Evidence map›Paper›PMID 27219019›Full record

ArticleBritish journal of cancer2016

Mutational analysis of anal cancers demonstrates frequent PIK3CA mutations associated with poor outcome after salvage abdominoperineal resection.

Wulfran Cacheux, Etienne Rouleau, Adrien Briaux, Petros Tsantoulis, Pascale Mariani, Marion Richard-Molard, Bruno Buecher, Virginie Dangles-Marie, Sophie Richon, Julien Lazartigues and 12 more

Abstract 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

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  11. Prognostic Value ofCancers · 2022
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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

22 authors.

Wulfran CacheuxDepartment of Medical Oncology, Institut Curie, René Huguenin Hospital, 35 rue Dailly, 92210 Saint-Cloud, France.
Etienne RouleauPharmacogenomics Unit, Department of Genetics, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Adrien BriauxPharmacogenomics Unit, Department of Genetics, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Petros TsantoulisCenter of Oncology, University Hospital of Geneva, 4 Rue Gabrielle-Perret-Gentil, 1211 Geneva 14, Switzerland.
Pascale MarianiDepartment of Surgical Oncology, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Marion Richard-MolardDepartment of Radiation Oncology, Institut Curie, Reneé Huguenin Hospital, 35 rue Dailly, 92210 Saint-Cloud, France.
Bruno BuecherDepartment of Medical Oncology, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Virginie Dangles-MarieTranslational Research, Research Center, Institut Curie, 26 rue d'Ulm, 75005 Paris, France.
Sophie RichonTranslational Research, Research Center, Institut Curie, 26 rue d'Ulm, 75005 Paris, France.
Julien LazartiguesPharmacogenomics Unit, Department of Genetics, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Emmanuelle JeannotDepartment of Pathology, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Fereshteh FarkhondehDepartment of Pathology, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Xavier Sastre-GarauDepartment of Pathology, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Anne de La RochefordièreDepartment of Radiation Oncology, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Alain LabibDepartment of Surgical Oncology, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Marie-Christine FalcouDepartment of Public Health, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Denise StevensDepartment of Public Health, Institut Curie, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Arnaud RothCenter of Oncology, University Hospital of Geneva, 4 Rue Gabrielle-Perret-Gentil, 1211 Geneva 14, Switzerland.
Sergio Roman-RomanTranslational Research, Research Center, Institut Curie, 26 rue d'Ulm, 75005 Paris, France.
Emmanuel MitryDepartment of Medical Oncology, Institut Curie, René Huguenin Hospital, 35 rue Dailly, 92210 Saint-Cloud, France.
Ivan BièchePharmacogenomics Unit, Department of Genetics, Institut Curie Hospital, 26 rue d'Ulm, 75005 Paris, France.
Astrid LièvreDepartment of Medical Oncology, Institut Curie, René Huguenin Hospital, 35 rue Dailly, 92210 Saint-Cloud, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA better understanding of the molecular profile of anal squamous cell carcinomas (ASCCs) is necessary to consider new therapeutic approaches, and the identification of prognostic and predictive factors for response to treatment.

methodsWe retrospectively analysed tumours from ASCC patients for mutational analysis of KRAS, NRAS, HRAS, BRAF, PIK3CA, MET, TP53 and FBXW7 genes by HRM and Sanger sequencing analysis.

resultsSpecimens from 148 patients were analysed: 96 treatment-naive tumours and 52 recurrences after initial radiotherapy (RT) or chemoradiotherapy (CRT). Mutations of KRAS, PIK3CA, FBXW7 and TP53 genes were present in 3 (2.0%), 30 (20.3%), 9 (6.1%) and 7 tumours (4.7%), respectively. The distribution of the mutations was similar between treatment-naive tumours and recurrences, except for TP53 mutations being more frequent in recurrences (P=0.0005). In patients treated with abdominoperineal resection (APR) after relapse (n=38, median follow-up of 18.2 years), overall survival (OS) was significantly correlated with HPV16 status (P=0.048), gender (P=0.045) and PIK3CA mutation (P=0.037). The PIK3CA status retained its prognostic significance in Cox multivariate regression analysis (P=0.025).

conclusionsOur study identified PIK3CA mutation as an independent prognostic factor in patients who underwent APR for ASCC recurrence, suggesting a potential benefit from adjuvant treatment and the evaluation of targeted therapies with PI3K/Akt/mTor inhibitors in PIK3CA-mutated patients.

Indexed as

MutationAdultAgedAged, 80 and overAnus NeoplasmsClass I Phosphatidylinositol 3-KinasesDNA Mutational AnalysisFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalPhosphatidylinositol 3-KinasesRetrospective StudiesSalvage TherapyClass I Phosphatidylinositol 3-KinasesPhosphatidylinositol 3-KinasesPIK3CA protein, human

Identifiers

PMID27219019
PMCPMC4984471

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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.