Evidence map›Paper›PMID 26416247›Full record

ArticleOncotarget2015

LGR5 is associated with tumor aggressiveness in papillary thyroid cancer.

Gregory Michelotti, Xiaoyin Jiang, Julie Ann Sosa, Anna Mae Diehl, Brittany Bohinc Henderson

Open access · diamondAbstract read
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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Review
  6. Theranostics · 2019
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  16. Stem Cell Markers in Neuroblastoma-An Emerging Role for LGR5.Frontiers in cell and developmental biology · 2015
    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

5 authors at 3 institutions in 1 country.

Gregory MichelottiDivision of Gastroenterology, Duke University Medical Center, Durham, North Carolina, USA.
Xiaoyin JiangDepartment of Pathology, Duke University Medical Center, Durham, North Carolina, USA.
Julie Ann SosaDepartment of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Anna Mae DiehlDivision of Gastroenterology, Duke University Medical Center, Durham, North Carolina, USA.
Brittany Bohinc HendersonDivision of Endocrinology, Diabetes and Metabolism, Wake Forest University, Winston-Salem, North Carolina, USA.
Duke Medical Center · USDuke University Hospital · USWake Forest University · US

Funding

Pathogenesis, prognosis, and treatment of NAFLD patientsU01DK061713 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL · 2002 to 2026
$10.3M
TNF ALPHA AND RECOVERY FROM ALCOHOLIC LIVER INJURYR01AA010154 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI ANNA MAE ELIZABETH DIEHL, Auinash Kalsotra · 1994 to 2026
$6.1M
LIVER DISEASE IN OBESITYR01DK053792 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 1999 to 2013
$3.6M
Characterizing Alcohol's Effects on Repair of Liver InjuryRC2AA019399 · NIAAA · DUKE UNIVERSITY · PI DIEHL, ANNA MAE ELIZABETH · 2009 to 2010
$2.0M
NIAAA NIH HHS R01 AA010154NIAAA NIH HHS R01-AA010154NIAAA NIH HHS RC2 AA019399NIAAA NIH HHS RC2-AA019399NIDDK NIH HHS R01 DK053792NIDDK NIH HHS R01-DK053792NIDDK NIH HHS U01 DK061713NIDDK NIH HHS UO1DK061713
6 · The paper itself

Abstract

purposeLeucine-rich repeat-containing G-protein-coupled receptor 5 (LGR5) is a cancer stem cell marker and a down-stream target in Wnt/β-catenin signaling. In human papillary thyroid cancer (PTC), over activation of Wnt/β-catenin has been associated with tumor aggressiveness. PATIENTS AND

methodsUsing established human cell lines (TPC-1, KTC-1, Nthy-ori-3-1), we report LGR5 and R-spondin (RSPO1-3) overexpression in PTC and manipulate LGR5 and Wnt/β-catenin signaling via both pharmacologic and genetic interventions. We test the association of LGR5 tumor expression with markers of PTC aggressiveness using a Discovery Cohort (n = 26 patients) and a Validation Cohort (n = 157 patients). Lastly, we explore the association between LGR5 and the BRAFV600E mutation (n = 33 patients).

resultsOur results reveal that LGR5 and its ligand, RSPO, are overexpressed in human PTC, whereby Wnt/β-catenin signaling regulates LGR5 expression and promotes cellular migration. In two separate cohorts of patients, LGR5 and RSPO2 were associated with markers of tumor aggressiveness including: lymph node metastases, vascular invasion, increased tumor size, aggressive histology, advanced AJCC TNM stage, microscopic extra thyroidal extension, capsular invasion, and macroscopic invasion. As a biomarker, LGR5 positivity predicts lymph node metastasis with 95.5% sensitivity (95% CI 88.8%-98.7%) and 61% specificity (95% CI: 48.4%-72.4%) and has a negative predictive value (NPV) of 91.3% (95% CI 79.2%-97.5%) for lymph node metastatic disease. In human PTC, LGR5 is also strongly associated with the BRAFV600E mutation (p = 0.005).

conclusionWe conclude that overexpression of LGR5 is associated with markers of tumor aggressiveness in human PTC. LGR5 may serve as a future potential biomarker for patient risk stratification and loco regional metastases in PTC.

Indexed as

Adultbeta CateninBiomarkers, TumorCarcinomaCarcinoma, PapillaryCell Line, TumorCell ProliferationFemaleGene Knockdown TechniquesHumansImmunohistochemistryLymphatic MetastasisMaleMiddle AgedMutationProto-Oncogene Proteins B-rafbeta CateninBiomarkers, TumorBRAF protein, humanLGR5 protein, humanProto-Oncogene Proteins B-rafReceptors, G-Protein-CoupledRSPO1 protein, humanR-SpondinsThrombospondinsBRAFV600EmetastasisR-spondinWntβ-catenin

Identifiers

PMID26416247
PMCPMC4741472
OpenAlexW2210149345

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.