Evidence map›Paper›PMID 26930451›Full record

ArticleBritish journal of cancer2016

Androgen receptors are acquired by healthy postmenopausal endometrial epithelium and their subsequent loss in endometrial cancer is associated with poor survival.

A M Kamal, J N Bulmer, S B DeCruze, H F Stringfellow, P Martin-Hirsch, D K Hapangama

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
9.7field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Androgens in endometrial carcinoma: the killer or helper?Journal of endocrinological investigation · 2023
    Review
  16. What Role do Androgens Play in Endometrial Cancer?Journal of personalized medicine · 2023
    Review
  17. Article
  18. Review
  19. Review
  20. 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

6 authors at 5 institutions in 2 countries.

A M KamalDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool L8 7SS, UK.
J N BulmerInstitute of Cellular Medicine, Newcastle University, Newcastle upon Tyne NE2 4HH, UK.
S B DeCruzeLiverpool Women's Hospital NHS Foundation Trust, Liverpool L8 7SS, UK.
H F StringfellowLancashire Teaching Hospital NHS Trust, Lancaster University, Preston PR2 9HT UK.
P Martin-HirschLancashire Teaching Hospital NHS Trust, Lancaster University, Preston PR2 9HT UK.
D K HapangamaDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool L8 7SS, UK.
Liverpool Womens NHS Foundation Trust · GBBaghdad Medical City · IQLancashire Teaching Hospitals NHS Foundation Trust · GBLancaster University · GBNewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndometrial cancer (EC) is a hormone-driven disease, and androgen receptor (AR) expression in high-grade EC (HGEC) and metastatic EC has not yet been described.

methodsThe expression pattern and prognostic value of AR in relation to oestrogen (ERα and ERβ) and progesterone (PR) receptors, and the proliferation marker Ki67 in all EC subtypes (n = 85) were compared with that of healthy and hyperplastic endometrium, using immunohistochemisty and qPCR.

resultsCompared with proliferative endometrium, postmenopausal endometrtial epithelium showed significantly higher expression of AR (P < 0.001) and ERα (P = 0.035), which persisted in hyperplastic epithelium and in low-grade EC (LGEC). High-grade EC showed a significant loss of AR (P < 0.0001), PR (P < 0.0001) and ERβ (P < 0.035) compared with LGEC, whilst maintaining weak to moderate ERα. Unlike PR, AR expression in metastatic lesions was significantly (P = 0.039) higher than that in primary tumours. Androgen receptor expression correlated with favourable clinicopathological features and a lower proliferation index. Loss of AR, with/without the loss of PR was associated with a significantly lower disease-free survival (P < 0.0001, P < 0.0001, respectively).

conclusionsPostmenopausal endometrial epithelium acquires AR whilst preserving other steroid hormone receptors. Loss of AR, PR with retention of ERα and ERβ may promote the unrestrained growth of HGEC. Androgen receptor may therefore be a clinically relevant prognostic indicator and a potential therapeutic target in EC.

Indexed as

AdultAgedCase-Control StudiesEndometrial NeoplasmsEndometriumEpitheliumEstrogen Receptor alphaEstrogen Receptor betaFemaleHumansImmunohistochemistryMiddle AgedPostmenopauseReceptors, AndrogenReceptors, ProgesteroneAR protein, humanESR1 protein, humanEstrogen Receptor alphaEstrogen Receptor betaReceptors, AndrogenReceptors, Progesterone

Identifiers

PMID26930451
PMCPMC4800292
OpenAlexW2292133344

What OpenQuestion holds

Textmetadata
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.