Evidence map›Paper›PMID 28301514›Full record

ArticlePloS one2017

Apolipoprotein D expression does not predict breast cancer recurrence among tamoxifen-treated patients.

Daniella Klebaner, Stephen Hamilton-Dutoit, Thomas Ahern, Anatasha Crawford, Thomas Jakobsen, Deirdre P Cronin-Fenton, Per Damkier, Emiel Janssen, Anders Kjaersgaard, Anne Gulbech Ording and 4 more

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Daniella KlebanerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.ORCID http://orcid.org/0000-0003-2523-4164
Stephen Hamilton-DutoitInstitute of Pathology, Aarhus University Hospital, Aarhus, Denmark.
Thomas AhernDepartments of Surgery and Biochemistry, University of Vermont College of Medicine, Burlington, Vermont, United States of America.
Anatasha CrawfordDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Thomas JakobsenInstitute of Pathology, Aarhus University Hospital, Aarhus, Denmark.
Deirdre P Cronin-FentonDepartment of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
Per DamkierDepartment of Clinical Chemistry & Pharmacology, Odense University Hospital, Odense, Denmark.
Emiel JanssenDepartment of Pathology, Stavanger University Hospital, Stavanger, Norway.
Anders KjaersgaardDepartment of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
Anne Gulbech OrdingDepartment of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
Håvard SøilandDepartment of Breast and Endocrine Surgery, Stavanger University Hospital, Stavanger, Norway.
Henrik Toft SørensenDepartment of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
Timothy L LashDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Ylva HellbergInstitute of Pathology, Aarhus University Hospital, Aarhus, Denmark.

Funding

New and integrated perspectives on modification of tamoxifen effectivenessR01CA166825 · NCI · EMORY UNIVERSITY · PI LASH, TIMOTHY L. · 2013 to 2017
$2.8M
Modification of tamoxifen effectiveness by gene polymorphisms and other drugsR01CA118708 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LASH, TIMOTHY L. · 2006 to 2009
$963k
NCI NIH HHS R01 CA118708NCI NIH HHS R01 CA166825
6 · The paper itself

Abstract

backgroundApolipoprotein D (ApoD) has been proposed as a predictor of breast cancer recurrence among estrogen receptor-positive (ER+), tamoxifen-treated patients.

methodsWe conducted a population-based case-control study nested in a population of 11,251 women aged 35-69 years at diagnosis with Stage I-III breast cancer between 1985 and 2001 on Denmark's Jutland Peninsula and registered with the Danish Breast Cancer Cooperative Group. We identified 541 recurrent or contralateral breast cancers cases among women with ER+ disease treated with tamoxifen for at least 1 year and 300 cases in women with ER- disease never treated with tamoxifen. We matched one control subject per case and assessed ApoD expression in the tumor cell nucleus and cytoplasm using tissue microarray immunohistochemistry. We computed the odds ratio (OR) associating ApoD expression with recurrence and adjusted for potential confounding using logistic regression.

resultsCytoplasmic ApoD expression was seen in 68% of ER+ tumors, in 66% of ER- tumors, and in 66% of controls across both groups. In women with ER+ tumors, the associations of cytoplasmic ApoD expression with recurrence (OR = 1.0; 95% CI = 0.7 to 1.4) and increasing cytoplasmic expression with recurrence (OR = 1.0; 95% CI = 0.996 to 1.003) were null, as were those for women with ER- tumors. Associations for nuclear ApoD expression and combined nuclear and cytoplasmic expression were similarly near-null.

conclusionApoD expression is likely not a predictor of recurrence in tamoxifen-treated patients. IMPACT: This study eliminates the previously suggested marker ApoD as a predictor of recurrence among tamoxifen-treated women.

Indexed as

Neoplasm Recurrence, LocalAdolescentAgedAntineoplastic Agents, HormonalApolipoproteins DBiomarkers, TumorBreast NeoplasmsFemaleHumansMiddle AgedModels, TheoreticalReceptors, EstrogenTamoxifenAntineoplastic Agents, HormonalApolipoproteins DBiomarkers, TumorReceptors, EstrogenTamoxifen

Identifiers

PMID28301514
PMCPMC5354364

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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.