Evidence map›Paper›PMID 27876891›Full record

ArticleScientific reports2016

Genetic variations in the PI3K-PTEN-AKT-mTOR pathway are associated with distant metastasis in nasopharyngeal carcinoma patients treated with intensity-modulated radiation therapy.

Qiaojuan Guo, Tianzhu Lu, Yan Chen, Ying Su, Yuhong Zheng, Zeng Chen, Chao Chen, Shaojun Lin, Jianji Pan, Xianglin Yuan

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Qiaojuan GuoShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Tianzhu LuShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Yan ChenShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Ying SuShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Yuhong ZhengShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Zeng ChenShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Chao ChenShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Shaojun LinShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Jianji PanShengli Clinical Medicine College, Fujian Medical University, Fuzhou, Fujian Province, 350014, China.
Xianglin YuanDepartment of Oncology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei Province, 430030, China.
Fujian Medical University · CNFujian Provincial Cancer Hospital · CNTongji Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Distant metastasis is the primary failure pattern of nasopharyngeal carcinoma(NPC) in intensity-modulated radiation therapy(IMRT) era. This study was conducted to find the impact of genetic variations in the phosphatidylinositol 3-kinase(PI3K)/phosphatase and tensin homologue(PTEN)/v-akt murine thymoma viral oncogene homologue(AKT)/mammalian target of rapamycin(mTOR) pathway on the risk of distant metastasis in NPC. We genotyped 16 single-nucleotide polymorphisms(SNPs) in five core genes in this pathway from 496 patients treated by IMRT with or without chemotherapy. The relationships between genetic polymorphisms and distant progression were evaluated. We observed that two loci in the AKT1 gene(rs3803300 and rs2494738 alone or combined) were associated with prognosis, with patients carrying at least one variant allele had significantly reduced risk of distant failure, especially in N2-3 group. In addition, we found that genetic variation may had some joint effect with N classification in recursive-partitioning analysis(RPA) analysis, with which patients were stratified into four different risk subgroups (RPA model): RPA1(low risk), RPA2(moderate risk), RPA3(high risk) and RPA4(highest risk). Our findings suggested that genetic variations within the PI3K signaling pathway modulate the development and invasion of NPC patients. Further research is needed to replicate the study in other centers and races, and to unravel the functional significance of these polymorphisms.

Indexed as

Genetic VariationRadiotherapy, Intensity-ModulatedCarcinomaFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNasopharyngeal CarcinomaNasopharyngeal NeoplasmsNeoplasm MetastasisPhosphatidylinositol 3-KinasesPolymorphism, Single NucleotidePrognosisProto-Oncogene Proteins c-aktRisk FactorsPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine Kinases

Identifiers

PMID27876891
PMCPMC5120316
OpenAlexW2555012325

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LicenceCC BY
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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.