Evidence map›Paper›PMID 27074567›Full record

ArticleOncotarget2016

Neuregulin expression in solid tumors: prognostic value and predictive role to anti-HER3 therapies.

Alberto Ocaña, Laura Díez-González, Azucena Esparís-Ogando, Juan Carlos Montero, Eitan Amir, Atanasio Pandiella

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Embryonic Programs in Cancer and Metastasis-Insights From the Mammary Gland.Frontiers in cell and developmental biology · 2022
    Review
  5. Article
  6. Review
  7. Thirty Years of HER3: From Basic Biology to Therapeutic Interventions.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Review
  8. Article
  9. PDCD4 limits prooncogenic neuregulin-ErbB signaling.Cellular and molecular life sciences : CMLS · 2021
    Article
  10. Article
  11. Article
  12. The Role of NRG1 in the Predisposition to Papillary Thyroid Carcinoma.The Journal of clinical endocrinology and metabolism · 2018
    Article
  13. Clinical significance of overexpression of NRG1 and its receptors, HER3 and HER4, in gastric cancer patients.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018
    Article
  14. Article
  15. Heregulin-1ß and HER3 in hepatocellular carcinoma: status and regulation by insulin.Journal of experimental & clinical cancer research : CR · 2016
    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

6 authors at 4 institutions in 2 countries.

Alberto OcañaTranslational Research Unit, Albacete University Hospital, Albacete, Spain.
Laura Díez-GonzálezTranslational Research Unit, Albacete University Hospital, Albacete, Spain.
Azucena Esparís-OgandoCancer Research Center (CIC-IBMCC), CSIC-University of Salamanca, Salamanca, Spain.
Juan Carlos MonteroCancer Research Center (CIC-IBMCC), CSIC-University of Salamanca, Salamanca, Spain.
Eitan AmirDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Atanasio PandiellaCancer Research Center (CIC-IBMCC), CSIC-University of Salamanca, Salamanca, Spain.
Centro de Investigación del Cáncer · ESHospital General Universitario de Albacete · ESInstituto de Investigación Biomédica de Salamanca · ESPrincess Margaret Cancer Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuregulins (NRG) are a family of epidermal growth factor ligands which act through binding to HER3 and HER4 receptors. NRGs are widely expressed in solid tumors. Their prognostic significance or their role as predictors of benefit from anti-HER3 therapy is not known.

resultsOf 29 included studies, 7 studies reported the association between NRG and outcome. NRG was most commonly expressed in breast, prostate, colon and bladder cancers. NRG expression was not associated with either OS or PFS (HR: 3.47, 95% CI 0.78-15.47, p = 0.10 and HR: 1.64, 95% CI 0.94-2.86, p = 0.08, respectively). In 4 placebo controlled trials of anti-HER3 therapy, the addition of anti-HER3 antibodies to control therapy in unselected patients was not associated with improved PFS (HR: 0.88, 95% CI 0.75-1.04. p = 0.14). However, in patients with high NRG expression, there was significantly delayed progression (HR: 0.35, 95% CI 0.23-0.52, p < 0.001). Anti-HER3 antibodies were associated with increased risk of diarrhea, nausea and rash.

methodsA search of electronically available databases identified studies exploring clinical outcomes based on NRG expression, as well as placebo-controlled trials of HER3-directed therapy reporting results based on NRG expression status. Data were combined in a meta-analysis using generic inverse variance and random effects modeling for studies reporting the hazard ratio (HR) for overall (OS) or progression-free survival (PFS). Mantel-Haenszel random-effect modeling was used for odds ratio (OR) for 3-year and 5-year OS and PFS.

conclusionsNRG expression is not associated with either OS or PFS, but is a predictor of benefit from anti-HER3 antibodies.

Indexed as

Antineoplastic AgentsBiomarkers, TumorDisease-Free SurvivalFemaleHumansMaleNeoplasmsNeuregulinsPrognosisReceptor, ErbB-3Treatment OutcomeAntineoplastic AgentsBiomarkers, TumorERBB3 protein, humanNeuregulinsReceptor, ErbB-3anti-HER3neuregulinpredictive roleprognostic value

Identifiers

PMID27074567
PMCPMC5216704
OpenAlexW2321393409

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.