Evidence map›Paper›PMID 26214683›Full record

Trial reportPloS one2015

Co-Expression of TWIST1 and ZEB2 in Oral Squamous Cell Carcinoma Is Associated with Poor Survival.

Yink Heay Kong, Sharifah Nurain Syed Zanaruddin, Shin Hin Lau, Anand Ramanathan, Thomas George Kallarakkal, Vui King Vincent-Chong, Wan Mahadzir Wan Mustafa, Mannil Thomas Abraham, Zainal Ariff Abdul Rahman, Rosnah Binti Zain and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. EMT and cancer: what clinicians should know.Nature reviews. Clinical oncology · 2025
    Review
  4. Opposite patterns of association of TWIST1 expression with patient survival in SHH and Group 4 medulloblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  18. Article
  19. Article
  20. Article
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

11 authors at 5 institutions in 1 country.

Yink Heay KongDepartment of Oro-maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; Oral Cancer Research Team, Cancer Research Initiatives Foundation, Subang Jaya, Selangor, Malaysia.
Sharifah Nurain Syed ZanaruddinOral Cancer Research Team, Cancer Research Initiatives Foundation, Subang Jaya, Selangor, Malaysia.
Shin Hin LauStomatology Unit, Institute for Medical Research, Kuala Lumpur, Malaysia.
Anand RamanathanDepartment of Oro-maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; Oral Cancer Research & Coordinating Centre, University of Malaya, Kuala Lumpur, Malaysia.
Thomas George KallarakkalDepartment of Oro-maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; Oral Cancer Research & Coordinating Centre, University of Malaya, Kuala Lumpur, Malaysia.
Vui King Vincent-ChongOral Cancer Research & Coordinating Centre, University of Malaya, Kuala Lumpur, Malaysia.
Wan Mahadzir Wan MustafaDepartment of Oral & Maxillofacial Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Mannil Thomas AbrahamDepartment of Oral & Maxillofacial Surgery, Tengku Ampuan Rahimah Hospital, Klang, Malaysia.
Zainal Ariff Abdul RahmanDepartment of Oro-maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; Oral Cancer Research & Coordinating Centre, University of Malaya, Kuala Lumpur, Malaysia.
Rosnah Binti ZainDepartment of Oro-maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; Oral Cancer Research & Coordinating Centre, University of Malaya, Kuala Lumpur, Malaysia.
Sok Ching CheongDepartment of Oro-maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; Oral Cancer Research Team, Cancer Research Initiatives Foundation, Subang Jaya, Selangor, Malaysia.
University of Malaya · MYCancer Research Malaysia · MYHospital Kuala Lumpur · MYInstitute for Medical Research · MYTengku Ampuan Rahimah Hospital · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral squamous cell carcinoma (OSCC) is an aggressive disease accounting for more than 260,000 cancer cases diagnosed and 128,000 deaths worldwide. A large majority of cancer deaths result from cancers that have metastasized beyond the primary tumor. The relationship between genetic changes and clinical outcome can reflect the biological events that promote cancer's aggressive behavior, and these can serve as molecular markers for improved patient management and survival. To this end, epithelial-mesenchymal transition (EMT) is a major process that promotes tumor invasion and metastasis, making EMT-related proteins attractive diagnostic biomarkers and therapeutic targets. In this study, we used immunohistochemistry to study the expression of a panel of transcription factors (TWIST1, SNAI1/2, ZEB1 and ZEB2) and other genes intimately related to EMT (CDH1 and LAMC2) at the invasive tumor front of OSCC tissues. The association between the expression of these proteins and clinico-pathological parameters were examined with Pearson Chi-square and correlation with survival was analyzed using Kaplan Meier analysis. Our results demonstrate that there was a significant differential expression of CDH1, LAMC2, SNAI1/2 and TWIST1 between OSCC and normal oral mucosa (NOM). Specifically, CDH1 loss was significantly associated with Broder's grading, while diffused LAMC2 was similarly associated with non-cohesive pattern of invasion. Notably, co-expression of TWIST1 and ZEB2 in OSCC was significantly associated with poorer overall survival, particularly in patients without detectable lymph node metastasis. This study demonstrates that EMT-related proteins are differentially expressed in OSCC and that the co-expression of TWIST1 and ZEB2 could be of clinical value in identifying patients with poor survival for appropriate patient management.

Indexed as

Carcinoma, Squamous CellGene Expression Regulation, NeoplasticMouth NeoplasmsAdultAgedAged, 80 and overBiomarkers, TumorDisease-Free SurvivalFemaleHomeodomain ProteinsHumansLymphatic MetastasisMaleMiddle AgedNeoplasm ProteinsNuclear ProteinsBiomarkers, TumorHomeodomain ProteinsNeoplasm ProteinsNuclear ProteinsRepressor ProteinsTWIST1 protein, humanTwist-Related Protein 1ZEB2 protein, humanZinc Finger E-box Binding Homeobox 2

Identifiers

PMID26214683
PMCPMC4516250
OpenAlexW2137428009

What OpenQuestion holds

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LicenceCC BY
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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.