Evidence map›Paper›PMID 24822107›Full record

ArticleJournal of thoracic disease2014

Diagnostic and prognostic significance of lysophosphatidic acid in malignant pleural effusions.

Cui-Qing Bai, Yan-Wen Yao, Chun-Hua Liu, He Zhang, Xiao-Bing Xu, Jun-Li Zeng, Wen-Jun Liang, Wen Yang, Yong Song

Open access · greenAbstract read
In one paragraph

Article in Journal of thoracic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

6 citing papers in PubMed, 9 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

9 authors at 1 institution in 1 country.

Cui-Qing Bai1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Yan-Wen Yao1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Chun-Hua Liu1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
He Zhang1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Xiao-Bing Xu1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Jun-Li Zeng1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Wen-Jun Liang1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Wen Yang1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Yong Song1 Department of Respiratory Medicine, Jinling Hospital, Nanjing clinical school, Southern Medical University (Guangzhou), Nanjing 210001, China ; 2 Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210001, China ; 3 Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241000, China ; 4 Department of Gastroenterology and Hepatology, Jinling Hospital, Clinical School of Nanjing, Second Military Medical University, Nanjing 210002, China.
Second Affiliated Hospital of Nanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLysophosphatidic acid (LPA) is an important extracellular signal transmitter and intracellular second messenger in body fluids. It can be detected in the ascitic fluid of patients with ovarian cancer. Increasing evidence shows that LPA can stimulate cancer cell proliferation and promote tumor invasion and metastasis. Our study aimed to evaluate the diagnostic value of LPA in differentiating between malignant pleural effusions (MPEs) and benign pleural effusions (BPEs) and to evaluate the association between the level of LPA in MPE and the prognosis of lung cancer patients. PATIENTS AND

methodsThe level of LPA in the pleural effusions (PEs) of 123 patients (94 MPE, 29 BPE) with lung cancer was evaluated using an enzyme-linked immunosorbent assay. The performance of LPA was analyzed by standard Receiver operator characteristic curve (ROC) analysis methods, using the area under the curve (AUC) as a measure of accuracy. Overall survival (OS) curves and progression-free survival (PFS) curves were based on the Kaplan-Meier method, and the survival differences between subgroups were analyzed using the log-rank or Breslow test (SPSS software). A multivariate Cox proportional hazards model was used to assess whether LPA independently predicted lung cancer survival.

resultsThe levels of LPA differed significantly between MPE (22.08±8.72 µg/L) and BPE (14.61±5.12 µg/L) (P<0.05). Using a cutoff point of 18.93 µg/L, LPA had a sensitivity of 60% and a specificity of 83% to distinguish MPEs from BPEs with an AUC of 0.769±0.045 (SE) (P=0.000) (95% CI, 0.68-0.857). In the three pathological types of lung cancer patients with MPE, there were no significant associations between LPA levels and the length of PFS and OS (P=0.58 and 0.186, respectively). Interestingly, in the patients with MPE caused by lung adenocarcinoma there were significant associations between the LPA levels and the PFS and OS (P=0.018 and 0.026, respectively). Multivariate analysis showed that the LPA level was an independent prognostic factor for PFS in lung adenocarcinoma.

conclusionsOur results indicate that LPA can be used as a new biomarker for the diagnosis of MPE caused by lung cancer and that higher levels of LPA are related to shorter PFS in adenocarcinoma of the lung.

Indexed as

diagnosislung cancerLysopohsphatidic acid (LPA)malignant pleural effusions (MPEs)prognosis

Identifiers

PMID24822107
PMCPMC4014993
OpenAlexW1637913806

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.