Evidence map›Paper›PMID 26884852›Full record

ArticleInternational journal of clinical and experimental pathology2015

Low cytoplasmic and nuclear KPNA2 expression in radiotherapy-treated head and neck squamous cell cancer is associated with an adverse outcome.

Pia B Erben, Kathrin Brunner, Markus Hecht, Marlen Haderlein, Maike Büttner-Herold, Abbas Agaimy, Rainer Fietkau, Arndt Hartmann, Luitpold V Distel

Open access · greenAbstract read
In one paragraph

Article in International journal of clinical and experimental pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Karyopherins in cancer.Current opinion in cell biology · 2018
    Review
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.

Pia B ErbenInstitute of Pathology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Kathrin BrunnerInstitute of Pathology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Markus HechtDepartment of Radiation Oncology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Marlen HaderleinDepartment of Radiation Oncology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Maike Büttner-HeroldInstitute of Pathology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Abbas AgaimyInstitute of Pathology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Rainer FietkauDepartment of Radiation Oncology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Arndt HartmannInstitute of Pathology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Luitpold V DistelDepartment of Radiation Oncology, The University Hospitals, Friedrich-Alexander-University of Erlangen-Nürnberg Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKPNA2 has effects on carcinogenesis, cell differentiation and transcriptional regulation. KPNA2 has been linked to DNA damage repair by its role to import the DNA double strand break repair complex MRN into the nucleus. The aim of our study was to evaluate the prognostic value of KPNA2 expression in both cytoplasmic and nuclear location in patients with HNSCC treated with radio(chemo)therapy. MATERIAL AND

methods225 patients with HNSCC treated with neoadjuvant, definitive or adjuvant radio(chemo)therapy were included. Immunohistochemical staining was performed on tissue micro arrays to evaluate nuclear and cytoplasmic KPNA2 expression.

resultsThe median fraction of tumor cells with nuclear KPNA2 expression was 15%. 47% of tumor samples showed positive cytoplasmic staining. Patients with low nuclear as well as negative cytoplasmic expression tended to have an unfavorable prognosis. There was no correlation between nuclear and cytoplasmic KPNA2 expression. Low nuclear combined with negative cytoplasmic KPNA2 had a clearly unfavorable prognostic effect in local failure-free survival (P=0.014), metastasis-free survival (P=0.001) and no evidence of disease (P=0.008). A combination of low nuclear/negative cytoplasmic with high nuclear/high cytoplasmic KPNA2 expression was prognostically unfavorable with regard to tumor specific survival (P=0.021) and to a lower extent to overall survival (P=0.18). In multivariate analysis low nuclear/negative cytoplasmic versus any high KPNA2 (P=0.008) and T-category (P=0.002) proved as independent prognostic variables.

conclusionThe combination of nuclear and cytoplasmic KPNA2 expression is a potential excellent prognostic parameter in HNSCC treated with radio(chemo)therapy.

Indexed as

alpha KaryopherinsBiomarkers, TumorCarcinoma, Squamous CellCell NucleusChemoradiotherapy, AdjuvantCytoplasmDisease-Free SurvivalDown-RegulationFemaleHead and Neck NeoplasmsHumansImmunohistochemistryKaplan-Meier EstimateMaleMiddle AgedMultivariate Analysisalpha KaryopherinsBiomarkers, Tumorkaryopherin alpha 2head and neck cancerHNSCCKPNA2prognostic markerradiotherapyRadiotherapy

Identifiers

PMID26884852
PMCPMC4730065
OpenAlexW2444420935

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.