Evidence map›Paper›PMID 25588809›Full record

ArticleBMC cancer2015

Clinicopathological significance of nuclear factor (erythroid-2)-related factor 2 (Nrf2) expression in gastric cancer.

Yota Kawasaki, Sumiya Ishigami, Takaaki Arigami, Yoshikazu Uenosono, Shigehiro Yanagita, Yasuto Uchikado, Yoshiaki Kita, Yuka Nishizono, Hiroshi Okumura, Akihiro Nakajo and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

41 citing papers in PubMed, 62 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

13 authors at 1 institution in 1 country.

Yota KawasakiDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. gekayota@gmail.com.
Sumiya IshigamiDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. igeka@m2.kufm.kagoshima-u.ac.jp.
Takaaki ArigamiDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. arigami@m.kufm.kagoshima-u.ac.jp.
Yoshikazu UenosonoDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. uenosono@m3.kufm.kagoshima-u.ac.jp.
Shigehiro YanagitaDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. s0810y2003@yahoo.co.jp.
Yasuto UchikadoDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. just-u@m.kufm.kagoshima-u.ac.jp.
Yoshiaki KitaDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. north-y@m.kufm.kagoshima-u.ac.jp.
Yuka NishizonoDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. yuka-n@m3.kufm.kagoshima-u.ac.jp.
Hiroshi OkumuraDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. hokumura@m.kufm.kagoshima-u.ac.jp.
Akihiro NakajoDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. anakajo@m.kufm.kagoshima-u.ac.jp.
Yuko KijimaDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. ykijima@m3.kufm.kagoshima-u.ac.jp.
Kosei MaemuraDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. kmaemura@hotmail.co.jp.
Shoji NatsugoeDepartment of Digestive Surgery, Breast and Thyroid surgery Graduate School of Medical Sciences, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan. natsugoe@m2.kufm.kagoshima-u.ac.jp.
Kagoshima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe transcription factor nuclear factor (erythroid-2)-related factor 2 (Nrf2) was originally identified as a critical regulator of intracellular anti-oxidants and of phase II detoxification enzymes through its transcriptional up-regulation of many anti-oxidant response element (ARE)-containing genes. Nrf2 protects not only normal cells but also cancer cells from cellular stress, and enhances cancer cell survival. Some studies have shown that Nrf2 expression in cancer patients has clinical significance. However, there has been no comprehensive analysis of the nuclear expression level of Nrf2 in gastrointestinal cancer cells. In this study we aimed to immunohistochemically evaluate the expression of Nrf2, and to assess its clinical significance in gastric cancer.

methodsA total of 175 gastric cancer patients who received R0 gastrectomy with standard lymph node dissection were enrolled. We immunohistochemically evaluated Nrf2 expression in the paraffin-embedded surgically resected specimens of these 175 patients. Group differences were analyzed using the χ (2) test, Fisher's exact test, and the Mann-Whitney U test. Associations between Nrf2 expression and clinicopathological features, including clinical outcome, were assessed using univariate and multivariate analyses, and Kaplan-Meier curves with the log-rank test, respectively.

resultsNrf2 immunoreactivity was predominantly identified in the nucleus of gastric cancer cells. Nrf2 positivity was closely associated with tumor size, tumor depth, lymph node metastases, lymphovascular invasion, histology and stage (p < 0.05 for all). A log-rank test indicated that the overall survival of the Nrf2-positive group was significantly poorer than that of the Nrf2-negative group (p < 0.01). And, positive Nrf2 expression was significantly associated with resistance to 5FU-based adjuvant chemotherapy (p = 0.024).

conclusionsNrf2 expression was positively associated with aggressive tumor behavior in gastric cancer. This result suggests that Nrf2 expression in gastric cancer is a potential indicator of worse prognosis.

Indexed as

AdultAgedAged, 80 and overAntimetabolites, AntineoplasticCell Line, TumorCell NucleusDrug Resistance, NeoplasmFemaleFluorouracilHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisNF-E2-Related Factor 2PrognosisAntimetabolites, AntineoplasticFluorouracilNFE2L2 protein, humanNF-E2-Related Factor 2

Identifiers

PMID25588809
PMCPMC4302133
OpenAlexW2046415839

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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.