Evidence map›Paper›PMID 25315900›Full record

ArticleJournal of clinical pathology2015

PAX-8 expression in renal tumours and distant sites: a useful marker of primary and metastatic renal cell carcinoma?

Meaghan L Barr, Lucia B Jilaveanu, Robert L Camp, Adebowale J Adeniran, Harriet M Kluger, Brian Shuch

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Meaghan L BarrDivision of Oncology, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Lucia B JilaveanuDivision of Oncology, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Robert L CampDepartment of Pathology, Yale School of Medicine, New Haven, Connecticut, USA.
Adebowale J AdeniranDepartment of Pathology, Yale School of Medicine, New Haven, Connecticut, USA.
Harriet M KlugerDivision of Oncology, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Brian ShuchDepartment of Urology, Yale School of Medicine, New Haven, Connecticut, USA.
Yale University · US

Funding

Yale University Clinical and Translational Science Award ProgramKL2TR000140 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$2.9M
Models to Predict Prognosis and Benefit from Adjuvant Therapy in Renal Cell CarciR01CA158167 · NCI · YALE UNIVERSITY · PI KLUGER, HARRIET M. · 2011 to 2015
$1.8M
A research and training program for junior clinicians in treating metastatic melaK24CA172123 · NCI · YALE UNIVERSITY · PI KLUGER, HARRIET M. · 2013 to 2017
$780k
NCATS NIH HHS KL2 TR000140NCATS NIH HHS KL2TR000140NCI NIH HHS K24 CA172123NCI NIH HHS K24CA172123NCI NIH HHS R0-1 CA158167NCI NIH HHS R01 CA158167
6 · The paper itself

Abstract

aimsImmunohistochemical stains have greatly improved the diagnostic accuracy of renal cell carcinoma (RCC) for primary and distant tumours. We evaluate a marker that has recently been incorporated in clinical practice, PAX-8, in primary and metastatic RCCs.

methodsTwo distinct tissue microarrays were used, one consisting of over 334 renal tumours, 294 with adjacent normal kidney and the other with 40 matched nephrectomy and metastatic sites of RCC. PAX-8 expression was assessed by a method of quantitative immunofluorescence.

resultsPAX-8 was positive in 96% (146/152) of normal renal tissue and 83% (227/272) of renal tumours. PAX-8 staining was positive in clear cell, papillary and chromophobe tumours in 80% (165/207), 95% (39/41) and 100% (6/6) of samples, respectively. Overall, intensity of PAX-8 expression was significantly higher in RCC metastatic sites than in the primary site (p=0.0047), however, in matched sites there was no statistically significant difference in the proportion of positive versus negative specimens (p=0.274).

conclusionsAs the role of molecular markers expands in the diagnostic algorithm, this study confirms that PAX-8 expression is a useful diagnostic marker for RCC. PAX-8 expression was found in the primary tumour and distant sites. Compared with normal tissue and other histological types, clear cell RCC has lower PAX-8 expression and is less frequently positive, therefore, the lack of expression does not exclude a tumour of renal origin.

Indexed as

Biomarkers, TumorBlotting, WesternCarcinoma, Renal CellHumansImage Interpretation, Computer-AssistedImmunohistochemistryKidney NeoplasmsNeoplasm MetastasisPaired Box Transcription FactorsPAX8 Transcription FactorTissue Array AnalysisBiomarkers, TumorPaired Box Transcription FactorsPAX8 protein, humanPAX8 Transcription FactorRENAL CANCERTUMOUR MARKERSUROPATHOLOGY

Identifiers

PMID25315900
PMCPMC4429054
OpenAlexW2321711202

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.