Evidence map›Paper›PMID 28061437›Full record

ArticleOncotarget2017

Keap1/Nrf2 pathway in kidney cancer: frequent methylation of KEAP1 gene promoter in clear renal cell carcinoma.

Federico Pio Fabrizio, Manuela Costantini, Massimiliano Copetti, Annamaria la Torre, Angelo Sparaneo, Andrea Fontana, Luana Poeta, Michele Gallucci, Steno Sentinelli, Paolo Graziano and 14 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Frontiers in cell and developmental biology · 2025
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  8. Review
  9. Article
  10. A framework for target discovery in rare cancers.bioRxiv : the preprint server for biology · 2024
    Article
  11. Toward a CRISPR-based mouse model ofProceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  12. Article
  13. Article
  14. Effects ofCancers · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Post-translational modifications of Keap1: the state of the art.Frontiers in cell and developmental biology · 2023
    Review
  19. Review
  20. NRF2: KEAPing Tumors Protected.Cancer discovery · 2022
    Article
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

24 authors at 7 institutions in 3 countries.

Federico Pio FabrizioLaboratory of Oncology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Manuela CostantiniGenetic and Clinic Pathology Unit, University Campus Bio-Medico of Rome, Rome, Italy.
Massimiliano CopettiUnit of Biostatistics, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Annamaria la TorreLaboratory of Oncology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Angelo SparaneoLaboratory of Oncology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Andrea FontanaUnit of Biostatistics, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Luana PoetaDepartment of Bioscience, Biotechnology and Biopharmaceutics, University of Bari, Bari, Italy.
Michele GallucciDepartment of Urology, Regina Elena National Cancer Institute, Rome, Italy.
Steno SentinelliDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Paolo GrazianoUnit of Pathology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Paola ParenteUnit of Pathology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Vincenzo PompeoDepartment of Urology, Regina Elena National Cancer Institute, Rome, Italy.
Laura De SalvoDepartment of Pathology, Regina Elena National Cancer Institute, Rome, Italy.
Giuseppe SimoneDepartment of Urology, Regina Elena National Cancer Institute, Rome, Italy.
Rocco PapaliaDepartment of Urology, Regina Elena National Cancer Institute, Rome, Italy.
Francesco PicardoGenetic and Clinic Pathology Unit, University Campus Bio-Medico of Rome, Rome, Italy.
Teresa BalsamoLaboratory of Oncology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Gerardo Paolo FlammiaUOC of Urology, Campus Bio-Medico University Hospital, Rome, Italy.
Domenico TrombettaLaboratory of Oncology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Angela PantaloneGenetic and Clinic Pathology Unit, University Campus Bio-Medico of Rome, Rome, Italy.
Klaas KokDepartment of Genetics, University of Groningen, University Medical Center Groningen, The Netherlands.
Ferronika ParanitaDepartment of Genetics, University of Groningen, University Medical Center Groningen, The Netherlands.
Lucia Anna MuscarellaLaboratory of Oncology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Vito Michele FazioLaboratory of Oncology, IRCCS "Casa Sollievo della Sofferenza" Hospital, San Giovanni Rotondo, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITCasa Sollievo della Sofferenza · ITUniversità Campus Bio-Medico · ITNational Cancer Institute · MYUniversity Medical Center Groningen · NLUniversity of Bari Aldo Moro · ITUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Keap1/Nrf2 pathway is a master regulator of the cellular redox state through the induction of several antioxidant defence genes implicated in chemotherapeutic drugs resistance of tumor cells. An increasing body of evidence supports a key role for Keap1/Nrf2 pathway in kidney diseases and renal cell carcinoma (RCC), but data concerning the molecular basis and the clinical effect of its deregulation remain incomplete.Here we present a molecular profiling of the KEAP1 and NFE2L2 genes in five different Renal Cell Carcinoma histotypes by analysing 89 tumor/normal paired tissues (clear cell Renal Carcinoma, ccRCCs; Oncocytomas; Papillary Renal Cell Carcinoma Type 1, PRCC1; Papillary Renal Cell Carcinoma Type 2, PRCC2; and Chromophobe Cell Carcinoma).A tumor-specific DNA methylation of the KEAP1 gene promoter region was found as a specific feature of the ccRCC subtype (18/37, 48.6%) and a direct correlation with mRNA levels was confirmed by in vitro 5-azacytidine treatment. Analysis of an independent data set of 481 ccRCC and 265 PRCC tumors corroborates our results and multivariate analysis reveals a significant correlation among ccRCCs epigenetic KEAP1 silencing and staging, grading and overall survival.Our molecular results show for the the first time the epigenetic silencing of KEAP1 promoter as the leading mechanism for modulation of KEAP1 expression in ccRCCs and corroborate the driver role of Keap1/Nrf2 axis deregulation with potential new function as independent epigenetic prognostic marker in renal cell carcinoma.

Indexed as

DNA MethylationAdultAgedAged, 80 and overAzacitidineCarcinoma, Renal CellEnzyme InhibitorsEpigenesis, GeneticFemaleGene Expression Regulation, NeoplasticHumansImmunohistochemistryKelch-Like ECH-Associated Protein 1Kidney NeoplasmsMaleMiddle AgedAzacitidineEnzyme InhibitorsKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2RNA, MessengerccRCCepigenetic biomarkerKEAP1methylationoutcome

Identifiers

PMID28061437
PMCPMC5355256
OpenAlexW2567958491

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.