Evidence map›Paper›PMID 27635763›Full record

ArticleCancer biology & therapy2016

Expression of steroid hormone receptors and its prognostic significance in urothelial carcinoma of the upper urinary tract.

Eiji Kashiwagi, Kazutoshi Fujita, Seiji Yamaguchi, Hiroaki Fushimi, Hiroki Ide, Satoshi Inoue, Taichi Mizushima, Leonardo O Reis, Rajni Sharma, George J Netto and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer biology & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Testosterone replacement therapy and bladder cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Hypogonadism and urologic surgeries: a narrative review.Translational andrology and urology · 2022
    Review
  13. Trop-2 in Upper Tract Urothelial Carcinoma.Current oncology (Toronto, Ont.) · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review
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 4 institutions in 2 countries.

Eiji Kashiwagia Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Kazutoshi Fujitac Department of Urology , Osaka University Graduate School of Medicine , Suita , Japan.
Seiji Yamaguchid Department of Urology , Osaka General Medical Center , Osaka , Japan.
Hiroaki Fushimie Department of Pathology , Osaka General Medical Center , Japan.
Hiroki Idea Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Satoshi Inouea Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Taichi Mizushimaa Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Leonardo O Reisa Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Rajni Sharmaa Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
George J Nettoa Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Norio Nonomurac Department of Urology , Osaka University Graduate School of Medicine , Suita , Japan.
Hiroshi Miyamotoa Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Johns Hopkins University · USJohns Hopkins Medicine · USOsaka City General Hospital · JPOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess the expression status of steroid hormone receptors in upper urinary tract urothelial carcinoma (UUTUC), we immunohistochemically stained for androgen receptor (AR), estrogen receptor-α (ERα), ERβ, glucocorticoid receptor (GR), and progesterone receptor (PR) in 99 UUTUC specimens and paired non-neoplastic urothelial tissues. AR/ERα/ERβ/GR/PR was positive in 20%/18%/62%/63%/16% of tumors, which was significantly lower (except PR) than in benign urothelial tissues [57% (P < 0.001)/40% (P = 0.001)/85% (P = 0.001)/84% (P = 0.002)/13% (P = 0.489)]. There were no significant associations between each receptor expression pattern and histopathological characteristic of the tumors including tumor grade/stage. Kaplan-Meier and log-rank tests revealed no significant prognostic value of each receptor expression in these 99 patients. However, patients with UUTUC positive for either ERα or PR had a significantly higher risk of disease-specific mortality (P = 0.025), compared with those with UUTUC negative for both. PR positivity alone in pT3 or pT4 tumors was also strongly associated with the risk of disease-specific mortality (P = 0.040). Multivariate analysis further identified the expression of ERα and/or PR as a strong predictor for disease-specific mortality in the entire cohort of the patients (hazard ratio, 2.434; P = 0.037). Thus, in accordance with previous observations in bladder specimens, significant decreases in the expression of AR/ERα/ERβ/GR in UUTUC, compared with that in non-neoplastic urothelium, were observed. Meanwhile, the negativity of both ERα and PR in UUTUC as well as the negativity of PR alone in deeply invasive tumor was suggested to serve as a prognosticator.

Indexed as

FemaleHumansImmunohistochemistryKaplan-Meier EstimateMaleNeoplasm GradingNeoplasm StagingPrognosisReceptors, AndrogenReceptors, EstrogenReceptors, GlucocorticoidReceptors, ProgesteroneUrologic NeoplasmsReceptors, AndrogenReceptors, EstrogenReceptors, GlucocorticoidReceptors, ProgesteroneAndrogen receptorestrogen receptorglucocorticoid receptorimmunohistochemistryprogesterone receptorprognosisupper urinary tract urothelial carcinoma

Identifiers

PMID27635763
PMCPMC5137486
OpenAlexW2520666872

What OpenQuestion holds

Textmetadata
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.