Evidence map›Paper›PMID 27160084›Full record

ArticleJournal of translational medicine2016

Significant association and synergistic adverse prognostic effect of podocalyxin-like protein and epidermal growth factor receptor expression in colorectal cancer.

Anna H Larsson, Sophie Lehn, Sakarias Wangefjord, Emelie Karnevi, Eugenia Kuteeva, Magnus Sundström, Björn Nodin, Mathias Uhlén, Jakob Eberhard, Helgi Birgisson and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Characterization ofFrontiers in genetics · 2021
    Article
  5. Article
  6. PODXL, negatively regulated by KLF4, promotes the EMT and metastasis and serves as a novel prognostic indicator of gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. PcMab-47: Novel Antihuman Podocalyxin Monoclonal Antibody for Immunohistochemistry.Monoclonal antibodies in immunodiagnosis and immunotherapy · 2017
    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

11 authors at 4 institutions in 1 country.

Anna H LarssonDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden. anna_h.larsson@med.lu.se.
Sophie LehnDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Sakarias WangefjordDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Emelie KarneviDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Eugenia KuteevaAtlas Antibodies AB, AlbaNova University Center, Stockholm, Sweden.
Magnus SundströmDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Björn NodinDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Mathias UhlénScience for Life Laboratory, KTH-Royal Institute of Technology, Stockholm, Sweden.
Jakob EberhardDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Helgi BirgissonDepartment of Surgical Sciences, Colorectal Surgery, Uppsala University, Uppsala, Sweden.
Karin JirströmDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Lund University · SEUppsala University · SEAlbaNova · SEScience for Life Laboratory · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPodocalyxin-like 1 (PODXL) is an anti-adhesive transmembrane protein that has been demonstrated to be an independent factor of poor prognosis in colorectal cancer (CRC). The gene encoding PODXL is located to chromosome 7, which also harbours the gene for the epidermal growth factor receptor (EGFR). The aim of this study was to examine the associations between PODXL and EGFR expression in CRC in vitro and in vivo.

methodsEGFR expression was analysed in tumours from three independent patient cohorts; cohort 1 (n = 533), cohort 2 (n = 259) and cohort 3 (n = 310), previously analysed for immunohistochemical PODXL expression and KRAS and BRAF mutations (cohort 1 and 3). Levels of EGFR and PODXL were determined by western blot in six different CRC cell lines.

resultsHigh expression of PODXL was significantly associated with high EGFR expression (p < 0.001) in all three cohorts, and with BRAF mutation (p < 0.001) in cohort 1 and 3. High EGFR expression correlated with BRAF mutation (p < 0.001) in cohort 1. High EGFR expression was associated with adverse clinicopathological factors and independently predicted a reduced 5-year overall survival (OS) in cohort 1 (HR 1.77; 95 % CI 1.27-2.46), cohort 2 (HR 1.58; 95 % CI 1.05-2.38) and cohort 3 (HR 1.83; 95 % CI 1.19-2.81). The highest risk of death within 5 years was observed in patients with tumours displaying high expression of both EGFR and PODXL in cohort 1 and 3 (HR 1.97; 95 % CI 1.18-3.28 and HR 3.56; 95 % CI 1.75-7.22, respectively). Western blot analysis showed a uniform expression of PODXL and EGFR in all six examined CRC cell lines.

conclusionsThe results from this study demonstrate that high expression of EGFR is an independent factor of poor prognosis in CRC. Moreover, strong links have been uncovered between expression of the recently proposed biomarker candidate PODXL with EGFR expression in CRC in vivo and in vitro, and with BRAF mutation in vivo. High expression of both PODXL and EGFR may also have a synergistic adverse effect on survival. These findings suggest a potential functional link in CRC between PODXL, EGFR and BRAF, all originating from chromosome 7, which may be highly relevant in the clinical setting and therefore merit future in-depth study.

Indexed as

AdultAgedAged, 80 and overBlotting, WesternCell Line, TumorCohort StudiesColorectal NeoplasmsErbB ReceptorsFemaleHumansImmunohistochemistryKaplan-Meier EstimateMaleMiddle AgedMutationPrognosisBRAF protein, humanEGFR protein, humanErbB ReceptorsKRAS protein, humanpodocalyxinProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)SialoglycoproteinsBRAFColorectal cancerEGFRPodocalyxin-likePrognosis

Identifiers

PMID27160084
PMCPMC4862047
OpenAlexW2346613849

What OpenQuestion holds

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LicenceCC BY
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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.