Evidence map›Paper›PMID 28193231›Full record

Trial reportJournal of translational medicine2017

Association of osteopontin with specific prognostic factors and survival in adjuvant breast cancer trials of the Hellenic Cooperative Oncology Group.

Amanda Psyrri, Konstantine T Kalogeras, Ralph M Wirtz, George Kouvatseas, Georgia Karayannopoulou, Anna Goussia, Flora Zagouri, Elke Veltrup, Eleni Timotheadou, Helen Gogas and 14 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Exploring the multifaceted role of obesity in breast cancer progression.Frontiers in cell and developmental biology · 2024
    Review
  5. Article
  6. Osteopontin promotes gastric cancer progressionWorld journal of gastrointestinal oncology · 2023
    Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. 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 10 institutions in 1 country.

Amanda PsyrriDivision of Oncology, Second Department of Internal Medicine, Attikon University Hospital, Athens, Greece. psyrri237@yahoo.com.
Konstantine T KalogerasLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research, Aristotle University of Thessaloniki, Thessaloníki, Greece.
Ralph M WirtzSTRATIFYER Molecular Pathology GmbH, Cologne, Germany.
George KouvatseasDepartment of Biostatistics, Health Data Specialists Ltd, Athens, Greece.
Georgia KarayannopoulouDepartment of Pathology, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloníki, Greece.
Anna GoussiaDepartment of Pathology, Ioannina University Hospital, Ioannina, Greece.
Flora ZagouriDepartment of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Elke VeltrupSTRATIFYER Molecular Pathology GmbH, Cologne, Germany.
Eleni TimotheadouDepartment of Medical Oncology, Faculty of Medicine, Papageorgiou Hospital, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloníki, Greece.
Helen GogasFirst Department of Medicine, Laiko General Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Angelos KoutrasDivision of Oncology, Department of Medicine, University Hospital, University of Patras Medical School, Patras, Greece.
Georgios LazaridisDepartment of Medical Oncology, Faculty of Medicine, Papageorgiou Hospital, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloníki, Greece.
Christos ChristodoulouSecond Department of Medical Oncology, Metropolitan Hospital, Piraeus, Greece.
George PentheroudakisDepartment of Medical Oncology, Ioannina University Hospital, Ioannina, Greece.
Panagiota EconomopoulouDivision of Oncology, Second Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
Apostolos LaskarakisFirst Department of Medical Oncology, Metropolitan Hospital, Piraeus, Greece.
Petroula Arapantoni-DadiotiDepartment of Pathology, Micromedica Labs, Athens, Greece.
Anna BatistatouDepartment of Pathology, Ioannina University Hospital, Ioannina, Greece.
Maria SotiropoulouDepartment of Pathology, Alexandra Hospital, Athens, Greece.
Gerasimos AravantinosSecond Department of Medical Oncology, Agii Anargiri Cancer Hospital, Athens, Greece.
Pavlos PapakostasOncology Unit, Hippokration Hospital, Athens, Greece.
Paris KosmidisSecond Department of Medical Oncology, Hygeia Hospital, Athens, Greece.
Dimitrios PectasidesOncology Section, Second Department of Internal Medicine, Hippokration Hospital, Athens, Greece.
George FountzilasLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research, Aristotle University of Thessaloniki, Thessaloníki, Greece.
Aristotle University of Thessaloniki · GRUniversity Hospital of Ioannina · GRHippocration General Hospital · GRMetropolitan Hospital · GRNational and Kapodistrian University of Athens · GRUniversity General Hospital Attikon · GRAlexandra Hospital · GRHospital Agioi Anargyroi · GRHygeia Hospital · GRUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe shift towards an earlier diagnosis of breast cancer (BC) highlights the need for biomarkers that would identify patients at risk for relapse and metastatic spread and indicate the potential value of additional treatment strategies. Osteopontin (OPN) is a matricellular protein that has been suggested to be a potential biomarker in BC. In the present study, we used archived BC patient samples to assess the clinical utility of OPN.

methodsFormalin-fixed paraffin-embedded tumor tissue samples from 975 patients were collected from two large phase III randomized adjuvant chemotherapy trials (HE10/97 and HE10/00) that included patients with high risk BC. All tissue samples were assessed for ER, PgR, Ki67 and HER2 protein expression. OPN protein and mRNA expression was evaluated using immunohistochemistry and quantitative reverse transcription-polymerase chain reaction, respectively.

resultsOPN mRNA expression data were available for 814 patients, whereas OPN protein expression data were available for 546 patients. The majority of patients were ER/PgR-positive (78.3%), HER2-negative (76.5%) and Ki67-positive (55.2%) and had received adjuvant radiation therapy (76.8%) and hormonal therapy (81.1%). OPN mRNA expression was significantly associated with age (60.9% in high OPN tumors vs. 54.1% in low OPN tumors, p = 0.047), ER/PgR-negative status (25.7 vs. 17.2%, p = 0.004) and BC subtypes (p = 0.021). In addition, high OPN mRNA expression was significantly associated with reduced DFS (HR 1.26, 95% CI 1.00-1.59, Wald's p = 0.050) and OS (HR 1.37, 95% CI 1.05-1.78, p = 0.019), while it retained its prognostic significance for both DFS (HR 1.39, 95% CI 1.10-1.77, p = 0.007) and OS (HR 1.54, 95% CI 1.61-2.05, p = 0.003) in the multivariate analysis.

conclusionsWe showed that high OPN mRNA expression is associated with decreased DFS and OS in a large cohort of BC patients treated with adjuvant chemotherapy in a clinical trial setting. Our results suggest that OPN may serve as a prognostic factor and a potential target for therapy. Trial registration Australian New Zealand Clinical Trials Registry; HE10/97 ACTRN12611000506998; HE10/00 ACTRN12609001036202.

Indexed as

Breast NeoplasmsDisease-Free SurvivalFemaleGene Expression Regulation, NeoplasticHumansMiddle AgedMultivariate AnalysisOsteopontinPrognosisProportional Hazards ModelsRNA, MessengerOsteopontinRNA, MessengerBreast cancerIHCmRNAOsteopontinPrognostic valueqRT-PCRSurvival

Identifiers

PMID28193231
PMCPMC5304396
OpenAlexW2588708887

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.