Evidence map›Paper›PMID 27255554›Full record

ArticleBMC gastroenterology2016

Prognostic significance of synergistic hexokinase-2 and beta2-adrenergic receptor expression in human hepatocelluar carcinoma after curative resection.

Zhi-Feng Zhang, Xiao-Sha Feng, He Chen, Zhi-Jun Duan, Li-Xia Wang, Dong Yang, Pi-Xu Liu, Qiu-Ping Zhang, Yan-Ling Jin, Zhi-Gang Sun and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
2.4field-weighted citation impact, top 13% 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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Prognostic role of glycolysis for cancer outcome: evidence from 86 studies.Journal of cancer research and clinical oncology · 2019
    Pooled it
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  5. All-Flex Plasma Patch for In Vivo Delivery of Reactive Species.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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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

11 authors at 2 institutions in 1 country.

Zhi-Feng ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Xiao-Sha FengDepartment of Gastroenterology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
He ChenDepartment of Gastroenterology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Zhi-Jun DuanDepartment of Gastroenterology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China. cathydoctor@sina.com.
Li-Xia WangDepartment of Gastroenterology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Dong YangDepartment of Gastroenterology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Pi-Xu LiuInstitute of Cancer Stem Cell, Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Qiu-Ping ZhangDepartment of Pathology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Yan-Ling JinDepartment of Pathology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Zhi-Gang SunDepartment of Pathology, The First Affiliated Hospital of Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Han LiuInstitute of Cancer Stem Cell, Dalian Medical University, 116000, Dalian, Liaoning Province, China.
Dalian Medical University · CNFirst Affiliated Hospital of Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHexokinase-2 (HK2) and Beta2-adrenergic receptor (Beta2AR) are overexpressed in hepatocellular carcinoma (HCC) tissues and associated with poor prognosis. However, the synergistic effect of HK2 and Beta2AR in HCC prognosis is not elucidated. The present study aims to investigate the association between HK2 and Beta2AR expressions in HCC tissues, and to evaluate the synergistic effect of HK2 and Beta2AR in HCC prognosis.

methodsImmunohistochemistry of HK2 and Beta2AR was performed on 155 paraffin embedded HCC samples retrieved from the archives of pathology department. Corresponding clinical data and prognostic data were collected through searching medical record systems, death registration systems and interviews with patient families. Spearman correlation test was performed to evaluate the association between HK2 and Beta2AR expression. Kaplan-Meier survival curves and Cox regressions were employed to evaluate HK2 and Beta2AR expression in HCC prognosis, respectively and synergistically.

results109 of 155 HCC patients reached the death point, the survival time of HCC patients was 46.23 ± 31.01 months after curative surgical resections of HCC. Kaplan-Meier survival analysis showed that large tumor size (more than 5 cm) (hazard ratio (HR) = 8.42, 95 % confidence interval (CI) = 3.81-18.59, P < 0.0001), advanced TNM stage (III and IV stages) (HR = 2.09, 95%CI = 1.21-3.62, P < 0.001) and AFP more than 20 μg/L (HR = 1.49, 95%CI = 1.02-2.18, P = 0.0302) were predictors for poor prognosis. HK2 and Beta2AR positive expression was detected in 66 (42.58) and 122 (78.71 %) HCC samples respectively. In univariate analysis, HK2(+) (HR = 2.70, 95%CI = 1.76-4.15, P < 0.0001) and Beta2AR(+) (HR = 4.61, 96%CI = 3.14-6.76, P < 0.0001) were associated with poor prognosis. In multivariate analysis, HK2(+) (P < 0.0001) and Beta2AR(+) (P < 0.0001) were also associated with poor prognosis. HK2(+)/Beta2AR(+) in HCC samples had poorer prognosis compared with HK2(-)/Beta2AR(-) in both univariate analysis (HR = 4.69, 95%CI = 2.91-7.57, P < 0.0001) and multivariate analysis (P < 0.0001). HK2(+)/Beta2AR(+) in HCC samples had poorer prognosis compared with HK2(-)/Beta2AR(+) in both univariate analysis (HR = 1.76, 95%CI = 1.17-2.64, P = 0.003) and multivariate analysis (P = 0.004).

conclusionHK2 and Beta2AR play important roles in HCC progression. HK2 and Beta2AR expression in HCC is correlated positively. Beta2AR may increase HCC invasion and metastasis in collaboration with HK2. HK2 and Beta2AR can predict HCC prognosis both independently and synergistically.

Indexed as

Carcinoma, HepatocellularDrug SynergismFemaleHexokinaseHumansImmunohistochemistryKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedPrognosisReceptors, Adrenergic, beta-2HexokinaseReceptors, Adrenergic, beta-2Beta2-adrenergic receptorHepatocellular carcinomaHexokinase-2ImmunohistochemistryPrognosis

Identifiers

PMID27255554
PMCPMC4891884
OpenAlexW2416594570

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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.