Evidence map›Paper›PMID 26336825›Full record

ArticleOncotarget2015

PAPP-A proteolytic activity enhances IGF bioactivity in ascites from women with ovarian carcinoma.

Jacob Thomsen, Rikke Hjortebjerg, Ulrick Espelund, Gitte Ørtoft, Poul Vestergaard, Nils E Magnusson, Cheryl A Conover, Trine Tramm, Henrik Hager, Claus Høgdall and 3 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.7field-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

18 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Proteolytic Landscape of Ovarian Cancer: Applications in Nanomedicine.International journal of molecular sciences · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Role of Insulin-like Growth Factor, Insulin-like Growth Factor Receptors, and Insulin-like Growth Factor-binding Proteins in Ovarian Cancer.Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology
    Review
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 5 institutions in 2 countries.

Jacob ThomsenMedical Research Laboratory, Department of Clinical Medicine, Faculty of Health, Aarhus University, DK-8000 Aarhus C, Denmark.
Rikke HjortebjergMedical Research Laboratory, Department of Clinical Medicine, Faculty of Health, Aarhus University, DK-8000 Aarhus C, Denmark.
Ulrick EspelundMedical Research Laboratory, Department of Clinical Medicine, Faculty of Health, Aarhus University, DK-8000 Aarhus C, Denmark.
Gitte ØrtoftDepartment of Gynecology, Aarhus University Hospital, DK-8200 Aarhus N, Denmark.
Poul VestergaardMedical Research Laboratory, Department of Clinical Medicine, Faculty of Health, Aarhus University, DK-8000 Aarhus C, Denmark.
Nils E MagnussonMedical Research Laboratory, Department of Clinical Medicine, Faculty of Health, Aarhus University, DK-8000 Aarhus C, Denmark.
Cheryl A ConoverDivision of Endocrinology and Metabolism, Endocrine Research Unit, Mayo Clinic, Rochester, MN 55905, USA.
Trine TrammDepartment of Pathology, Aarhus University Hospital, DK-8000 Aarhus C, Denmark.
Henrik HagerDepartment of Pathology, Aarhus University Hospital, DK-8000 Aarhus C, Denmark.
Claus HøgdallClinic of Gynecology, Juliane Marie Centret, Rigshospitalet, DK-2100 Copenhagen, Denmark.
Estrid HøgdallDepartment of Pathology, Herlev University Hospital, DK-2730 Herlev, Denmark.
Claus OxvigDepartment of Molecular Biology and Genetics, Faculty of Science & Technology, Aarhus University, DK-8000 Aarhus C, Denmark.
Jan FrystykMedical Research Laboratory, Department of Clinical Medicine, Faculty of Health, Aarhus University, DK-8000 Aarhus C, Denmark.
Aarhus University · DKAarhus University Hospital · DKHerlev Hospital · DKMayo Clinic · USRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pregnancy-associated plasma protein-A (PAPP-A) stimulates insulin-like growth factor (IGF) action through proteolysis of IGF-binding protein (IGFBP)-4. In experimental animals, PAPP-A accelerates ovarian tumor growth by this mechanism. To investigate the effect of PAPP-A in humans, we compared serum and ascites from 22 women with ovarian carcinoma. We found that ascites contained 46-fold higher PAPP-A levels as compared to serum (P < 0.001). The majority (80%) of PAPP-A was enzymatically active. This is supported by the finding that ascites contained more cleaved than intact IGFBP-4 (P < 0.03). Ascites was more potent than serum in activating the IGF-I receptor (IGF-IR) in vitro (+31%, P < 0.05); in 8 of 22 patients by more than two-fold. In contrast, ascites contained similar levels of immunoreactive IGF-I, and lower levels of IGF-II (P < 0.001). Immunohistochemistry demonstrated the presence of IGF-IR in all but one tumor, whereas all tumors expressed PAPP-A, IGFBP-4, IGF-I and IGF-II. Addition of recombinant PAPP-A to ascites increased the cleavage of IGFBP-4 and enhanced IGF-IR activation (P < 0.05). In conclusion, human ovarian tumors express PAPP-A, IGFBP-4 and IGFs and these proteins are also present in ascites. We suggest that both soluble PAPP-A in ascites and tissue-associated PAPP-A serve to increase IGF bioactivity and, thereby, to stimulate IGF-IR-mediated tumor growth.

Indexed as

AgedAscitic FluidCarcinomaCase-Control StudiesDenmarkFemaleHEK293 CellsHumansInsulin-Like Growth Factor Binding Protein 4Insulin-Like Growth Factor IInsulin-Like Growth Factor IIMiddle AgedOvarian NeoplasmsPregnancy-Associated Plasma Protein-AReceptor, IGF Type 1Receptors, SomatomedinIGF1 protein, humanIGF1R protein, humanIGF2 protein, humanInsulin-Like Growth Factor Binding Protein 4Insulin-Like Growth Factor IInsulin-Like Growth Factor IIPAPPA protein, humanPregnancy-Associated Plasma Protein-AReceptor, IGF Type 1Receptors, SomatomedinIGFBP-4IGF-IKIRA assaymalignant ascitesPAPP-A

Identifiers

PMID26336825
PMCPMC4741676
OpenAlexW1939489297

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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.