Evidence map›Paper›PMID 27336609›Full record

ArticleBritish journal of cancer2016

KI67 and DLX2 predict increased risk of metastasis formation in prostate cancer-a targeted molecular approach.

William Jf Green, Graham Ball, Geoffrey Hulman, Catherine Johnson, Gerry Van Schalwyk, Hari L Ratan, Daniel Soria, Jonathan M Garibaldi, Richard Parkinson, Joshua Hulman and 2 more

Open access · bronzeAbstract 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 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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  19. Ki-67 is an independent predictor of prostate cancer death in routine needle biopsy samples: proving utility for routine assessments.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2019
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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 5 institutions in 1 country.

William Jf GreenDepartment of Urology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK.
Graham BallThe John van Geest Cancer Research Centre, Department of Life Sciences, Nottingham Trent University, Nottingham NG11 8NS, UK.
Geoffrey HulmanDepartment of Cellular Pathology, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK.
Catherine JohnsonThe John van Geest Cancer Research Centre, Department of Life Sciences, Nottingham Trent University, Nottingham NG11 8NS, UK.
Gerry Van SchalwykPathology Department, Division of Planned Care, Royal Derby Hospital, Derby DE22 3NE, UK.
Hari L RatanDepartment of Urology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK.
Daniel SoriaAdvanced Data Analysis Centre, School of Computer Science, Faculty of Science, University of Nottingham, Nottingham NG8 1BB, UK.
Jonathan M GaribaldiAdvanced Data Analysis Centre, School of Computer Science, Faculty of Science, University of Nottingham, Nottingham NG8 1BB, UK.
Richard ParkinsonDepartment of Urology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK.
Joshua HulmanDepartment of Cellular Pathology, Nottingham University Hospitals NHS Trust, Nottingham NG7 2UH, UK.
Robert ReesThe John van Geest Cancer Research Centre, Department of Life Sciences, Nottingham Trent University, Nottingham NG11 8NS, UK.
Desmond G PoweThe John van Geest Cancer Research Centre, Department of Life Sciences, Nottingham Trent University, Nottingham NG11 8NS, UK.
Nottingham University Hospitals NHS Trust · GBNottingham Trent University · GBQueen's Medical Centre · GBUniversity of Nottingham · GBRoyal Derby Hospital · GB

Funding

Medical Research Council MR/N005953/1
6 · The paper itself

Abstract

backgroundThere remains a need to identify and validate biomarkers for predicting prostate cancer (CaP) outcomes using robust and routinely available pathology techniques to identify men at most risk of premature death due to prostate cancer. Previous immunohistochemical studies suggest the proliferation marker Ki67 might be a predictor of survival, independently of PSA and Gleason score. We performed a validation study of Ki67 as a marker of survival and disease progression and compared its performance against another candidate biomarker, DLX2, selected using artificial neural network analysis.

methodsA tissue microarray (TMA) was constructed from transurethral resected prostatectomy histology samples (n=192). Artificial neural network analysis was used to identify candidate markers conferring increased risk of death and metastasis in a public cDNA array. Immunohistochemical analysis of the TMA was carried out and univariate and multivariate tests performed to explore the association of tumour protein levels of Ki67 and DLX2 with time to death and metastasis.

resultsUnivariate analysis demonstrated Ki67 as predictive of CaP-specific survival (DSS; P=0.022), and both Ki67 (P=0.025) and DLX2 (P=0.001) as predictive of future metastases. Multivariate analysis demonstrated Ki67 as independent of PSA, Gleason score and D'Amico risk category for DSS (HR=2.436, P=0.029) and both Ki67 (HR=3.296, P=0.023) and DLX2 (HR=3.051, P=0.003) as independent for future metastases.

conclusionsHigh Ki67 expression is only present in 6.8% of CaP patients and is predictive of reduced survival and increased risk of metastasis, independent of PSA, Gleason score and D'Amico risk category. DLX2 is a novel marker of increased metastasis risk found in 73% patients and 8.2% showed co-expression with a high Ki67 score. Two cancer cell proliferation markers, Ki67 and DLX2, may be able to inform clinical decision-making when identifying patients for active surveillance.

Indexed as

Neoplasm MetastasisBiomarkers, TumorDisease ProgressionHumansKi-67 AntigenMaleProstatic NeoplasmsRisk FactorsTranscription FactorsBiomarkers, TumorKi-67 AntigenTranscription Factors

Identifiers

PMID27336609
PMCPMC4947696
OpenAlexW2465337547

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.