Evidence map›Paper›PMID 24548858›Full record

Observational studyBritish journal of cancer2014

RAD21 cohesin overexpression is a prognostic and predictive marker exacerbating poor prognosis in KRAS mutant colorectal carcinomas.

S Deb, H Xu, J Tuynman, J George, Y Yan, J Li, R L Ward, N Mortensen, N J Hawkins, M J McKay and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  8. Prostaglandin FWorld journal of gastroenterology · 2023
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  16. The multifaceted roles of cohesin in cancer.Journal of experimental & clinical cancer research : CR · 2022
    Review
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  20. Cohesin Mutations in Cancer: Emerging Therapeutic Targets.International journal of molecular sciences · 2021
    Review
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

12 authors at 5 institutions in 2 countries.

S Deb1] Department of Pathology, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia [2] Sir Peter MacCallum Department of Oncology and Department of Pathology, The University of Melbourne, Parkville, Victoria 3000, Australia.
H Xu1] Sir Peter MacCallum Department of Oncology and Department of Pathology, The University of Melbourne, Parkville, Victoria 3000, Australia [2] Cancer Research Division, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia.
J TuynmanDepartment of Colorectal Surgery, Oxford University Hospitals, Oxford Cancer Centre, Churchill Hospital, Oxford, Ox3 7LJ, UK.
J GeorgeDepartment of Pathology, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia.
Y YanCancer Research Division, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia.
J LiDepartment of Bioinformatics, Cancer Research Division, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia.
R L WardPrince of Wales Clinical School, University of New South Wales, Sydney, New South Wales 2052, Australia.
N MortensenDepartment of Colorectal Surgery, Oxford University Hospitals, Oxford Cancer Centre, Churchill Hospital, Oxford, Ox3 7LJ, UK.
N J HawkinsSchool of Medical Sciences, University of New South Wales, Sydney, New South Wales 2052, Australia.
M J McKayNorth Coast Cancer Institute, University of Sydney, Lismore, New South Wales 2480, Australia.
R G Ramsay1] Sir Peter MacCallum Department of Oncology and Department of Pathology, The University of Melbourne, Parkville, Victoria 3000, Australia [2] Cancer Research Division, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia.
S B FoxDepartment of Pathology, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia.
Peter MacCallum Cancer Centre · AUUNSW Sydney · AUCancer Institute of New South Wales · AUChurchill Hospital · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRAD21 is a component of the cohesion complex and is integral to chromosome segregation and error-free DNA repair. RAD21 is functionally important in tumour progression but its role in colorectal carcinoma (CRC) is unclear. We therefore assessed its clinicopathological and prognostic significance in CRC, as well as its effect on chemosensitivity.

methodsA retrospective observation study examined RAD21 expression in 652 CRCs using a tissue microarray approach. Correlation with clinicopathological factors including gender, tumour grade, mucinous subtype, TNM stage, disease-specific survival (DSS), BRAF and KRAS mutation status, tumour p53 immunostaining, tumour microsatellite instability and tumour CpG island methylator phenotype was performed. Colorectal cancer cell clones with stable RAD21 knockdown were generated and tested for cellular sensitivity to conventional chemotherapeutic drugs.

resultsRAD21 expression was significantly correlated with male gender (56.7% vs 43.3%, P=0.02), well-differentiated histology (14.4% vs 4.0%, P=0.0001), higher T-stage (36.1% vs 27.0%, P=0.01), presence of metastasis (18.8% vs 12.6%, P=0.03), and shorter DSS (hazard ratio (HR) 1.4, 95% CI 1.1 to 1.9, P=0.01) in both univariate and multivariate analysis. RAD21 expression was associated with shorter DSS in patients with KRAS mutant tumours (HR:2.6, 95% CI:1.4-4.3, P=0.001) and in patients receiving adjuvant chemoradiotherapy (HR:1.9, 95% CI:1.2-3.0, P=0.008). Colorectal cancer cells with RAD21 knockdown exhibited enhanced sensitivity to 5-fluorouracil, either alone or in combination with oxaliplatin.

conclusionsRAD21 expression in CRC is associated with aggressive disease especially in KRAS mutant tumours and resistance to chemoradiotherapy. RAD21 may be an important novel therapeutic target.

Indexed as

MutationAdultAgedAged, 80 and overBiomarkers, TumorCell Cycle ProteinsColorectal NeoplasmsDNA-Binding ProteinsFemaleHumansMaleMiddle AgedNeoplasm StagingNuclear ProteinsPhosphoproteinsPrognosisBiomarkers, TumorCell Cycle ProteinsDNA-Binding ProteinsKRAS protein, humanNuclear ProteinsPhosphoproteinsProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)RAD21 protein, humanras Proteins

Identifiers

PMID24548858
PMCPMC3960611
OpenAlexW1973083193

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.