Evidence map›Paper›PMID 28081547›Full record

Trial reportBritish journal of cancer2017

Diagnosis of pancreaticobiliary malignancy by detection of minichromosome maintenance protein 5 in biliary brush cytology.

Margaret G Keane, Matthew T Huggett, Michael H Chapman, Gavin J Johnson, George J Webster, Douglas Thorburn, James Mackay, Stephen P Pereira

Open access · hybridAbstract readClinical TrialValidation Study
In one paragraph

Trial report in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 21 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

8 authors at 4 institutions in 1 country.

Margaret G KeaneInstitute for Liver and Digestive Health, University College London, Royal Free Campus, Pond St, London NW3 2PF, UK.
Matthew T HuggettInstitute for Liver and Digestive Health, University College London, Royal Free Campus, Pond St, London NW3 2PF, UK.
Michael H ChapmanDepartment of Gastroenterology, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London NW1 2BG, UK.
Gavin J JohnsonDepartment of Gastroenterology, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London NW1 2BG, UK.
George J WebsterDepartment of Gastroenterology, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London NW1 2BG, UK.
Douglas ThorburnInstitute for Liver and Digestive Health, University College London, Royal Free Campus, Pond St, London NW3 2PF, UK.
James MackayDepartment of Genetics, Evolution and Environment, University College London, Gower St, London WC1E 6BT, UK.
Stephen P PereiraInstitute for Liver and Digestive Health, University College London, Royal Free Campus, Pond St, London NW3 2PF, UK.
University College London · GBRoland Hill (United Kingdom) · GBThe Royal Free Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Small Molecule Enhancers of Photodynamic Therapy for Skin CancerP01CA084203 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Brian William Pogue · 2001 to 2026
$27.9M
Departmwnt of Health [UK]Medical Research Council G0801588NCI NIH HHS P01 CA084203
6 · The paper itself

Abstract

backgroundBiliary brush cytology is the standard method of evaluating biliary strictures, but is insensitive at detecting malignancy. In pancreaticobiliary cancer minichromosome maintenance replication proteins (MCM 2-7) are dysregulated in the biliary epithelium and MCM5 levels are elevated in bile samples. This study aimed to validate an immunocolorimetric ELISA assay for MCM5 as a pancreaticobiliary cancer biomarker in biliary brush samples.

methodsBiliary brush specimens were collected prospectively at ERCP from patients with a biliary stricture. Collected samples were frozen at -80 °C. The supernatant was washed and lysed cells incubated with HRP-labelled anti-MCM5 mouse monoclonal antibody. Test positivity was determined by optical density absorbance. Patients underwent biliary brush cytology or additional investigations as per clinical routine.

resultsNinety-seven patients were included in the study; 50 had malignant strictures. Median age was 65 years (range 21-94) and 51 were male. Compared with final diagnosis the MCM5 assay had a sensitivity for malignancy of 65.4% compared with 25.0% for cytology. In the 72 patients with paired MCM5 assay and biliary brush cytology, MCM5 demonstrated an improved sensitivity (55.6% vs 25.0%; P=0.0002) for the detection of malignancy.

conclusionsMinichromosome maintenance replication protein5 is a more sensitive indicator of pancreaticobiliary malignancy than standard biliary brush cytology.

Indexed as

AdultAgedAged, 80 and overBile Duct NeoplasmsBile DuctsCell Cycle ProteinsCytodiagnosisEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMicrovilliMiddle AgedPancreatic NeoplasmsYoung AdultCell Cycle ProteinsMCM5 protein, human

Identifiers

PMID28081547
PMCPMC5294492
OpenAlexW2575482178

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.