATP-binding cassette subfamily C member 4 (ABCC4) in locally advanced rectal carcinoma and explore possible molecular mechanisms by which ABCC4 confers the resistance to neoadjuvant radiotherapy.

methodsThe expression of ABCC4 and P53 mutant in biopsy tissue specimens from 121 locally advanced rectal carcinoma patients was examined using immunohistochemistry. The factors contributing to 3-year overall survival and disease-free survival were evaluated using the Kaplan-Meier method and Cox proportional hazard model. Lentivirus-mediated small hairpin RNA was applied to inhibit ABCC4 expression in colorectal carcinoma cell line RKO, and investigate the radiosensitivity in xenograft model. Intracellular cyclic adenosine monophosphate concentration and cell cycle distribution following irradiation were detected.

resultsHigh expression of ABCC4 and p53 mutant in pretreated tumors, poor pathological response, and high final tumor staging were significant factors independently predicted an unfavorable prognosis of locally advanced rectal carcinoma patients after neoadjuvant radiotherapy. Down-regulation of ABCC4 expression significantly enhanced irradiation-induced suppression of tumor growth in xenograft model. Furthermore, down-regulation of ABCC4 expression enhanced intracellular cyclic adenosine monophosphate production and noticeable deficiency of G1-S phase checkpoint in cell cycle following irradiation.

conclusionsOur study suggests that ABCC4 serves as a novel predictive biomarker that is responsible for the radioresistance and predicts a poor prognosis for locally advanced rectal carcinoma after neoadjuvant radiotherapy.

Indexed as

AnimalsATP-Binding Cassette, Sub-Family C ProteinsCell DivisionDown-RegulationFemaleHumansMaleMiceMice, Inbred BALB CMice, NudeMiddle AgedPrognosisProportional Hazards ModelsRectal NeoplasmsABCC4 protein, humanATP-Binding Cassette, Sub-Family C Proteins

Identifiers

PMID24454870
PMCPMC3893201
OpenAlexW2111883690

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LicenceCC BY
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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.