Evidence map›Paper›PMID 25880619›Full record

ArticleBMC cancer2015

The prognostic value of combined TGF-β1 and ELF in hepatocellular carcinoma.

Fei Ji, Shun-Jun Fu, Shun-Li Shen, Long-Juan Zhang, Qing-Hua Cao, Shao-Qiang Li, Bao-Gang Peng, Li-Jian Liang, Yun-Peng Hua

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 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
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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

9 authors at 3 institutions in 1 country.

Fei JiOrgan Transplant Center, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. jifei1215@163.com.
Shun-Jun FuDepartment of Hepatopancreaticobiliary Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of TCM), Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, 510120, P. R. China. fsj103@163.com.
Shun-Li ShenDepartment of Liver Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. shunlishen@163.com.
Long-Juan ZhangLaboratory of Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. zhlongj@mail.sysu.edu.cn.
Qing-Hua CaoDepartment of Pathology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. bpigeon@163.com.
Shao-Qiang LiDepartment of Liver Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. Lisq@medmail.com.cn.
Bao-Gang PengDepartment of Liver Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. pengbaogang@medmail.com.cn.
Li-Jian LiangDepartment of Liver Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. dr_lianglj@163.com.
Yun-Peng HuaDepartment of Liver Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, P. R. China. hyp0427@163.com.
Sun Yat-sen University · CNThe First Affiliated Hospital, Sun Yat-sen University · CNGuangdong Provincial Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTumor suppression of Transforming Growth Factor (TGF-β) signaling pathway requires an adaptor protein, Embryonic Liver Fodrin (ELF). Disruption of ELF expression resulted in miscolocalization of Smad3 and Smad4, then disruption of TGF-β signaling. However, the prognostic significance of ELF for hepatocellular carcinoma (HCC) hasn't been clarified. This study aimed to investigate whether measuring both TGF-β1 and ELF provides a more powerful predictor for HCC prognosis than either marker alone.

methodsTGF-β1 and ELF protein were detected by immunohistochemistry. The relationship between TGF-β1/ELF expression and patients' clinicopathologic factors was analyzed. The association between TGF-β1/ELF expression and disease-free survival and overall survival was analyzed by Kaplan-Meier curves, the log-rank test, and Multivariate Cox regression analyses.

resultsThe expression of TGF-β1 in HCC tissues was significantly higher than that in normal liver tissues. Conversely, the expression of ELF in HCC tissues declined markedly. ELF protein was correlated with HBsAg, tumor size, tumor number, TNM and recurrence. Data also indicated a significant negative correlation between ELF and TGF-β1. Patients with high TGF-β1 expression or/and low ELF expression appeared to have a poor postoperative disease-free survival and overall survival compared with those with low TGF-β1 expression or/and high ELF expression. Furthermore, the predictive range of ELF combined with TGF-β1 was more sensitive than that of either one alone.

conclusionsTGF-β1 and ELF protein are potential and reliable biomarkers for predicting prognosis in HCC patients after hepatic resection. Our current study has demonstrated that the prognostic accuracy of testing can be enhanced by their combination.

Indexed as

AdultAgedBiomarkers, TumorCarcinoma, HepatocellularCarrier ProteinsFemaleFollow-Up StudiesGene ExpressionHumansImmunohistochemistryKaplan-Meier EstimateLiver NeoplasmsMaleMicrofilament ProteinsMiddle AgedNeoplasm GradingBiomarkers, TumorCarrier ProteinsMicrofilament ProteinsSpectrinTransforming Growth Factor beta1

Identifiers

PMID25880619
PMCPMC4359586
OpenAlexW1997558718

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.