Evidence map›Paper›PMID 27073723›Full record

ArticleAmerican journal of cancer research2016

Assessment of kallikrein-related peptidase 5 (KLK5) protein expression in tumor tissue of advanced ovarian cancer patients by immunohistochemistry and ELISA: correlation with clinical outcome.

Julia Dorn, Alexandra Yassouridis, Axel Walch, Eleftherios P Diamandis, Manfred Schmitt, Marion Kiechle, Ping Wang, Enken Drecoll, Barbara Schmalfeldt, Daniela Loessner and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of cancer research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Julia DornDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universität München Munich, Germany.
Alexandra YassouridisDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universität München Munich, Germany.
Axel WalchInstitute of Pathology, Helmholtz Zentrum München Neuherberg, Germany.
Eleftherios P DiamandisDepartment of Clinical Biochemistry, Mount Sinai Hospital and University Health NetworkUSA; Division of Clinical Biochemistry, Department of Laboratory Medicine and Pathobiology, University of TorontoOntario, Canada.
Manfred SchmittDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universität München Munich, Germany.
Marion KiechleDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universität München Munich, Germany.
Ping WangDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universität München Munich, Germany.
Enken DrecollInstitute of Pathology, Technische Universität München Munich, Germany.
Barbara SchmalfeldtDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universität München Munich, Germany.
Daniela LoessnerCancer Program, Faculty of Health, Institute of Health and Biomedical Innovation, Queensland University of Technology Brisbane, Australia.
Matthias KotzschInstitute of Pathology, Technische Universität Dresden Dresden, Germany.
Viktor MagdolenDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technische Universität München Munich, Germany.
Technical University of Munich · DEKlinikum rechts der Isar · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Members of the human kallikrein-related peptidase (KLK) family, including KLK5, have been reported to play an important role in ovarian cancer progression. In the present study, we assessed KLK5 protein expression in ovarian cancer tissues by immunohistochemistry (IHC) and ELISA, and analyzed its association with clinicopathologic parameters and disease outcome in 95 patients with advanced ovarian cancer FIGO stage III/IV. KLK5 immunoexpression was evaluated in ovarian cancer tissue microarrays by IHC using a manual semiquantitative scoring system. KLK5 antigen levels were determined in ovarian cancer tumour tissue extracts by ELISA. KLK5 protein is expressed in ovarian cancer tissue by stromal and tumor cells. Mean KLK5 immunoscore values in tumor cells (KLK5-Tc; 5.7, range 0 to 12) were higher compared to stromal cells (KLK5-Sc; 1.2, range 0 to 9) but the correlation between KLK5-Tc and KLK5-Sc was rather low (rs = 0.34, P < 0.05). No significant associations of clinicopathological parameters with KLK5-Tc, KLK5-Sc, the combined overall score KLK5-Tc+Sc, or ELISA (KLK5-E) expression values were determined, except for KLK5-E protein expression with advanced age and high nuclear grade (G3). In univariate Cox regression analysis, elevated expression levels of KLK5-Sc are significantly linked with both prolonged overall survival (OS) (hazard ratio [HR] = 0.6, P = 0.046) and progression-free survival (PFS) (HR = 0.54, P = 0.032) of advanced ovarian cancer patients. KLK5-Tc and KLK5-Tc+Sc scores as well as the KLK5-E values were not associated with patients' outcome. In multivariable analysis, KLK5-Sc expression was found to be statistically significant for PFS. Patients with elevated KLK5-Sc had a two-fold lower risk of disease recurrence (HR = 0.53, P = 0.037) as compared to patients with low KLK5-Sc. For KLK5-Sc and OS, a trend towards statistical significance was observed (HR = 0.62, P = 0.077). These results indicate that KLK5 overexpression by stromal cells (KLK5-Sc) may be a positive modulator lowering aggressiveness of ovarian cancer.

Indexed as

ELISAimmunohistochemistrykallikrein-related peptidaseKLK5outcomeovarian cancertumor tissue

Identifiers

PMID27073723
PMCPMC4759397
OpenAlexW2338174643

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.