Evidence map›Paper›PMID 27786411›Full record

ArticlePediatric blood & cancer2017

Hes4: A potential prognostic biomarker for newly diagnosed patients with high-grade osteosarcoma.

Madonna McManus, Eugenie Kleinerman, Yanwen Yang, John Andrew Livingston, Jared Mortus, Rocio Rivera, Patrick Zweidler-McKay, Keri Schadler

Open access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Journal of Cancer · 2024
    Article
  6. Article
  7. Review
  8. Metastatic Prostate Cancers with BRCA2 versus ATM Mutations Exhibit Divergent Molecular Features and Clinical Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Osteosarcoma and Metastasis.Frontiers in oncology · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. 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

8 authors at 1 institution in 1 country.

Madonna McManusDivision of Pediatrics, Department of Pediatric Research, MD Anderson Cancer Center, Houston, Texas.
Eugenie KleinermanDivision of Pediatrics, Department of Pediatric Research, MD Anderson Cancer Center, Houston, Texas.
Yanwen YangDivision of Pediatrics, Department of Pediatric Research, MD Anderson Cancer Center, Houston, Texas.
John Andrew LivingstonDivision of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Jared MortusDivision of Pediatrics, Department of Pediatric Research, MD Anderson Cancer Center, Houston, Texas.
Rocio RiveraDivision of Pediatrics, Department of Pediatric Research, MD Anderson Cancer Center, Houston, Texas.
Patrick Zweidler-McKayDivision of Pediatrics, Department of Pediatric Research, MD Anderson Cancer Center, Houston, Texas.
Keri SchadlerDivision of Pediatrics, Department of Pediatric Research, MD Anderson Cancer Center, Houston, Texas.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Regulation of Osteosarcoma Metastasis by Notch and Hes 1 Pathway SignalingR01CA141208 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KLEINERMAN, EUGENIE S · 2011 to 2015
$1.7M
NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA141208
6 · The paper itself

Abstract

backgroundPrognostic biomarkers for osteosarcoma (OS) at the time of diagnosis are lacking. Necrotic response of OS to preoperative chemotherapy correlates with survival and is determined 3-4 months after diagnosis. The purpose of this study is to identify biomarkers that will stratify patients into good or poor responders to chemotherapy at diagnosis and determine the role of potential biomarkers in OS pathogenesis. PROCEDURE: Because OS may be caused by disruptions of osteogenic differentiation, and the Notch pathway is one regulator of bone development, we examined the link between Notch effectors, OS differentiation, and OS outcome. We probed the R2: Genomics Analysis and Visualization Platform for RNA expression levels of Notch targets in mixed high-grade OS pretreatment biopsies. We used human OS cell lines in vitro and in mice to determine the role of the Notch target hairy/enhancer of split 4 (Hes4) in OS.

resultsWe found that in OS patients, high expression of Hes4 is correlated with decreased metastasis-free and overall survival. Human OS cells that overexpress Hes4 are more immature and have an increased invasive capacity in vitro. This was not universal to all Notch effectors, as Hes1 overexpression induced opposing effects. When injected into NSG mice, Hes4-overexpressing OS cells produced significantly larger, more lytic tumors and significantly more metastases than did control cells.

conclusionsHes4 overexpression promotes a more aggressive tumor phenotype by preventing osteoblastic differentiation of OS cells. Hes4 expression may allow for the stratification of patients into good or poor responders to chemotherapy at diagnosis.

Indexed as

AnimalsBasic Helix-Loop-Helix ProteinsBiomarkers, TumorBone NeoplasmsCell Line, TumorCore Binding Factor Alpha 1 SubunitHEK293 CellsHumansMiceNeoplasm TransplantationOsteogenesisOsteosarcomaPrognosisSp7 Transcription FactorTranscription FactorsTransplantation, HeterologousBasic Helix-Loop-Helix ProteinsBiomarkers, TumorCore Binding Factor Alpha 1 SubunitHes4 protein, humanRUNX2 protein, humanSP7 protein, humanSp7 Transcription FactorTranscription FactorsHes4Notchosteogenic differentiationosteosarcomaprognostic factor

Identifiers

PMID27786411
PMCPMC6240354
OpenAlexW2542038197

What OpenQuestion holds

Textmetadata
LicenceTDM
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.