Evidence map›Paper›PMID 27930716›Full record

ArticlePloS one2016

MRE11 and ATM Expression Levels Predict Rectal Cancer Survival and Their Association with Radiotherapy Response.

Vincent Ho, Liping Chung, Maxine Revoltar, Stephanie H Lim, Thein-Ga Tut, Askar Abubakar, Chris J Henderson, Wei Chua, Weng Ng, Mark Lee and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 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

14 authors at 5 institutions in 1 country.

Vincent HoSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Liping ChungSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Maxine RevoltarSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Stephanie H LimDepartment of Medical Oncology, Liverpool Hospital, Liverpool, New South Wales, Australia.
Thein-Ga TutIngham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.
Askar AbubakarSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Chris J HendersonSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Wei ChuaDepartment of Medical Oncology, Liverpool Hospital, Liverpool, New South Wales, Australia.
Weng NgDepartment of Medical Oncology, Liverpool Hospital, Liverpool, New South Wales, Australia.
Mark LeeDepartment of Radiation Oncology, Liverpool Hospital, Liverpool, New South Wales, Australia.
Paul De SouzaSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Matthew MorganDepartment of Surgery, Bankstown Hospital, Bankstown, New South Wales, Australia.
C Soon LeeSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Joo-Shik ShinSchool of Medicine, Western Sydney University, Penrith, New South Wales, Australia.
Liverpool Hospital · AUWestern Sydney University · AUBankstown Lidcombe Hospital · AUIngham Institute · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAberrant expression of DNA repair proteins is associated with poor survival in cancer patients. We investigated the combined expression of MRE11 and ATM as a predictive marker of response to radiotherapy in rectal cancer.

methodsMRE11 and ATM expression were examined in tumor samples from 262 rectal cancer patients who underwent surgery for rectal cancer, including a sub-cohort of 54 patients who were treated with neoadjuvant radiotherapy. The relationship between expression of the two-protein panel and tumor regression grade (TRG) was assessed by Mann-Whitney U test and receiver operating characteristics area under curve (ROC-AUC) analysis. The association between expression of the two-protein panel and clinicopathologic variables and survival was examined by Kaplan-Meier methods and Cox regression analysis.

resultsA high score for two-protein combined expression in the tumor center (TC) was significantly associated with worse disease-free survival (DFS) (P = 0.035) and overall survival (OS) (P = 0.003) in the whole cohort, and with DFS (P = 0.028) and OS (P = 0.024) in the neoadjuvant subgroup (n = 54). In multivariate analysis, the two-protein combination panel (HR = 2.178, 95% CI 1.115-4.256, P = 0.023) and perineural invasion (HR = 2.183, 95% CI 1.222-3.899, P = 0.008) were significantly associated with DFS. Using ROC-AUC analysis of good versus poor histological tumor response among patients treated preoperatively with radiotherapy, the average ROC-AUC was 0.745 for the combined panel, 0.618 for ATM alone, and 0.711 for MRE11 alone.

conclusionsThe MRE11/ATM two-protein panel developed in this study may have clinical value as a predictive marker of tumor response to neoadjuvant radiotherapy, and a prognostic marker for disease-free and overall survival.

Indexed as

AgedAtaxia Telangiectasia Mutated ProteinsDNA-Binding ProteinsFemaleHumansMaleMRE11 Homologue ProteinPrognosisRectal NeoplasmsROC CurveSurvival AnalysisAtaxia Telangiectasia Mutated ProteinsATM protein, humanDNA-Binding ProteinsMRE11 Homologue ProteinMRE11 protein, human

Identifiers

PMID27930716
PMCPMC5145179
OpenAlexW2560749613

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.