Evidence map›Paper›PMID 24987308›Full record

ArticleBMC clinical pathology2014

alphaB-crystallin is a marker of aggressive breast cancer behavior but does not independently predict for patient outcome: a combined analysis of two randomized studies.

Triantafyllia Koletsa, Flora Stavridi, Mattheos Bobos, Ioannis Kostopoulos, Vassiliki Kotoula, Anastasia G Eleftheraki, Irene Konstantopoulou, Christos Papadimitriou, Anna Batistatou, Helen Gogas and 6 more

Open access · hybridAbstract read
In one paragraph

Article in BMC clinical pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  3. When PIPFrontiers in cell and developmental biology · 2022
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  9. Expression of alpha B crystallin and BCL2 in patients with infiltrating ductal carcinoma.International journal of clinical and experimental pathology · 2015
    Article
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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

16 authors at 10 institutions in 1 country.

Triantafyllia KoletsaDepartment of Pathology, Aristotle University of Thessaloniki School of Medicine, University Campus, 54124 Thessaloniki, Greece.
Flora StavridiThird Department of Medical Oncology, "Hygeia" Hospital, Athens, Greece.
Mattheos BobosLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece.
Ioannis KostopoulosDepartment of Pathology, Aristotle University of Thessaloniki School of Medicine, University Campus, 54124 Thessaloniki, Greece.
Vassiliki KotoulaDepartment of Pathology, Aristotle University of Thessaloniki School of Medicine, University Campus, 54124 Thessaloniki, Greece ; Laboratory of Molecular Oncology, Hellenic Foundation for Cancer Research, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece.
Anastasia G EleftherakiSection of Biostatistics, Hellenic Cooperative Oncology Group, Data Office, Athens, Greece.
Irene KonstantopoulouMolecular Diagnostics Laboratory, IRRP, National Centre for Scientific Research NCSR Demokritos, Athens, Greece.
Christos PapadimitriouDepartment of Clinical Therapeutics, "Alexandra" Hospital, University of Athens School of Medicine, Athens, Greece.
Anna BatistatouDepartment of Pathology, Ioannina University Hospital, Ioannina, Greece.
Helen GogasFirst Department of Medicine, "Laiko" General Hospital, University of Athens, Medical School, Athens, Greece.
Angelos KoutrasDepartment of Medicine, Division of Oncology, University Hospital, University of Patras Medical School, Patras, Greece.
Dimosthenis V SkarlosSecond Department of Medical Oncology, "Metropolitan" Hospital, Piraeus, Greece.
George PentheroudakisDepartment of Medical Oncology, Ioannina University Hospital, Ioannina, Greece.
Ioannis EfstratiouDepartment of Pathology, "Papageorgiou" Hospital, Thessaloniki, Greece.
Dimitrios PectasidesSecond Department of Internal Medicine, Oncology Section, "Hippokration" Hospital, Athens, Greece.
George FountzilasDepartment of Medical Oncology, "Papageorgiou" Hospital, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece.
Aristotle University of Thessaloniki · GRNational and Kapodistrian University of Athens · GRPapageorgiou General Hospital · GRUniversity Hospital of Ioannina · GRHellenic Cooperative Oncology Group · GRHippocration General Hospital · GRHygeia Hospital · GRMetropolitan Hospital · GRNational Centre of Scientific Research "Demokritos" · GRUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundalphaB-crystallin is a small heat shock protein that has recently been characterized as an oncoprotein correlating with the basal core phenotype and with negative prognostic factors in breast carcinomas. The purpose of this study was to evaluate alphaB-crystallin with respect to clinicopathological parameters and the outcome of patients with operable high-risk breast cancer.

methodsA total of 940 tumors were examined, derived from an equal number of patients who had participated in two randomized clinical trials (paclitaxel-containing regimen in 793 cases). Immunohistochemistry for ER, PgR, HER2, Ki67, CK5, CK14, CK17, EGFR, alphaB-crystallin, BRCA1 and p53 was performed. BRCA1 mutation data were available in 89 cases.

resultsalphaβ-crystallin was expressed in 170 cases (18.1%) and more frequently in triple-negative breast carcinomas (TNBC) (45% vs. 14.5% non-TNBC, p < 0.001). alphaB-crystallin protein expression was significantly associated with high Ki67 (Pearson chi-square test, p < 0.001), p53 (p = 0.002) and basal cytokeratin protein expression (p < 0.001), BRCA1 mutations (p = 0.045) and negative ER (p < 0.001) and PgR (p < 0.001). Its overexpression, defined as >30% positive neoplastic cells, was associated with adverse overall survival (Wald's p = 0.046). However, alphaB-crystallin was not an independent prognostic factor upon multivariate analysis. No interaction between taxane-based therapy and aβ-crystallin expression was observed.

conclusionsIn operable high-risk breast cancer, alphaB-crystallin protein expression is associated with poor prognostic features indicating aggressive tumor behavior, but it does not seem to have an independent impact on patient survival or to interfere with taxane-based therapy. TRIAL REGISTRATIONS: ACTRN12611000506998 (HE10/97 trial) and ACTRN12609001036202 (HE10/00 trial).

Indexed as

AlphaB-crystallinBasal core phenotypeBRCA gene mutationsBreast cancerTaxane-based therapyTriple-negative breast cancer

Identifiers

PMID24987308
PMCPMC4077639
OpenAlexW1972536256

What OpenQuestion holds

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LicenceCC BY
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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.