Evidence map›Paper›PMID 28411881›Full record

ArticleBiomedical journal2017

Overexpression of MutL homolog 1 and MutS homolog 2 proteins have reversed prognostic implications for stage I-II colon cancer patients.

Shih-Chiang Huang, Shiu-Feng Huang, Ya-Ting Chen, Yu Chang, Yu-Ting Chiu, Il-Chi Chang, Hong-Dar Isaac Wu, Jinn-Shiun Chen

Abstract read
In one paragraph

Article in Biomedical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

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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

13 citing papers in PubMed.

  1. Article
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  9. Analysis ofInfection and drug resistance · 2020
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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.

Shih-Chiang HuangDepartment of Pathology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Shiu-Feng HuangDepartment of Pathology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan; Institute of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli, Taiwan; Department of Pathology, Chung-Shan Medical University Hospital, Taichung, Taiwan. Electronic address: sfhuang@nhri.org.tw.
Ya-Ting ChenInstitute of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli, Taiwan.
Yu ChangInstitute of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli, Taiwan.
Yu-Ting ChiuInstitute of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli, Taiwan.
Il-Chi ChangInstitute of Molecular and Genomic Medicine, National Health Research Institutes, Miaoli, Taiwan.
Hong-Dar Isaac WuDepartment of Applied Mathematics and Institute of Statistics, National Chung-Hsing University, Taichung, Taiwan.
Jinn-Shiun ChenDivision of Colon and -Rectum Surgery, Department of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan. Electronic address: chenjs@adm.cgmh.org.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe outcome of colon cancer patients without lymph node metastasis is heterogeneous. Searching for new prognostic markers is warranted.

methodsOne hundred twenty stage I-II colon cancer patients who received complete surgical excision during 1995-2004 were selected for this biomarker study. Immunohistochemical method was used to assess p53, epidermal growth factor receptor, MLH1, and MSH2 status. KRAS mutation was examined by direct sequencing.

resultsThirty three patients (27.5%) developed metachronous metastasis during follow up. By multivariate analysis, only female gender (p = 0.03), high serum carcinoembryonic antigen (CEA) level (≧5 ng/ml) (p = 0.04), and MLH1 overexpression (p = 0.003) were associated with the metastasis group. The 5-year-survival rate were also significantly lower for female gender (71.7% versus 88.9%, p = 0.025), high CEA level (64.9% versus 92.4%, p < 0.001), and MLH1 overexpression (77.5% versus 94.4%, p = 0.039). In contrast, MSH2 overexpression was associated with better survival, 95.1% versus 75.5% (p = 0.024).

conclusionsThe reversed prognostic implications in the overexpression of MLH1 and MSH2 for stage I-II colon cancer patients is a novel finding and worthy of further confirmation.

Indexed as

AdenocarcinomaAdultAgedColonic NeoplasmsDNA RepairFemaleHumansMaleMiddle AgedMutationMutL Protein Homolog 1MutS Homolog 2 ProteinNeoplasm MetastasisNeoplasm StagingNuclear ProteinsPrognosisMutL Protein Homolog 1MutS Homolog 2 ProteinNuclear ProteinsCEAColon cancerMismatch repairMLH1MSH2

Identifiers

PMID28411881
PMCPMC6138591

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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.