Evidence map›Paper›PMID 26134500›Full record

ArticleDiagnostic pathology2015

Prognostic significance of ALCAM (CD166/MEMD) expression in cutaneous melanoma patients.

Piotr Donizy, Marcin Zietek, Agnieszka Halon, Marek Leskiewicz, Cyprian Kozyra, Rafal Matkowski

Open access · goldAbstract read
In one paragraph

Article in Diagnostic pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 36 citations in OpenAlex.

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  9. Syntenin: PDZ Protein Regulating Signaling Pathways and Cellular Functions.International journal of molecular sciences · 2019
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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 2 institutions in 1 country.

Piotr DonizyDepartment of Pathomorphology and Oncological Cytology, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland. piotrdonizy@wp.pl.
Marcin ZietekLower Silesian Oncology Centre, pl. Hirszfelda 12, 53-413, Wroclaw, Poland. zietekm@op.pl.
Agnieszka HalonDepartment of Pathomorphology and Oncological Cytology, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland. ahalon2@gmail.com.
Marek LeskiewiczDepartment of Statistics, Wroclaw University of Economics, Komandorska 118-120, 53-345, Wroclaw, Poland. marek.leskiewicz@gmail.com.
Cyprian KozyraDepartment of Statistics, Wroclaw University of Economics, Komandorska 118-120, 53-345, Wroclaw, Poland. Cyprian.Kozyra@ue.wroc.pl.
Rafal MatkowskiLower Silesian Oncology Centre, pl. Hirszfelda 12, 53-413, Wroclaw, Poland. rafal.matkowski@am.wroc.pl.
Wroclaw Medical University · PLWroclaw University of Economics and Business · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundALCAM (activated leukocyte cell adhesion molecule, CD166, MEMD) is a transmembrane protein of immunoglobulin superfamily (Ig-SF) and plays an important role in human malignant melanoma progression and formation of locoregional and distant metastases. The study using melanoma cell lines showed that overexpression of ALCAM is directly related with the increase of cytoaggregation and the ability to form cell nests. The aim of the study was to assess the expression and intracellular localization of ALCAM in primary skin melanomas and metastatic lesions from regional lymph nodes. Also, prognostic significance of ALCAM expression in primary tumor cells and metastatic lesion cells was evaluated in the context of 5-year observation.

methodsFormalin-fixed paraffin-embedded tissue specimens from 104 primary cutaneous melanomas and 16 regional lymph nodes metastases were studied for the expression of ALCAM measured by immunohistochemistry.

resultsWe demonstrate that high ALCAM expression in primary melanoma cells (IRS ≥8) is strongly correlated with unfavorable prognosis as compared with patients with lower ALCAM immunoreactivity in tumor compartment as regards cancer specific overall survival (CSOS) (P = 0.001) and disease free survival (DFS) (P < 0.001). Additionally lower ALCAM immunoreactivity in nodal metastatic foci was significantly statistically correlated with deeper melanoma invasion in the primary tumor according to Clark scale (P = 0.032). It was also found that decreased ALCAM expression (IRS <8) in nodal metastases shows a trend related with a correlation with shorter cancer specific overall survival (P = 0.083). Statistically significant correlations were also demonstrated between the presence of ulceration and decreased intensity of lymphocytic inflammatory infiltration and a high percentage of ALCAM-positive cells (P = 0.035, P = 0.01, respectively).

conclusionsHigh ALCAM expression in melanoma cells of the primary tumor can be used as a marker of negative outcome and may indicate a more invasive phenotype of cancer cells, which would require a more intensive therapeutic strategy. Low expression of ALCAM in regional lymph node metastases is a feature associated with unfavorable prognosis in patients with cutaneous melanoma. Our study is the first one to evaluate the effect of increased ALCAM expression on long-term survival in melanoma patients.

Indexed as

Activated-Leukocyte Cell Adhesion MoleculeAdultAgedAntigens, CDBiomarkers, TumorCell Adhesion Molecules, NeuronalDisease-Free SurvivalDisease ProgressionFemaleFetal ProteinsHumansImmunohistochemistryKaplan-Meier EstimateLymphatic MetastasisLymph NodesMaleActivated-Leukocyte Cell Adhesion MoleculeALCAM protein, humanAntigens, CDBiomarkers, TumorCell Adhesion Molecules, NeuronalFetal Proteins

Identifiers

PMID26134500
PMCPMC4489046
OpenAlexW1943621156

What OpenQuestion holds

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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.