Evidence map›Paper›PMID 26597083›Full record

ArticleBMC cancer2015

Co-expression of parathyroid hormone related protein and TGF-beta in breast cancer predicts poor survival outcome.

Cheng Xu, Zhengyuan Wang, Rongrong Cui, Hongyu He, Xiaoyan Lin, Yuan Sheng, Hongwei Zhang

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Nutrients · 2022
    Article
  4. Article
  5. Review
  6. Review
  7. Calcium Metabolism and Breast Cancer: Echoes of Lactation?Current opinion in endocrine and metabolic research · 2020
    Article
  8. Article
  9. Article
  10. Review
  11. Observational
  12. Article
  13. 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

7 authors at 4 institutions in 1 country.

Cheng XuDepartment of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, 200090, China. xucheng@live.cn.
Zhengyuan WangDepartment of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, 200090, China. wangzhengyuan1980@gmail.com.
Rongrong CuiDepartment of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, 200090, China. rongincui@live.cn.
Hongyu HeDepartment of Intensive Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. hehongyu@live.cn.
Xiaoyan LinDepartment of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, 200090, China. linxiaoyan077@163.com.
Yuan ShengDepartment of Thyroid and Breast Surgery, Changhai Hospital, Shanghai, 200433, China. sheng528yuan@gmail.com.
Hongwei ZhangDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. zhang.hongwei@zs-hospital.sh.cn.
Yangpu Hospital of Tongji University · CNFudan University · CNSecond Military Medical University · CNZhongshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBetter methods to predict prognosis can play a supplementary role in administering individualized treatment for breast cancer patients. Altered expressions of PTHrP and TGF-β have been observed in various types of human cancers. The objective of the current study was to evaluate the association of PTHrP and TGF-β level with the clinicopathological features of the breast cancer patients.

methodsImmunohistochemistry was used to examine PTHrP and TGF-β protein expression in 497 cases of early breast cancer, and Kaplan-Meier method and COX's Proportional Hazard Model were applied to the prognostic value of PTHrP and TGF-β expression.

resultsBoth over-expressed TGF-β and PTHrP were correlated with the tumor in larger size, higher proportion of axillary lymph node metastasis and later clinical stage. Additionally, the tumors with a high TGF-β level developed poor differentiation, and only TGF-β expression was associated with disease-free survival (DFS) of the breast cancer patients. Followed up for a median of 48 months, it was found that only the patients with negative TGF-β expression had longer DFS (P < 0.05, log-rank test). Nevertheless, those with higher PTHrP expression tended to show a higher rate of bone metastasis (67.6 % vs. 45.8 %, P = 0.019). In ER negative subgroup, those who developed PTHrP positive expression presented poor prognosis (P < 0.05, log-rank test). The patients with both positive TGF-β and PTHrP expression were significantly associated with the high risk of metastases. As indicated by Cox's regression analysis, TGF-β expression and the high proportion of axillary lymph node metastasis served as significant independent predictors for breast cancer recurrence.

conclusionsTGF-β and PTHrP were confirmed to be involved in regulating the malignant progression in breast cancer, and PTHrP expression, to be associated with bone metastasis as a potential prognostic marker in ER negative breast cancer.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsDisease-Free SurvivalFemaleGene Expression Regulation, NeoplasticHumansLymphatic MetastasisMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingParathyroid Hormone-Related ProteinPrognosisTransforming Growth Factor betaParathyroid Hormone-Related ProteinPTHLH protein, humanTransforming Growth Factor beta

Identifiers

PMID26597083
PMCPMC4655491
OpenAlexW2179562301

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.