Evidence map›Paper›PMID 29121666›Full record

ArticlePloS one2017

SOX9 is a proliferation and stem cell factor in hepatocellular carcinoma and possess widespread prognostic significance in different cancer types.

Georg Richtig, Ariane Aigelsreiter, Daniela Schwarzenbacher, Anna Lena Ress, Jan Basri Adiprasito, Verena Stiegelbauer, Gerald Hoefler, Silvia Schauer, Tobias Kiesslich, Peter Kornprat and 7 more

Open access · goldAbstract 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 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. SOX9: an important factor in regulating breast cancer.European journal of medical research · 2025
    Review
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  14. Multi-Omics Analysis ofJournal of personalized medicine · 2021
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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 4 institutions in 3 countries.

Georg RichtigInstitute of Experimental and Clinical Pharmacology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-4437-4413
Ariane AigelsreiterInstitute of Pathology, Medical University of Graz, Graz, Austria.
Daniela SchwarzenbacherDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Anna Lena RessDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Jan Basri AdiprasitoDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Verena StiegelbauerDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Gerald HoeflerInstitute of Pathology, Medical University of Graz, Graz, Austria.
Silvia SchauerInstitute of Pathology, Medical University of Graz, Graz, Austria.
Tobias KiesslichDepartment of Internal Medicine, Paracelsus Medical University, Salzburger Landeskliniken, Salzburg, Austria.
Peter KornpratDepartment of Surgery, Division of Visceral Surgery, Medical University of Graz, Graz, Austria.
Thomas WinderDepartment of Oncology, University Hospital Zurich, Zurich, Switzerland.
Florian EisnerDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Armin GergerDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Herbert StoegerDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Rudolf StauberDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Carolin LacknerInstitute of Pathology, Medical University of Graz, Graz, Austria.
Martin PichlerDepartment of Internal Medicine, Division of Oncology, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATParacelsus Medical University · ATThe University of Texas MD Anderson Cancer Center · USUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SOX9 has been previously shown to be involved in hepatocellular carcinoma (HCC) and other types of cancer. However, prognostic studies so far involved rather small cohorts or lack external validation and experimental data. In this study, we firstly determined the histological expression pattern of SOX9 in human HCC by immunohistochemistry (n = 84) and evaluated its prognostic value. External cohorts of publicly available datasets were used to validate its prognostic relevance in HCC (n = 359) and other types of cancer including breast (n = 3951), ovarian (n = 1306), lung (n = 1926) and gastric cancer (n = 876). Functional SOX9 knock-down studies using siRNA and cancer stem cell models were generated in a panel of liver and breast cancer cell lines. High level of SOX9 was associated with poor survival even after adjustment for other prognostic factors in multivariate analysis (HR = 2.103, 95%CI = 1.064 to 4.156, p = 0.021). SOX9 prevailed a poor prognostic factor in all cancer validation cohorts (p<0.05). Reduced SOX9 expression by siRNA decreased the growth of liver cancer cells (p<0.05). SOX9 expression was associated with stem cell features in all tested cell lines (p<0.05). In conclusion, this study demonstrated in a large number of patients from multiple cohorts that high levels of SOX9 are a consistent negative prognostic factor.

Indexed as

AgedBiomarkers, TumorCarcinoma, HepatocellularCell Line, TumorCell ProliferationCohort StudiesFemaleGene Expression Regulation, NeoplasticGene Knockdown TechniquesHumansLiver NeoplasmsMaleMiddle AgedNeoplastic Stem CellsPrognosisSOX9 Transcription FactorBiomarkers, TumorSOX9 Transcription Factor

Identifiers

PMID29121666
PMCPMC5679634
OpenAlexW2767225464

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.