Evidence map›Paper›PMID 24844205›Full record

ArticleVirchows Archiv : an international journal of pathology2014

The PI3K/AKT/mTOR pathway is activated in gastric cancer with potential prognostic and predictive significance.

Oscar Tapia, Ismael Riquelme, Pamela Leal, Alejandra Sandoval, Susana Aedo, Helga Weber, Pablo Letelier, Enrique Bellolio, Miguel Villaseca, Patricia Garcia and 1 more

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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

126 citing papers in PubMed, 1 synthesis or guideline pooled it, 204 citations in OpenAlex.

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  4. The impact of the PI3K/AKT/mTOR signaling pathway on trastuzumab resistance in HER2-positive gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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66 more citing papers are in PubMed but not listed here.

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.

Oscar TapiaDepartment of Pathology, Universidad de La Frontera, CEGIN-BIOREN, Temuco, Chile.
Ismael Riquelme
Pamela Leal
Alejandra Sandoval
Susana Aedo
Helga Weber
Pablo Letelier
Enrique Bellolio
Miguel Villaseca
Patricia Garcia
Juan Carlos Roa
Universidad de La Frontera · CLPontificia Universidad Católica de Chile · CLTemuco Catholic University · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Signaling pathway alterations are important in the development of gastric cancer (GC). Deregulation of the PI3K/AKT/mTOR pathway plays a crucial role in the regulation of multiple cellular functions including cell growth, proliferation, metabolism, and angiogenesis. Our goal was to assess expression of proteins involved in the PI3K/AKT/mTOR pathway by immunohistochemistry (IHC) in tumor and nontumor gastric mucosa from patients with advanced GC. We evaluated 71 tumor and 71 nontumor gastric mucosa samples from advanced GC patients, selected from Hernán Henríquez Aravena Hospital (Temuco, Chile). The targets studied were PI3K, AKT, p-AKT, PTEN, mTOR, p-mTOR, P70S6K1, p-P70S6K1, 4E-BP1, p-4E-BP1, eIF4E, and p-eIF4E. Expression data were correlated with clinicomorphological data. Descriptive and analytical statistics were used (95 % confidence interval, p < 0.05). For survival analyses, the Kaplan-Meier method and the log-rank test were used. PI3K, AKT, p-AKT, p-mTOR, p-4E-BP1, P70S6K1, p-P70S6K1, eIF-4E, and p-eIF-4E proteins were significantly overexpressed in tumor tissue. Conversely, PTEN was underexpressed in tumor tissue, notably in pT3-pT4 tumors (p = 0.02) and tumors with lymph node metastases (p < 0.001). P70S6K1 expression was associated with pT3-pT4 tumors (p = 0.03). Moreover, PI3K (p = 0.004), AKT (p = 0.01), p-AKT (p = 0.01), P70S6K1 (p = 0.04), p-P70S6K1 (p = 0.001), and eIF-4E (p = 0.004) were overexpressed in tumors with lymph node metastases. Low expression of 4E-BP1 was associated with poor overall survival (p = 0.03). Our results suggest that the PI3K/AKT/mTOR pathway is activated in GC, with overexpression in tumor tissue of most of the studied proteins (total and phosphorylated). These might be considered as target for specific targeted therapy in GC.

Indexed as

Signal TransductionAdaptor Proteins, Signal TransducingAgedCase-Control StudiesCell Cycle ProteinsFemaleHumansKaplan-Meier EstimateLymphatic MetastasisMaleMiddle AgedPhosphatidylinositol 3-KinasesPhosphoproteinsPrognosisProto-Oncogene Proteins c-aktStomach NeoplasmsAdaptor Proteins, Signal TransducingCell Cycle ProteinsEIF4EBP1 protein, humanMTOR protein, humanPhosphatidylinositol 3-KinasesPhosphoproteinsProto-Oncogene Proteins c-aktTOR Serine-Threonine Kinases

Identifiers

PMID24844205
OpenAlexW1994418089

What OpenQuestion holds

Textmetadata
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.