Evidence map›Paper›PMID 27729373›Full record

ArticleCarcinogenesis2016

Integration of a radiation biomarker into modeling of thyroid carcinogenesis and post-Chernobyl risk assessment.

Jan Christian Kaiser, Reinhard Meckbach, Markus Eidemüller, Martin Selmansberger, Kristian Unger, Viktor Shpak, Maria Blettner, Horst Zitzelsberger, Peter Jacob

Abstract read
In one paragraph

Article in Carcinogenesis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Somatic health effects of Chernobyl: 30 years on.European journal of epidemiology · 2017
    Pooled it
  2. Review
  3. Radiation-Related Thyroid Cancer.Endocrine reviews · 2024
    Review
  4. Article
  5. Article
  6. Adverse outcome pathways, key events, and radiation risk assessment.International journal of radiation biology · 2021
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Thyroid Cancer Incidence around the Belgian Nuclear Sites, 2000-2014.International journal of environmental research and public health · 2017
    Article
  14. Radiation and Thyroid Cancer.International journal of molecular sciences · 2017
    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

9 authors.

Jan Christian Kaiser
Reinhard MeckbachBoris-Blacher-Str. 14, 80939 München, Germany.
Markus Eidemüller
Martin SelmansbergerHelmholtz Zentrum München, Research Unit Radiation Cytogenetics, 85764 Neuherberg, Germany.
Kristian UngerHelmholtz Zentrum München, Research Unit Radiation Cytogenetics, 85764 Neuherberg, Germany.
Viktor ShpakNational Academy of Medical Sciences of the Ukraine, Institute of Endocrinology and Metabolism, 254114 Kyiv, Ukraine.
Maria BlettnerJohannes Gutenberg Universität, Institut für Medizinische Biometrie Epidemiologie und Informatik, 55131 Mainz, Germany and.
Horst ZitzelsbergerHelmholtz Zentrum München, Research Unit Radiation Cytogenetics, 85764 Neuherberg, Germany.
Peter JacobRADRISK, 83727 Schliersee, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Strong evidence for the statistical association between radiation exposure and disease has been produced for thyroid cancer by epidemiological studies after the Chernobyl accident. However, limitations of the epidemiological approach in order to explore health risks especially at low doses of radiation appear obvious. Statistical fluctuations due to small case numbers dominate the uncertainty of risk estimates. Molecular radiation markers have been searched extensively to separate radiation-induced cancer cases from sporadic cases. The overexpression of the CLIP2 gene is the most promising of these markers. It was found in the majority of papillary thyroid cancers (PTCs) from young patients included in the Chernobyl tissue bank. Motivated by the CLIP2 findings we propose a mechanistic model which describes PTC development as a sequence of rate-limiting events in two distinct paths of CLIP2-associated and multistage carcinogenesis. It integrates molecular measurements of the dichotomous CLIP2 marker from 141 patients into the epidemiological risk analysis for about 13 000 subjects from the Ukrainian-American cohort which were exposed below age 19 years and were put under enhanced medical surveillance since 1998. For the first time, a radiation risk has been estimated solely from marker measurements. Cross checking with epidemiological estimates and model validation suggests that CLIP2 is a marker of high precision. CLIP2 leaves an imprint in the epidemiological incidence data which is typical for a driver gene. With the mechanistic model, we explore the impact of radiation on the molecular landscape of PTC. The model constitutes a unique interface between molecular biology and radiation epidemiology.

Indexed as

AdolescentAdultBiomarkers, TumorCarcinomaCarcinoma, PapillaryChernobyl Nuclear AccidentChildFemaleGene Expression Regulation, NeoplasticHumansMaleMicrotubule-Associated ProteinsNeoplasms, Radiation-InducedThyroid Cancer, PapillaryThyroid GlandThyroid NeoplasmsBiomarkers, Tumorcytoplasmic linker protein 115Microtubule-Associated Proteins

Identifiers

PMID27729373
PMCPMC5137265

What OpenQuestion holds

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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.