Evidence map›Paper›PMID 28303855›Full record

ArticleChinese medical journal2017

Expression and Prognostic Value of Indoleamine 2,3-dioxygenase in Pancreatic Cancer.

Tao Zhang, Xiang-Long Tan, Yong Xu, Zi-Zheng Wang, Chao-Hui Xiao, Rong Liu

Open access · goldAbstract read
In one paragraph

Article in Chinese medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 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

6 authors at 2 institutions in 1 country.

Tao ZhangDepartment of Hepatobiliary and Pancreatic Surgical Oncology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Medical School, Beijing 100853, China.
Xiang-Long TanDepartment of Hepatobiliary and Pancreatic Surgical Oncology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Medical School, Beijing 100853, China.
Yong XuDepartment of Hepatobiliary and Pancreatic Surgical Oncology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Medical School, Beijing 100853, China.
Zi-Zheng WangDepartment of Hepatobiliary and Pancreatic Surgical Oncology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Medical School, Beijing 100853, China.
Chao-Hui XiaoDepartment of Hepatobiliary and Pancreatic Surgical Oncology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Medical School, Beijing 100853, China.
Rong LiuDepartment of Hepatobiliary and Pancreatic Surgical Oncology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Medical School, Beijing 100853, China.
Chinese People's Liberation Army · CNChinese PLA General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndoleamine 2,3-dioxygenase (IDO), an enzyme for tryptophan metabolism through the kynurenine pathway, exhibits an immunosuppressive effect and induces immune tolerance in tumor cells. The effects of IDO on pancreatic cancer are poorly understood. This study aimed to investigate the expression and prognostic significance of IDO in pancreatic cancer.

methodsWe evaluated the protein expression of IDO in PANC-1, CFPAC-1, and BxPC-3 cell lines with or without 48 h treatment by 500 U/ml interferon-γ (IFN-γ). We performed immunohistochemical staining and Western blot analysis for IDO expression in both pancreatic cancer and normal pancreas tissues obtained from Chinese PLA General Hospital from July 2012 to December 2013. Survival analysis was performed to correlate IDO expression and histopathologic parameters with overall survival. The Kaplan-Meier method and Cox proportional hazards regression model were conducted.

resultsPANC-1, CFPAC-1, and BxPC-3 cell lines expressed IDO at the protein level, and the relative expression amount increased after stimulation with 500 U/ml IFN-γ. Immunohistochemical analysis results revealed that high IDO expression was observed in 59% of pancreatic adenocarcinoma tissues. Compared with normal pancreatic tissues, pancreatic adenocarcinoma showed significantly higher IDO expression levels, especially among patients with high tumor node metastasis (TNM) stages (χ2 = 4.550, P = 0.030), poor histological differentiation (χ2 = 5.690, P = 0.017), and lymph node metastasis (χ2 = 4.340 P = 0.037). Kaplan-Meier survival curves showed that high IDO expression was correlated with low survival rates (hazard ratio [HR] = 0.49 P = 0.009). Multivariate analysis using Cox proportional hazards model indicated that lymph node metastasis (HR = 0.35 P = 0.010) and IDO expression (HR = 0.42 P = 0.020) were two independent prognostic predictors of pancreatic adenocarcinoma.

conclusionsThe study confirmed that high IDO expression in pancreatic adenocarcinoma was related to poor prognosis of patients. These findings provided evidence that IDO was involved in pancreatic adenocarcinoma progression and might serve as a relevant therapeutic target.

Indexed as

AdenomaBlotting, WesternCell Line, TumorFemaleHumansImmunohistochemistryIndoleamine-Pyrrole 2,3,-DioxygenaseKaplan-Meier EstimateMaleMiddle AgedPancreasPancreatic NeoplasmsPrognosisSurvival RateIndoleamine-Pyrrole 2,3,-Dioxygenase

Identifiers

PMID28303855
PMCPMC5358422
OpenAlexW2592502078

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.