Evidence map›Paper›PMID 26986135›Full record

Observational studyMedicine2016

Elevated Serum Leptin Levels are Associated With an Increased Risk of Sentinel Lymph Node Metastasis in Cutaneous Melanoma.

Junna Oba, Wei Wei, Jeffrey E Gershenwald, Marcella M Johnson, Cynthia M Wyatt, Julie A Ellerhorst, Elizabeth A Grimm

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Metabolic insights into tumor lymph node metastasis in melanoma.Cellular oncology (Dordrecht, Netherlands) · 2024
    Review
  4. New Insights into the Link Between Melanoma and Obesity.Advances in experimental medicine and biology · 2024
    Review
  5. Article
  6. Article
  7. Review
  8. Body Mass Index and Melanoma Prognosis.Dermatology practical & conceptual · 2021
    Review
  9. Review
  10. Article
  11. Review
  12. The role of leptin in selected skin diseases.Lipids in health and disease · 2020
    Review
  13. Review
  14. Article
  15. A Variant ofPharmacogenomics and personalized medicine · 2020
    Article
  16. Article
  17. Article
  18. Review
  19. Leptin-induced signaling pathways in cancer cell migration and invasion.Cellular oncology (Dordrecht, Netherlands) · 2019
    Review
  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

7 authors at 3 institutions in 1 country.

Junna ObaFrom the Departments of Melanoma Medical Oncology Research (JO, JAE, EAG); Biostatistics (WW, MMJ); and Surgical Oncology (JEG, CMW), University of Texas MD Anderson Cancer Center, Houston, TX.
Wei Wei
Jeffrey E Gershenwald
Marcella M Johnson
Cynthia M Wyatt
Julie A Ellerhorst
Elizabeth A Grimm
The University of Texas MD Anderson Cancer Center · USEagle Engineering (United States) · USEagle Mount · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
UT M.D. Anderson Cancer Center SPORE in MelanomaP50CA093459 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI GRIMM, ELIZABETH A · 2004 to 2014
$23.7M
Thyroid Stimulating Hormone Promotes the Growth and Progression of Human MelanomaR21CA129651 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ELLERHORST, JULIE A · 2007 to 2008
$339k
NCI NIH HHS P30 CA016672NCI NIH HHS P30-CA016672NCI NIH HHS P50 CA093459NCI NIH HHS P50-CA093459NCI NIH HHS R21 CA129651
6 · The paper itself

Abstract

The metabolic hormone leptin has been implicated in the pathogenesis of various malignancies and may contribute to the high rate of cancer in obese individuals. We reported that leptin and its receptor are expressed by melanoma tumors and cell lines, and that leptin stimulates proliferation of cultured melanoma cells. Here, we tested the hypothesis that leptin contributes to early melanoma progression by assessing its association with sentinel node positivity in cutaneous melanoma patients. The study enrolled 72 patients who were scheduled to undergo lymphatic mapping and sentinel node biopsy. Fasting blood was obtained before surgery, and serum leptin levels were measured by enzyme-linked immunosorbent assay (ELISA) with a "raw" (assay value) and an "adjusted" value (raw value divided by body mass index). Leptin levels and other clinicopathologic parameters were compared between sentinel node positive and negative groups. Logistic regression models were used to predict sentinel node status using leptin and other relevant clinical parameters. The raw and adjusted leptin levels were significantly higher in the 15 patients with positive sentinel nodes. These findings could not be attributed to differences in body mass indices. Univariate models revealed raw leptin, adjusted leptin, Breslow thickness, and mitotic rate as significant predictors of sentinel node status. Leptin levels and Breslow thickness remained significant in multivariate models. Survival and follow-up analysis revealed more aggressive disease in diabetic patients. Elevated serum leptin levels predict sentinel node metastasis in melanoma. Validation of this finding in larger cohorts should enable better stratification of early stage melanoma patients.

Indexed as

AdultAgedAged, 80 and overDiabetes ComplicationsFemaleHumansLeptinLymphatic MetastasisMaleMelanomaMiddle AgedProspective StudiesSentinel Lymph Node BiopsySkin NeoplasmsTexasLeptin

Identifiers

PMID26986135
PMCPMC4839916
OpenAlexW2301065907

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.