Evidence map›Paper›PMID 26786582›Full record

ArticleEpigenetics2016

Gene promoter methylation signature predicts survival of head and neck squamous cell carcinoma patients.

Efterpi Kostareli, Thomas Hielscher, Manuela Zucknick, Lorena Baboci, Gunnar Wichmann, Dana Holzinger, Oliver Mücke, Michael Pawlita, Annarosa Del Mistro, Paolo Boscolo-Rizzo and 7 more

Abstract read
In one paragraph

Article in Epigenetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

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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

17 authors.

Efterpi Kostarelia Division of Epigenomics and Cancer Risk Factors, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Thomas Hielscherc Division of Biostatistics, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Manuela Zucknickc Division of Biostatistics, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Lorena Babocie Veneto Institute of Oncology IOV - IRCCS, Immunology and Molecular Oncology Unit , Padua , Italy.
Gunnar Wichmanng Department of Otorhinolaryngology , University Hospital Leipzig , Germany.
Dana Holzingerf Division of Molecular Diagnostics of Oncogenic Infections, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Oliver Mückea Division of Epigenomics and Cancer Risk Factors, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Michael Pawlitaf Division of Molecular Diagnostics of Oncogenic Infections, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Annarosa Del Mistroe Veneto Institute of Oncology IOV - IRCCS, Immunology and Molecular Oncology Unit , Padua , Italy.
Paolo Boscolo-Rizzoh Department of Neurosciences , ENT Clinic and Regional Center for Head and Neck Cancer, University of Padua, School of Medicine, Treviso Regional Hospital , Treviso , Italy.
Maria Cristina Da Mostoh Department of Neurosciences , ENT Clinic and Regional Center for Head and Neck Cancer, University of Padua, School of Medicine, Treviso Regional Hospital , Treviso , Italy.
Giancarlo Tirellii Head and Neck Department, Hospital of Cattinara, University of Trieste , Trieste , Italy.
Peter Plinkertb Department of Otolaryngology , Head and Neck Surgery, University Hospital , Heidelberg, Heidelberg , Germany.
Andreas Dietzg Department of Otorhinolaryngology , University Hospital Leipzig , Germany.
Christoph Plassa Division of Epigenomics and Cancer Risk Factors, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Dieter Weichenhana Division of Epigenomics and Cancer Risk Factors, German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Jochen Hessb Department of Otolaryngology , Head and Neck Surgery, University Hospital , Heidelberg, Heidelberg , Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection with high-risk types of human papilloma virus (HPV) is currently the best-established prognostic marker for head and neck squamous cell carcinoma (HNSCC), one of the most common and lethal human malignancies worldwide. Clinical trials have been launched to address the concept of treatment de-escalation for HPV-positive HNSCC with the final aim to reduce treatment related toxicity and debilitating long-term impacts on the quality of life. However, HPV-related tumors are mainly restricted to oropharyngeal SCC (OPSCC) and there is an urgent need to establish reliable biomarkers for all patients at high risk for treatment failure. A patient cohort (n = 295) with mainly non-OPSCC (72.9%) and a low prevalence of HPV16-related tumors (8.8%) was analyzed by MassARRAY to determine a previously established prognostic methylation score (MS). Kaplan-Meier revealed a highly significant correlation between a high MS and a favorable survival for OPSCC (P = 0.0004) and for non-OPSCC (P<0.0001), which was confirmed for all HNSCC by multivariate Cox regression models (HR: 9.67, 95% CI [4.61-20.30], P<0.0001). Next, we established a minimal methylation signature score (MMSS), which consists of ten most informative of the originally 62 CpG units used for the MS. The prognostic value of the MMSS was confirmed by Kaplan-Meier analysis for all HNSCC (P<0.0001) and non-OPSCC (P = 0.0002), and was supported by multivariate Cox regression models for all HNSCC (HR: 2.15, 95% CI [1.36-3.41], P = 0.001). In summary, the MS and the MMSS exhibit an excellent performance as prognosticators for survival, which is not limited by the anatomical site, and both could be implemented in future clinical trials.

Indexed as

DNA MethylationPromoter Regions, GeneticBiomarkers, TumorCarcinoma, Squamous CellCpG IslandsEpigenesis, GeneticFemaleHead and Neck NeoplasmsHuman papillomavirus 16HumansKaplan-Meier EstimateMaleMiddle AgedPrognosisProportional Hazards ModelsSquamous Cell Carcinoma of Head and NeckBiomarkers, TumorDNA methylationhead and neck cancerHNSCCHPVMassARRAYOPSCCsquamous cell carcinoma

Identifiers

PMID26786582
PMCPMC4846111

What OpenQuestion holds

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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.