Evidence map›Paper›PMID 26427914›Full record

ArticleJournal of experimental & clinical cancer research : CR2015

Cancer-related CD15/FUT4 overexpression decreases benefit to agents targeting EGFR or VEGF acting as a novel RAF-MEK-ERK kinase downstream regulator in metastatic colorectal cancer.

Guido Giordano, Antonio Febbraro, Eugenio Tomaselli, Maria Lucia Sarnicola, Pietro Parcesepe, Domenico Parente, Nicola Forte, Alessio Fabozzi, Andrea Remo, Andrea Bonetti and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 6% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 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

16 authors at 4 institutions in 1 country.

Guido GiordanoMedical Oncology Unit, Fatebenefratelli Hospital, 82100, Benevento, Italy.
Antonio FebbraroMedical Oncology Unit, Fatebenefratelli Hospital, 82100, Benevento, Italy.
Eugenio TomaselliDepartment of Clinical Pathology, Fatebenefratelli Hospital, 82100, Benevento, Italy.
Maria Lucia SarnicolaNational Institute of Molecular Genetics "Romeo and Enrica Invernizzi", Milan, Italy.
Pietro ParcesepeDepartment of Pathology and Diagnostics, University of Verona, 31134, Verona, Italy.
Domenico ParenteDepartment of Clinical Pathology, Fatebenefratelli Hospital, 82100, Benevento, Italy.
Nicola ForteDepartment of Clinical Pathology, Fatebenefratelli Hospital, 82100, Benevento, Italy.
Alessio FabozziMedical Oncology Unit, Fatebenefratelli Hospital, 82100, Benevento, Italy.
Andrea RemoDepartment of Pathology and Oncology, "Mater Salutis" Hospital, 37045, Legnago, Verona, Italy.
Andrea BonettiDepartment of Pathology and Oncology, "Mater Salutis" Hospital, 37045, Legnago, Verona, Italy.
Erminia ManfrinDepartment of Pathology and Diagnostics, University of Verona, 31134, Verona, Italy.
Somayehsadat GhasemiDepartment of Pathology and Diagnostics, University of Verona, 31134, Verona, Italy.
Michele CeccarelliBioinformatics Laboratory, BIOGEM scrl, Ariano Irpino, Avellino, Italy.
Luigi CeruloBioinformatics Laboratory, BIOGEM scrl, Ariano Irpino, Avellino, Italy.
Flavia BazzoniDepartment of Pathology and Diagnostics, University of Verona, 31134, Verona, Italy.
Massimo PancioneDepartment of Sciences and Technologies, University of Sannio, Via Port'Arsa, 1182100, Benevento, Italy. massimo.pancione@unisannio.it.
Fatebenefratelli Hospital · ITUniversity of Verona · ITUniversity of Sannio · ITIstituto Nazionale Genetica Molecolare · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer-related immune antigens in the tumor microenvironment could represent an obstacle to agents targeting EGFR "cetuximab" or VEGF "bevacizumab" in metastatic colorectal cancer (mCRC) patients.

methodsInfiltrating immune cells into tumor tissues, cancer-related expression of immune antigens (CD3, CD8, CD68, CD73, MPO, CD15/FUT4) from 102 mCRC patients receiving first-line Cetuximab or Bevacizumab plus chemotherapy were assessed by immunohistochemistry and validated in an independent tissue microarrays of 140 patients. Genome-wide expression profiles from 436 patients and 60 colon cancer cell lines were investigated using bioinformatics analysis. In vitro kinase assays of target genes activated by chemokines or growth factors were performed.

resultsHere, we report that cancer-related CD15/FUT4 is overexpressed in most of mCRCs patients (43 %) and associates with lower intratumoral CD3+ and CD8+ T cells, higher systemic inflammation (NLR at diagnosis >5) and poorer outcomes, in terms of response and progression-free survival than those CD15/FUT4-low or negative ones (adjusted hazard ratio (HR) = 2.92; 95 % CI = 1.86-4.41; P < 0.001). Overexpression of CD15/FUT4 is induced through RAF-MEK-ERK kinase cascade, suppressed by MEK inhibitors and exhibits a close connection with constitutive oncogenic signalling pathways that respond to ERBB3 or FGFR4 activation (P < 0.001). CD15/FUT4-high expressing colon cancer cells with primary resistance to cetuximab or bevacizumab are significantly more sensitive to MEK inhibitors than CD15/FUT4-low counterparts.

conclusionCancer-related CD15/FUT4 overexpression participates in cetuximab or bevacizumab mechanisms of resistance in mCRC patients. CD15/FUT4 as a potential target of the antitumor immune response requires further evaluation in clinical studies.

Indexed as

Antineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiomarkers, TumorCD8-Positive T-LymphocytesCell Line, TumorCetuximabCohort StudiesColorectal NeoplasmsDisease-Free SurvivalDrug Resistance, NeoplasmErbB ReceptorsExtracellular Signal-Regulated MAP KinasesFucosyltransferasesHumansInflammationAntineoplastic AgentsBevacizumabBiomarkers, TumorCetuximabEGFR protein, humanErbB ReceptorsExtracellular Signal-Regulated MAP KinasesFucosyltransferasesFUT4 protein, humanLewis X AntigenMitogen-Activated Protein Kinase Kinasesraf KinasesVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID26427914
PMCPMC4590269
OpenAlexW2127788814

What OpenQuestion holds

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LicenceCC BY
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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.