Evidence map›Paper›PMID 27643594›Full record

ArticlePloS one2016

Methylation of MGMT Is Associated with Poor Prognosis in Patients with Stage III Duodenal Adenocarcinoma.

Tao Fu, Anup Sharmab, Fei Xie, Yanliang Liu, Kai Li, Weiwei Wan, Stephen B Baylin, Christopher L Wolfgang, Nita Ahuja

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. 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

9 authors at 2 institutions in 2 countries.

Tao FuDepartment of Gastrointestinal Surgery II, Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital, Wuhan University, Wuhan, China.ORCID http://orcid.org/0000-0003-4713-7269
Anup SharmabDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Fei XieDepartment of Gastrointestinal Surgery II, Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital, Wuhan University, Wuhan, China.
Yanliang LiuDepartment of Gastrointestinal Surgery II, Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital, Wuhan University, Wuhan, China.
Kai LiDepartment of Gastrointestinal Surgery II, Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital, Wuhan University, Wuhan, China.
Weiwei WanDepartment of Gastrointestinal Surgery II, Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital, Wuhan University, Wuhan, China.
Stephen B BaylinDepartment of Oncology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Christopher L WolfgangDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Nita AhujaDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Wuhan University · CNJohns Hopkins University · US

Funding

TGF-beta Signaling in Pancreatic Cancer ProgressionR01CA140599 · NCI · JOHNS HOPKINS UNIVERSITY · PI IACOBUZIO-DONAHUE, CHRISTINE A · 2009 to 2013
$1.7M
Epigenetic markers involved in colorectal cancer recurrence and metastasesK23CA127141 · NCI · JOHNS HOPKINS UNIVERSITY · PI AHUJA, NITA · 2008 to 2012
$705k
NCI NIH HHS K23 CA127141NCI NIH HHS R01 CA140599
6 · The paper itself

Abstract

backgroundO6-methylguanine-DNA methyltransferase (MGMT) methylation status has not been extensively investigated in duodenal adenocarcinoma (DA). The aim of this study was to evaluate the MGMT methylation status and examine its possible prognostic value in patients with stage III DA.

methodsDemographics, tumor characteristics and survival were available for 64 patients with stage III DA. MGMT methylation was detected by using MethyLight. A Cox proportional hazard model was built to predict survival, adjusted for clinicopathological characteristics and tumor molecular features, including the CpG island methylator phenotype (CIMP), microsatellite instability (MSI), and KRAS mutations.

resultsMGMT methylation was detected in 17 of 64 (26.6%) patients, and was not correlated with sex, age, tumor differentiation, CIMP, MSI, or KRAS mutations. MGMT methylation was the only one factor associated with both overall survival (OS) and disease-free survival (DFS) on both univariate and multivariate analyses. In patients treated with surgery alone, MGMT-methylated group had worse OS and DFS when compared with MGMT-unmethylated group. However, in patients treated with chemotherapy/radiotherapy, outcomes became comparable between the two groups.

conclusionsOur results demonstrate MGMT methylation is a reliable and independent prognostic factor in DAs. Methylation of MGMT is associated with poor prognosis in patients with stage III DAs.

Indexed as

DNA MethylationAdenocarcinomaAntineoplastic AgentsChemoradiotherapyDuodenal NeoplasmsFemaleHumansMaleMiddle AgedO(6)-Methylguanine-DNA MethyltransferasePrognosisAntineoplastic AgentsO(6)-Methylguanine-DNA Methyltransferase

Identifiers

PMID27643594
PMCPMC5028050
OpenAlexW2523649373

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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.