Evidence map›Paper›PMID 26862065›Full record

ArticleClinical & experimental metastasis2016

β-catenin-independent WNT signaling and Ki67 in contrast to the estrogen receptor status are prognostic and associated with poor prognosis in breast cancer liver metastases.

Annalen Bleckmann, Lena-Christin Conradi, Kerstin Menck, Nadine Annette Schmick, Antonia Schubert, Eva Rietkötter, Jetcy Arackal, Peter Middel, Alexandra Schambony, Torsten Liersch and 5 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical & experimental metastasis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03034473 (Translational Validation Study to Examine KFO179-1 Biomarker Scores for the Prediction and Prognosis of Advanced Primary Resectable Rectal Cancer Stages UICC II-IV, With a 5-FU-based Standard Radiochemotherapy Followed by Total Mesorectal Excision.), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT03034473 naunknown statusnot on this map

Translational Validation Study to Examine KFO179-1 Biomarker Scores for the Prediction and Prognosis of Advanced Primary Resectable Rectal Cancer Stages UICC II-IV, With a 5-FU-based Standard Radiochemotherapy Followed by Total Mesorectal Excision.

TypeinterventionalSponsorUniversity Medical Center GoettingenRan2011 to 2024Enrolled200ConditionsLocally Advanced Rectal CancerArmsTranslational Research and multimodal treatment
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. WNT11/ROR2 signaling is associated with tumor invasion and poor survival in breast cancer.Journal of experimental & clinical cancer research : CR · 2021
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

15 authors at 4 institutions in 1 country.

Annalen BleckmannDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Lena-Christin ConradiDepartment of General, Visceral and Pediatric Surgery, University Medical Center Göttingen, 37099, Göttingen, Germany.
Kerstin MenckDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Nadine Annette SchmickDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Antonia SchubertDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Eva RietkötterDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Jetcy ArackalDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Peter MiddelInstitute of Pathology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Alexandra SchambonyDepartment Biology, Developmental Biology, Friedrich-Alexander University Erlangen-Nürnberg, 91058, Erlangen, Germany.
Torsten LierschDepartment of General, Visceral and Pediatric Surgery, University Medical Center Göttingen, 37099, Göttingen, Germany.
Kia HomayounfarDepartment of General, Visceral and Pediatric Surgery, University Medical Center Göttingen, 37099, Göttingen, Germany.
Tim BeißbarthDepartment of Medical Statistics, University Medical Center Göttingen, 37099, Göttingen, Germany.
Florian KlemmDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Claudia BinderDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany.
Tobias PukropDepartment of Hematology/Medical Oncology, University Medical Center Göttingen, 37099, Göttingen, Germany. tobias.pukrop@klinik.uni-regensburg.de.
Universitätsmedizin Göttingen · DEUniversity of Göttingen · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver metastasis development in breast cancer patients is common and confers a poor prognosis. So far, the prognostic significance of surgical resection and clinical relevance of biomarker analysis in metastatic tissue have barely been investigated. We previously demonstrated an impact of WNT signaling in breast cancer brain metastasis. This study aimed to investigate the value of established prognostic markers and WNT signaling components in liver metastases. Overall N = 34 breast cancer liver metastases (with matched primaries in 19/34 cases) were included in this retrospective study. Primaries and metastatic samples were analyzed for their expression of the estrogen (ER) and progesterone receptor, HER-2, Ki67, and various WNT signaling-components by immunohistochemistry. Furthermore, β-catenin-dependent and -independent WNT scores were generated and analyzed for their prognostic value. Additionally, the influence of the alternative WNT receptor ROR on signaling and invasiveness was analyzed in vitro. ER positivity (HR 0.09, 95 % CI 0.01-0.56) and high Ki67 (HR 3.68, 95 % CI 1.12-12.06) in the primaries had prognostic impact. However, only Ki67 remained prognostic in the metastatic tissue (HR 2.46, 95 % CI 1.11-5.44). Additionally, the β-catenin-independent WNT score correlated with reduced overall survival only in the metastasized situation (HR 2.19, 95 % CI 1.02-4.69, p = 0.0391). This is in line with the in vitro results of the alternative WNT receptors ROR1 and ROR2, which foster invasion. In breast cancer, the value of prognostic markers established in primary tumors cannot directly be translated to metastases. Our results revealed β-catenin-independent WNT signaling to be associated with poor prognosis in patients with breast cancer liver metastasis.

Indexed as

AdultAgedbeta CateninBiomarkers, TumorBreast NeoplasmsCell Line, TumorEstrogen Receptor alphaFemaleGene Expression Regulation, NeoplasticHumansKi-67 AntigenLiver NeoplasmsMiddle AgedNeoplasm InvasivenessNeoplasm MetastasisReceptor Tyrosine Kinase-like Orphan Receptorsbeta CateninBiomarkers, TumorEstrogen Receptor alphaKi-67 AntigenReceptor Tyrosine Kinase-like Orphan ReceptorsROR1 protein, humanROR2 protein, humanBreast cancerMetastasisPrognostic scoreWNT signaling

Identifiers

PMID26862065
PMCPMC4799797
OpenAlexW2265794319

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.