Evidence map›Paper›PMID 29112685›Full record

ArticleBritish journal of cancer2018

Serum squamous cell carcinoma antigen as an early indicator of response during therapy of cervical cancer.

Stephanie Markovina, Songyan Wang, Lauren E Henke, Cliff J Luke, Stephen C Pak, Todd DeWees, John D Pfeifer, Julie K Schwarz, Weijun Liu, Shuai Chen and 7 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

43 citing papers in PubMed, 73 citations in OpenAlex.

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  11. Accuracy of surveillance serum squamous cell carcinoma antigen for cervical cancer recurrence after definitive chemoradiation.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2024
    Article
  12. Promising predictive molecular biomarkers for cervical cancer (Review).International journal of molecular medicine · 2024
    Review
  13. Tumor biomarkers for diagnosis, prognosis and targeted therapy.Signal transduction and targeted therapy · 2024
    Review
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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

17 authors at 3 institutions in 1 country.

Stephanie MarkovinaDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Songyan WangDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Lauren E HenkeDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Cliff J LukeDepartment of Pediatrics, Washington University School of Medicine, St Louis, MO 63110, USA.
Stephen C PakDepartment of Pediatrics, Washington University School of Medicine, St Louis, MO 63110, USA.
Todd DeWeesDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
John D PfeiferAlvin J Siteman Cancer Center, Washington University School of Medicine, St Louis, MO 63110, USA.
Julie K SchwarzDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Weijun LiuDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Shuai ChenDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
David MutchAlvin J Siteman Cancer Center, Washington University School of Medicine, St Louis, MO 63110, USA.
Xiaowei WangDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Matthew A PowellAlvin J Siteman Cancer Center, Washington University School of Medicine, St Louis, MO 63110, USA.
Barry A SiegelAlvin J Siteman Cancer Center, Washington University School of Medicine, St Louis, MO 63110, USA.
Farrokh DehdashtiAlvin J Siteman Cancer Center, Washington University School of Medicine, St Louis, MO 63110, USA.
Gary A SilvermanDepartment of Pediatrics, Washington University School of Medicine, St Louis, MO 63110, USA.
Perry W GrigsbyDepartment of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63110, USA.
Washington University in St. Louis · USAlvin J. Siteman Cancer CenterMallinckrodt (United States) · US

Funding

Optimizing radiation therapy through the manipulation of glutamine metabolismR01CA181745 · NCI · WASHINGTON UNIVERSITY · PI SCHWARZ, JULIE KRISTINA · 2014 to 2025
$3.4M
NCI NIH HHS R01 CA181745
6 · The paper itself

Abstract

backgroundPretreatment serum squamous cell carcinoma antigen (SCCA) is a prognostic biomarker in women with cervical cancer. SCCA has not been evaluated as an early indicator of response to chemoradiation therapy (CRT). The molecular role of the two SCCA isoforms, SCCA1 (SERPINB3) and SCCA2 (SERPINB4), in cervical cancer is unknown. We hypothesised that changes in serum SCCA during definitive CRT predicts treatment response, and that SCCA1 mediates radiation resistance.

methodsPatients treated with definitive CRT for cervical squamous carcinoma with serum SCCA measured were included. SCCA immunohistochemistry was performed on tumour biopsies. Post-treatment FDG-PET/CT, recurrence, and overall survival were recorded. Radiation response of cervical tumour cell lines after SCCA1 expression or CRISPR/Cas9 knockout was evaluated by clonogenic survival assay.

resultsPersistently elevated serum SCCA during definitive CRT was an independent predictor of positive post-therapy FDG-PET/CT (P=0.043), recurrence (P=0.0046) and death (P=0.015). An SCCA1-expressing vector increased radioresistance, while SCCA knock out increased radiosensitivity of cervical tumour cell lines in vitro.

conclusionsEarly response assessment with serum SCCA is a powerful prognostic tool. These findings suggest that escalation of therapy in patients with elevated or sustained serum SCCA and molecular targeting of SCCA1 should be considered.

Indexed as

AdultAgedAged, 80 and overAntigens, NeoplasmBiomarkers, TumorCarcinoma, Squamous CellCell Line, TumorChemoradiotherapyCisplatinDose Fractionation, RadiationFemaleGene Knockdown TechniquesHumansMiddle AgedSerpinsSurvival AnalysisAntigens, NeoplasmBiomarkers, TumorCisplatinSerpinssquamous cell carcinoma-related antigen

Identifiers

PMID29112685
PMCPMC5765231
OpenAlexW2767842475

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

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.