Evidence map›Paper›PMID 24962247›Full record

ArticleHead & neck2015

Human papillomavirus-related oropharyngeal cancer: HPV and p16 status in the recurrent versus parent tumor.

Jeffrey Vainshtein, Jonathan B McHugh, Matthew E Spector, Heather M Walline, Christine M Komarck, Matthew H Stenmark, Mark E Prince, Francis P Worden, Gregory T Wolf, Carol R Bradford and 3 more

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. HPV RNA CISH score identifies two prognostic groups in a p16 positive oropharyngeal squamous cell carcinoma population.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Article
  5. Review
  6. Article
  7. Article
  8. 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

13 authors at 2 institutions in 1 country.

Jeffrey VainshteinDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Jonathan B McHugh
Matthew E Spector
Heather M Walline
Christine M Komarck
Matthew H Stenmark
Mark E Prince
Francis P Worden
Gregory T Wolf
Carol R Bradford
Douglas B Chepeha
Thomas Carey
Avraham Eisbruch
University of Michigan–Ann Arbor · USMichigan Cancer Research Consortium · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Therapeutic Potential and Mechanism of Action of Potent Small Molecule InhibitorsP50CA097248 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLF, GREGORY T · 2002 to 2013
$25.3M
Training Program in Tumor MicroenvironmentT32CA009676 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Maria G Castro, Analisa Virginia DiFeo · 1992 to 2026
$7.3M
Biomarkers to Guide Treatment and Improve Survival in Oral/Oropharyngeal CancerR01DE019126 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CAREY, THOMAS E. · 2009 to 2012
$1.4M
NCATS NIH HHS UL1 TR000433NCI NIH HHS P30 CA046592NCI NIH HHS P50 CA097248NCI NIH HHS P50CA097248NCI NIH HHS T32 CA009676NIDCR NIH HHS R01 DE019126
6 · The paper itself

Abstract

backgroundAlthough typically associated with a favorable prognosis, a minority of human papillomavirus (HPV)-related (+) oropharyngeal cancers recur after chemoradiation. We postulated that a minor HPV-negative tumor subfraction may be responsible for recurrences of HPV+ oropharyngeal cancer.

methodsPaired untreated primary and recurrent tumor specimens were identified for 37 patients with oropharyngeal cancer who received definitive chemoradiotherapy at our institution. Concordance in HPV/p16 expression between primary and recurrent tumors was assessed.

resultsAmong 31 patients with HPV+/p16+ primary tumors, 30 (97%) retained evidence of both HPV and p16 expression at recurrence (27 HPV+/p16+; 3 HPV+/p16-partial). One (3%) initially HPV+/p16+ patient developed an HPV-negative/p16-negative lung squamous cell carcinoma (SCC), representing either a discordant oropharyngeal cancer metastasis or second primary tumor.

conclusionHPV-related oropharyngeal cancers retain HPV+/p16+ expression at recurrence. Our results fail to provide evidence that a minor HPV-negative tumor subfraction is responsible for biologically aggressive behavior of HPV+ oropharyngeal cancer that recurs after chemoradiation.

Indexed as

AgedCarcinoma, Squamous CellChemoradiotherapyCohort StudiesCyclin-Dependent Kinase Inhibitor p16FemaleHumansMaleMiddle AgedNeoplasm ProteinsNeoplasm Recurrence, LocalOropharyngeal NeoplasmsPapillomaviridaeTreatment OutcomeCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Neoplasm Proteinschemoradiationexpression profilinghuman papillomavirusoropharyngeal cancerp16

Identifiers

PMID24962247
PMCPMC4153786
OpenAlexW2136354633

What OpenQuestion holds

Textmetadata
LicenceTDM
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.