Evidence map›Paper›PMID 25884709›Full record

ArticleBMC cancer2015

TLR3 expression correlates with apoptosis, proliferation and angiogenesis in hepatocellular carcinoma and predicts prognosis.

Ming-Ming Yuan, Yu-Yin Xu, Li Chen, Xing-Yu Li, Jing Qin, Ying Shen

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 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 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

6 authors at 1 institution in 1 country.

Ming-Ming YuanDepartment of Pathological Anatomy, Nantong University, Qixiu Road 19, Nantong City, Jiangsu, 226001, China. 378842114@qq.com.
Yu-Yin XuDepartment of Nephrology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China. xuyuyin27@aliyun.com.
Li ChenDepartment of Pathological Anatomy, Nantong University, Qixiu Road 19, Nantong City, Jiangsu, 226001, China. bl1@ntu.edu.cn.
Xing-Yu LiDepartment of Pathological Anatomy, Nantong University, Qixiu Road 19, Nantong City, Jiangsu, 226001, China. kawayelily@ntu.edu.cn.
Jing QinDepartment of Pathological Anatomy, Nantong University, Qixiu Road 19, Nantong City, Jiangsu, 226001, China. qj_5400@163.com.
Ying ShenDepartment of Pathological Anatomy, Nantong University, Qixiu Road 19, Nantong City, Jiangsu, 226001, China. podiori@126.com.
Nantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToll-like receptor 3 (TLR3) plays a key role in innate immunity. In the present study, we analyzed tissues of patients with human hepatocellular carcinoma (HCC) to determine the significance of the relationship between TLR3 expression and cell proliferation, apoptosis, hepatitis B virus infections, angiogenesis and prognosis.

methodsWe collected paraffin-embedded tissues from 85 patients with HCC who had complete histories and were followed for >5 years. The expression and intracellular localization of TLR3 and downstream proteins (TRIF, NF-κB, and IRF3) were detected using immunohistochemistry. Further, we determined the expression of proteins that mediate cell proliferation (Ki67, cyclin D1), apoptosis (survivin, bcl-2, caspases 3, 8, and 9), and angiogenesis (CD34, MMP-2) as well as the HBV proteins HBsAg and HBcAg. Apoptosis in HCC tissues was detected using TUNEL. We conducted dual-labeling immunohistochemical analyses of TLR3 expression and TUNEL activity.

resultsTLR3 expression was significantly lower in HCC tissues compared with adjacent tissues. TRIF, NF-κB, and IRF3 correlated positively with TLR3 expression. Survivin and Bcl-2 expression correlated negatively with TLR3. The frequencies of caspases 3, 8, and 9 expression correlated positively with TLR3 signaling proteins. Cytoplasmic TLR3 and serum levels of HBsAg correlated positively. The apoptotic index determined using the TUNEL method and correlated positively with TLR3 expression. TLR3 expression in the cytoplasm correlated positively with TUNEL-positive cells and HBsAg. Ki67 and cyclin D1 correlated negatively with TLR3 expression. MMP-2 expression, microvessel density (CD34(+)) and endothelial progenitor cells (EPCs) correlated negatively with TLR3 expression. Kaplan-Meier survival analysis shows that TLR3 expression correlated with longer survival.

conclusionsThe expression of TLR3 in HCC tissues may exert a synergistic effect on apoptosis and inhibit the proliferation of HCC cells, MMP-2 expression, generation of EPCs, and angiogenesis. Moreover, TLR3 expression may serve as a prognostic marker of HCC.

Indexed as

ApoptosisCell ProliferationAdaptor Proteins, Vesicular TransportAntigens, CD34Antigens, ViralCarcinoma, HepatocellularGene ExpressionHepatitis BHumansInhibitor of Apoptosis ProteinsInterferon Regulatory Factor-3Kaplan-Meier EstimateLiver NeoplasmsMatrix Metalloproteinase 2Neovascularization, PathologicNF-kappa BAdaptor Proteins, Vesicular TransportAntigens, CD34Antigens, ViralBCL2 protein, humanBIRC5 protein, humanInhibitor of Apoptosis ProteinsInterferon Regulatory Factor-3IRF3 protein, humanMatrix Metalloproteinase 2MMP2 protein, humanNF-kappa BProto-Oncogene Proteins c-bcl-2SurvivinTICAM1 protein, humanTLR3 protein, humanToll-Like Receptor 3

Identifiers

PMID25884709
PMCPMC4435918
OpenAlexW2023879569

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.