Evidence map›Paper›PMID 26648328›Full record

ArticleInternational journal of oncology2016

Decreased expression of RASSF1A tumor suppressor gene is associated with worse prognosis in clear cell renal cell carcinoma.

Jakub Klacz, Piotr M Wierzbicki, Agata Wronska, Agnieszka Rybarczyk, Marcin Stanislawowski, Tomasz Slebioda, Agata Olejniczak, Marcin Matuszewski, Zbigniew Kmiec

Open access · hybridAbstract read
In one paragraph

Article in International journal of oncology, 2016. 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
1.5field-weighted citation impact, top 17% 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, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Frontiers in oncology · 2022
    Article
  6. Article
  7. Epigenetically inactivated RASSF1A as a tumor biomarker.Bosnian journal of basic medical sciences · 2021
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. OncoTargets and therapy · 2019
    Article
  15. Review
  16. Review
  17. Article
  18. 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

9 authors at 1 institution in 1 country.

Jakub KlaczDepartment of Urology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Piotr M WierzbickiDepartment of Histology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Agata WronskaDepartment of Histology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Agnieszka RybarczykDepartment of Histology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Marcin StanislawowskiDepartment of Histology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Tomasz SlebiodaDepartment of Histology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Agata OlejniczakDepartment of Histology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Marcin MatuszewskiDepartment of Urology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Zbigniew KmiecDepartment of Histology, Faculty of Medicine, Medical University of Gdansk, Gdansk 80-211, Poland.
Gdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clear-cell renal cell carcinoma (ccRCC) is the most common subtype of RCC (70-80%) and is associated with poor prognosis in 40% of cases mainly due to metastasis in the course of the disease. RASSF1, with its isoforms RASSF1A and RASSF1C, is a tumor suppressor gene which has not been fully analyzed in ccRCC yet. The epigenetic downregulation of RASSF1A is commonly associated with promoter hypermethylation. The aim of the present study was to compare the ccRCC outcomes with the expression of RASSF1A and RASSF1C. Tissues were obtained from 86 ccRCC patients. RASSF1A and RASSF1C mRNA levels were assessed in tumor and matched normal kidney tissue, and in 12 samples of local metastases by quantitative PCR (qPCR). RASSF1A and RASSF1C proteins levels were semi-quantified in 58 samples by western blot analysis and their tissue localization was assessed by immunohistochemistry. Hypermethylation of RASSF1A promoter was measured by high-resolution-melting methylation-specific qPCR. RASSF1A mRNA levels were 4 and 5 times lower in 66% of tumor and 75% metastasized samples. RASSF1A hypermethylation was found in 40% of analyzed T cases. RASSF1A protein expression was 5 or 20 times decreased in 70% tumor and 75% metastatic samples, respectively. RASSF1A hypermethylation, mRNA and protein levels were associated with TNM progression and higher Fuhrman's grading. Decreased RASSF1A expression, hypermethylation, TNM and Fuhrman's grading were associated with poorer overall survival (OS). Cox hazard ratio (HR) analysis revealed predictor role of RASSF1A mRNA levels on OS and progression-free survival (PFS) in relation to Fuhrman's grading (OS HR=2.25, PFS HR=2.93). RASSF1C levels were increased in ccRCC; no correlations with clinicopathological variables were found. We conclude that RASSF1C gene is not involved in ccRCC progression and we propose that the measurements of RASSF1A mRNA levels in paired tumor-normal kidney tissue could serve as a new prognostic factor in ccRCC.

Indexed as

AdultAgedCarcinoma, Renal CellCell Line, TumorDisease-Free SurvivalDNA MethylationFemaleGene Expression Regulation, NeoplasticHumansMaleMiddle AgedNeoplasm MetastasisPrognosisPromoter Regions, GeneticTumor Suppressor ProteinsRASSF1 protein, humanTumor Suppressor Proteins

Identifiers

PMID26648328
PMCPMC4734610
OpenAlexW2178944583

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.