Evidence map›Paper›PMID 27905048›Full record

ArticleEndocrine2017

Loss of succinate dehydrogenase subunit B (SDHB) as a prognostic factor in advanced ileal well-differentiated neuroendocrine tumors.

Massimo Milione, Patrick Maisonneuve, Alessio Pellegrinelli, Sara Pusceddu, Giovanni Centonze, Francesca Dominoni, Cecilia Brambilla, Manila Rubino, Antongiulio Faggiano, Roberto Buzzoni and 5 more

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Article in Endocrine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 10 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

15 authors at 5 institutions in 1 country.

Massimo Milione1st Division of Pathology, Department of Pathology and Laboratory Medicine, IRCCS, Milan, Italy. Massimo.milione@istitutotumori.mi.it.
Patrick MaisonneuveDivision of Epidemiology and Biostatistics, European Institute of oncology (IEO), Milan, Italy.
Alessio Pellegrinelli1st Division of Pathology, Department of Pathology and Laboratory Medicine, IRCCS, Milan, Italy.
Sara PuscedduDepartement of Medical Oncology, IRCCS Foundation National Cancer Institute, Milan, Italy.
Giovanni Centonze1st Division of Pathology, Department of Pathology and Laboratory Medicine, IRCCS, Milan, Italy.
Francesca Dominoni1st Division of Pathology, Department of Pathology and Laboratory Medicine, IRCCS, Milan, Italy.
Cecilia Brambilla1st Division of Pathology, Department of Pathology and Laboratory Medicine, IRCCS, Milan, Italy.
Manila RubinoIstituto Nazionale per lo studio e la cura dei tumori "Fondazione G. Pascale"-IRCCS, Naples, Italy.
Antongiulio FaggianoIstituto Nazionale per lo studio e la cura dei tumori "Fondazione G. Pascale"-IRCCS, Naples, Italy.
Roberto BuzzoniDepartement of Medical Oncology, IRCCS Foundation National Cancer Institute, Milan, Italy.
Laura ConcasDepartement of Medical Oncology, IRCCS Foundation National Cancer Institute, Milan, Italy.
Luca GiacomelliUniversity of Genoa, Genoa, Italy.
Jorgelina CoppaDepartment of Surgery, G.I. Surgery and Liver Transplantation, Istituto Nazionale Tumori (National Cancer Institute), Milan, Italy.
Vincenzo MazzaferroDepartment of Surgery, G.I. Surgery and Liver Transplantation, Istituto Nazionale Tumori (National Cancer Institute), Milan, Italy.
Filippo de BraudDepartement of Medical Oncology, IRCCS Foundation National Cancer Institute, Milan, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITEuropean Institute of Oncology · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAbnormal expression of succinate dehydrogenase, (SDH), in particular of the B subunit (SDHB), is implicated in the pathogenesis of neuroendocrine tumors. This study evaluates the distribution of SDHB in WHO grading G1 and G2 intestinal, well-differentiated neuroendocrine tumors and corresponding lymph node or liver metastases.

methodsWe collected ileal well-differentiated neuroendocrine tumors specimens from consecutive patients with prior primary resection and distant synchronous or metachronous liver metastases. We obtained 195 specimens from primary tumors (n = 106) and metastases (n = 89). The expression (E) of SDHB and the immunostaining intensity (I) were evaluated semiquantitatively and combined into a single score. SDHB score was evaluated in primitive tumor and metastatic specimens.

resultsSDHB was found in all tumor cells. Mean SDHB expression was 72.7 % ± 17.1 % in primitive specimens and 27.9 % ± 24.6 % in metastatic specimens (p < 0.0001). SDH intensity was higher in primitive specimens (p < 0.0001). SDHB score was 9-12 in 96 specimens of the primitive group and 2 metastatic specimens (p < 0.0001). None of the analyzed parameters was predictive of overall survival in the primitive subset. In the metastatic subset, loss of SDHB expression, intensity, and score were prognostic factors for survival. Lower expression and intensity of SDHB in metastatic lesions were associated with longer overall survival. When combining SDHB score and Ki-67 % in the metastatic subset, a lower SDHB score was associated with prolonged overall survival, independently from Ki-67 %.

conclusionsSDHB score was different in primitive and metastatic specimens. The combination of SDHB score and Ki-67 % was a stronger predictor of overall survival than Ki-67 % alone. This stratification might help predict survival.

Indexed as

Down-RegulationAdultAgedAged, 80 and overCell DifferentiationFemaleHumansIleal NeoplasmsIleumLiverLiver NeoplasmsLymphatic MetastasisLymph NodesMaleMiddle AgedNeoplasm GradingNeoplasm ProteinsSDHB protein, humanSuccinate DehydrogenaseIleal NETImmunochemistryPrognosisSDHB

Identifiers

PMID27905048
OpenAlexW2559084845

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.