Evidence map›Paper›PMID 26497206›Full record

ArticleOncotarget2016

A prognostic classifier for patients with colorectal cancer liver metastasis, based on AURKA, PTGS2 and MMP9.

Jeroen A C M Goos, Veerle M H Coupé, Mark A van de Wiel, Begoña Diosdado, Pien M Delis-Van Diemen, Annemieke C Hiemstra, Erienne M V de Cuba, Jeroen A M Beliën, C Willemien Menke-van der Houven van Oordt, Albert A Geldof and 4 more

Abstract readComparative Study
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

14 authors.

Jeroen A C M GoosDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
Veerle M H CoupéDepartment of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
Mark A van de WielDepartment of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
Begoña DiosdadoDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Pien M Delis-Van DiemenDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Annemieke C HiemstraDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
Erienne M V de CubaDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
Jeroen A M BeliënDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
C Willemien Menke-van der Houven van OordtDepartment of Medical Oncology, VU University Medical Center, Amsterdam, The Netherlands.
Albert A GeldofDepartment of Radiology and Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Gerrit A MeijerDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Otto S HoekstraDepartment of Radiology and Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Remond J A FijnemanDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
DeCoDe PET Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrognosis of patients with colorectal cancer liver metastasis (CRCLM) is estimated based on clinicopathological models. Stratifying patients based on tumor biology may have additional value.

methodsTissue micro-arrays (TMAs), containing resected CRCLM and corresponding primary tumors from a multi-institutional cohort of 507 patients, were immunohistochemically stained for 18 candidate biomarkers. Cross-validated hazard rate ratios (HRRs) for overall survival (OS) and the proportion of HRRs with opposite effect (P(HRR < 1) or P(HRR > 1)) were calculated. A classifier was constructed by classification and regression tree (CART) analysis and its prognostic value determined by permutation analysis. Correlations between protein expression in primary tumor-CRCLM pairs were calculated.

resultsBased on their putative prognostic value, EGFR (P(HRR < 1) = .02), AURKA (P(HRR < 1) = .02), VEGFA (P(HRR < 1) = .02), PTGS2 (P(HRR < 1) = .01), SLC2A1 (P(HRR > 1) < 01), HIF1α (P(HRR > 1) = .06), KCNQ1 (P(HRR > 1) = .09), CEA (P (HRR > 1) = .05) and MMP9 (P(HRR < 1) = .07) were included in the CART analysis (n = 201). The resulting classifier was based on AURKA, PTGS2 and MMP9 expression and was associated with OS (HRR 2.79, p < .001), also after multivariate analysis (HRR 3.57, p < .001). The prognostic value of the biomarker-based classifier was superior to the clinicopathological model (p = .001). Prognostic value was highest for colon cancer patients (HRR 5.71, p < .001) and patients not treated with systemic therapy (HRR 3.48, p < .01). Classification based on protein expression in primary tumors could be based on AURKA expression only (HRR 2.59, p = .04).

conclusionA classifier was generated for patients with CRCLM with improved prognostic value compared to the standard clinicopathological prognostic parameters, which may aid selection of patients who may benefit from adjuvant systemic therapy.

Indexed as

Aurora Kinase ABiomarkers, TumorCase-Control StudiesColorectal NeoplasmsCyclooxygenase 2Follow-Up StudiesHumansImmunoenzyme TechniquesLiverLiver NeoplasmsMatrix Metalloproteinase 9Neoplasm StagingPrognosisSurvival RateAURKA protein, humanAurora Kinase ABiomarkers, TumorCyclooxygenase 2Matrix Metalloproteinase 9MMP9 protein, humanPTGS2 protein, humanbiomarkerclassifiercolorectal cancerliver metastasisprognosis

Identifiers

PMID26497206
PMCPMC4811521

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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.