Evidence map›Paper›PMID 24465741›Full record

ArticlePloS one2014

Embryonic morphogen nodal is associated with progression and poor prognosis of hepatocellular carcinoma.

Jing Chen, Wen-Bin Liu, Wei-Dong Jia, Ge-Liang Xu, Jin-Liang Ma, Yun Ren, Hao Chen, Si-Nan Sun, Mei Huang, Jian-Sheng Li

Abstract 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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  4. TGFB1/INHBA Homodimer/Nodal-SMAD2/3 Signaling Network: A Pivotal Molecular Target in PDAC Treatment.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Review
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  7. Article
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  11. Expression and significance of Nodal in human cancers: a meta-analysis.International journal of clinical and experimental medicine · 2015
    Article
  12. 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

10 authors.

Jing ChenDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Wen-Bin LiuDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Wei-Dong JiaDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Ge-Liang XuDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Jin-Liang MaDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Yun RenDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Hao ChenDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Si-Nan SunDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Mei HuangAnhui Province Key Laboratory of Hepatopancreatobiliary Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.
Jian-Sheng LiDepartment of Hepatic Surgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNodal, a TGF-β-related embryonic morphogen, is involved in multiple biologic processes. However, the expression of Nodal in hepatocellular carcinoma (HCC) and its correlation with tumor angiogenesis, epithelial-mesenchymal transition, and prognosis is unclear.

methodsWe used real-time PCR and Western blotting to investigate Nodal expression in 6 HCC cell lines and 1 normal liver cell line, 16 pairs of tumor and corresponding paracarcinomatous tissues from HCC patients. Immunohistochemistry was performed to examine Nodal expression in HCC and corresponding paracarcinomatous tissues from 96 patients. CD34 and Vimentin were only examined in HCC tissues of patients mentioned above. Nodal gene was silenced by shRNA in MHCC97H and HCCLM3 cell lines, and cell migration and invasion were detected. Statistical analyses were applied to evaluate the prognostic value and associations of Nodal expression with clinical parameters.

resultsNodal expression was detected in HCC cell lines with high metastatic potential alone. Nodal expression is up-regulated in HCC tissues compared with paracarcinomatous and normal liver tissues. Nodal protein was expressed in 70 of the 96 (72.9%) HCC tumors, and was associated with vascular invasion (P = 0.000), status of metastasis (P = 0.004), AFP (P = 0.049), ICGR15 (indocyanine green retention rate at 15 min) (P = 0.010) and tumor size (P = 0.000). High Nodal expression was positively correlated with high MVD (microvessal density) (P = 0.006), but not with Vimentin expression (P = 0.053). Significantly fewer migrated and invaded cells were seen in shRNA group compared with blank group and negative control group (P<0.05). High Nodal expression was found to be an independent factor for predicting overall survival of HCC.

conclusionsOur study demonstrated that Nodal expression is associated with aggressive characteristics of HCC. Its aberrant expression may be a predictive factor of unfavorable prognosis for HCC after surgery.

Indexed as

Disease ProgressionAgedAntigens, CD34Carcinoma, HepatocellularCell Line, TumorCell MovementEmbryo, MammalianFemaleFrozen SectionsGene Expression Regulation, NeoplasticHumansImmunohistochemistryKaplan-Meier EstimateLiverLiver NeoplasmsMaleAntigens, CD34Nodal ProteinNODAL protein, humanRNA, MessengerRNA, Small InterferingVimentin

Identifiers

PMID24465741
PMCPMC3897529

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.