Evidence map›Paper›PMID 27925665›Full record

ArticleCancer2017

Viral oncoprotein antibodies as a marker for recurrence of Merkel cell carcinoma: A prospective validation study.

Kelly G Paulson, Christopher W Lewis, Mary W Redman, William T Simonson, Aaron Lisberg, Deborah Ritter, Chihiro Morishima, Kathleen Hutchinson, Lola Mudgistratova, Astrid Blom and 9 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04705389 (SerUM Markers in MERkel Cell Carcinoma Patients), which is not on this map. Cited by 92 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT04705389 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

SerUM Markers in MERkel Cell Carcinoma Patients: a Longitudinal moniTorIng Study for optiMization of European Guidelines

TypeinterventionalSponsorUniversity Hospital, ToursRan2022 to 2026Enrolled35ConditionsMerkel Cell CarcinomaArmsSamples
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 3 syntheses or guidelines pooled it, 177 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Merkel Cell Carcinoma, Version 1.2018, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2018
    Guideline
  4. Trial
  5. Neoadjuvant Nivolumab for Patients With Resectable Merkel Cell Carcinoma in the CheckMate 358 Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Gross hematuria in an immunocompromised male - A case report.International journal of surgery case reports · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Merkel Cell Carcinoma.Hematology/oncology clinics of North America · 2024
    Review
  18. Article
  19. Observational
  20. Review

32 more citing papers are in PubMed but not listed here.

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

19 authors at 3 institutions in 1 country.

Kelly G PaulsonDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Christopher W LewisDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Mary W RedmanClinical Statistics, Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
William T SimonsonDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Aaron LisbergDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Deborah RitterDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Chihiro MorishimaDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Kathleen HutchinsonDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Lola MudgistratovaDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Astrid BlomDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Jayasri IyerDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Ata S MoshiriDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Erica S TarabadkarDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Joseph J CarterDivision of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Shailender BhatiaDivision of Medical Oncology, Department of Medicine, University of Washington, Seattle, Washington.
Masaoki KawasumiDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Denise A GallowayDivision of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Mark H WenerDepartment of Laboratory Medicine, University of Washington, Seattle, Washington.
Paul NghiemDivision of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
University of Washington · USFred Hutch Cancer Center · USUniversity of Washington Medical Center · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
University of Washington Medical Scientist Training Program: MD/PhDT32GM007266 · NIGMS · UNIVERSITY OF WASHINGTON · PI HORWITZ, MARSHALL S. · 1985 to 2023
$30.4M
TRAINING IN CANCER BIOLOGY &TRANSPLANTATIONT32CA009515 · NCI · UNIVERSITY OF WASHINGTON · PI NANCY ELLEN DAVIDSON, Effie W Petersdorf · 1985 to 2026
$16.2M
NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
Human Papillomavirus and Polyomavirus Associated Malignancies.R35CA209979 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GALLOWAY, DENISE A. · 2017 to 2023
$6.5M
Viral oncoprotein targeted immune therapy for Merkel cell carcinomaR01CA176841 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2013 to 2016
$2.6M
Institute of Translational Health SciencesTL1TR000422 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$2.1M
Pathogenetic and prognostic studies for improved therapy of Merkel cell carcinomaK24CA139052 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2009 to 2018
$1.8M
Humoral and cellular immunity in polyomavirus-linked Merkel cell carcinomaR01CA162522 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2011 to 2015
$1.6M
NCATS NIH HHS TL1 TR000422NCATS NIH HHS TL1 TR002318NCATS NIH HHS UL1 TR002319NCI NIH HHS K24 CA139052NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA162522NCI NIH HHS R01 CA176841NCI NIH HHS R35 CA209979NCI NIH HHS T32 CA009515NIGMS NIH HHS T32 GM007266
6 · The paper itself

Abstract

backgroundMerkel cell carcinoma (MCC) is an aggressive skin cancer with a recurrence rate of >40%. Of the 2000 MCC cases per year in the United States, most are caused by the Merkel cell polyomavirus (MCPyV). Antibodies to MCPyV oncoprotein (T-antigens) have been correlated with MCC tumor burden. The present study assesses the clinical utility of MCPyV-oncoprotein antibody titers for MCC prognostication and surveillance.

methodsMCPyV-oncoprotein antibody detection was optimized in a clinical laboratory. A cohort of 219 patients with newly diagnosed MCC were followed prospectively (median follow-up, 1.9 years). Among the seropositive patients, antibody titer and disease status were serially tracked.

resultsAntibodies to MCPyV oncoproteins were rare among healthy individuals (1%) but were present in most patients with MCC (114 of 219 patients [52%]; P < .01). Seropositivity at diagnosis independently predicted decreased recurrence risk (hazard ratio, 0.58; P = .04) in multivariate analyses adjusted for age, sex, stage, and immunosuppression. After initial treatment, seropositive patients whose disease did not recur had rapidly falling titers that became negative by a median of 8.4 months. Among seropositive patients who underwent serial evaluation (71 patients; 282 time points), an increasing oncoprotein titer had a positive predictive value of 66% for clinically evident recurrence, whereas a decreasing titer had a negative predictive value of 97%.

conclusionsDetermination of oncoprotein antibody titer assists in the clinical management of patients with newly diagnosed MCC by stratifying them into a higher risk seronegative cohort, in which radiologic imaging may play a more prominent role, and into a lower risk seropositive cohort, in which disease status can be tracked in part by oncoprotein antibody titer. Cancer 2017;123:1464-1474. © 2016 American Cancer Society.

Indexed as

AgedAged, 80 and overAntibodies, ViralBiomarkersCarcinoma, Merkel CellFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingOncogene Proteins, ViralPopulation SurveillanceProspective StudiesReproducibility of ResultsSeroepidemiologic StudiesAntibodies, ViralBiomarkersOncogene Proteins, ViralMerkel cell carcinoma (MCC)Merkel cell polyomavirus (MCPyV)oncoproteinserologyskin cancerT antigen

Identifiers

PMID27925665
PMCPMC5384867
OpenAlexW2560846260

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Registered trials

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.