Evidence map›Paper›PMID 29159934›Full record

ArticleInternational journal of cancer2018

Ovarian cancer early detection by circulating CA125 in the context of anti-CA125 autoantibody levels: Results from the EPIC cohort.

Renée T Fortner, Helena Schock, Charlotte Le Cornet, Anika Hüsing, Allison F Vitonis, Theron S Johnson, Raina N Fichorova, Titilayo Fashemi, Hidemi S Yamamoto, Anne Tjønneland and 38 more

Open access · greenAbstract read
In one paragraph

Article in International journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. MUC16: clinical targets with great potential.Clinical and experimental medicine · 2024
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  15. MUC16 as a novel target for cancer therapy.Expert opinion on therapeutic targets · 2018
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  16. Anti-CA15.3 and Anti-CA125 Antibodies and Ovarian Cancer Risk: Results from the EPIC Cohort.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Article
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

48 authors at 20 institutions in 12 countries.

Renée T FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-1426-8505
Helena SchockDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Charlotte Le CornetDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Anika HüsingDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Allison F VitonisOb/Gyn Epidemiology Center, Brigham and Women's Hospital, Boston, MA.
Theron S JohnsonDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Raina N FichorovaObstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA.
Titilayo FashemiLaboratory of Genital Tract Biology, Brigham and Women's Hospital, Boston, MA.
Hidemi S YamamotoLaboratory of Genital Tract Biology, Brigham and Women's Hospital, Boston, MA.
Anne TjønnelandUnit of Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.
Louise HansenUnit of Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark.
Kim OvervadDepartment of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
Marie-Christine Boutron-RuaultINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health team, Villejuif, F-94805, France.
Marina KvaskoffINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health team, Villejuif, F-94805, France.
Gianluca SeveriINSERM, Centre for Research in Epidemiology and Population Health (CESP), U1018, Nutrition, Hormones and Women's Health team, Villejuif, F-94805, France.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Eleni-Maria PapatestaHellenic Health Foundation, Athens, Greece.
Carlo La VecchiaHellenic Health Foundation, Athens, Greece.ORCID 0000-0003-1441-897X
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Cancer Research and Prevention Institute-ISPO, Florence, Italy.ORCID 0000-0002-5558-2437
Sabina SieriEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Rosario TuminoCancer Registry and Histopathology Unit, "Civic-M.P-Arezzo" Hospital, ASP Ragusa, Italy.
Carlotta SacerdoteUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Center for Cancer Prevention (CPO), Turin, Italy.ORCID 0000-0002-8008-5096
Amalia MattielloDipartimeno di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
N Charlotte Onland-MoretDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Petra H PeetersDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
H B As Bueno-de-MesquitaDepartment for Determinants of Chronic Diseases (DCD), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Elisabete WeiderpassDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
J Ramón QuirósPublic Health Directorate, Asturias, Spain.
Eric J DuellCancer Epidemiology Research Program, Bellvitge Biomedical Research Institute (IDIBELL), Catalan Institute of Oncology (ICO), Barcelona, Spain.ORCID 0000-0001-5256-0163
Maria-Jose SánchezEscuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.
Carmen NavarroCIBER de Epidemiología y Salud Pública (CIBERESP), Spain.
Eva ArdanazCIBER de Epidemiología y Salud Pública (CIBERESP), Spain.
Nerea LarrañagaCIBER de Epidemiología y Salud Pública (CIBERESP), Spain.
Björn NodinDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Karin JirströmDivision of Oncology and Pathology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Annika IdahlDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
Eva LundinDepartment of Medical Biosciences, Pathology, Umeå University, Umeå, Sweden.
Kay-Tee KhawCancer Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom.
Ruth C TravisCancer Epidemiology Unit, Nuffield Department of Population Health University of Oxford, Oxford, United Kingdom.
Marc GunterInternational Agency for Research on Cancer, Lyon, France.
Mattias JohanssonInternational Agency for Research on Cancer, Lyon, France.
Laure DossusInternational Agency for Research on Cancer, Lyon, France.
Melissa A MerrittDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom.
Kathryn L TerryOb/Gyn Epidemiology Center, Brigham and Women's Hospital, Boston, MA.
Daniel W CramerOb/Gyn Epidemiology Center, Brigham and Women's Hospital, Boston, MA.
Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0003-3751-3929
Brigham and Women's Hospital · USGerman Cancer Research Center · DECentre international de recherche sur le cancer · FRUniversité Paris-Sud · FRDanish Cancer Society · DKImperial College London · GBLund University · SEPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUmeå University · SEUniversity Medical Center Utrecht · NLAarhus University · DKAzienda Usl 8 Arezzo · ITBasque Government · ESFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Institute of Human Nutrition · DEGobierno del Principado de Asturias · ESHellenic Health Foundation · GRInstitut d'Investigació Biomédica de Bellvitge · ESInstituto de Salud Pública de Navarra · ES

Funding

Screening and Risk Biomarkers for Ovarian Cancer in EPIC SpecimensR01CA158119 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CRAMER, DANIEL WILLIAM · 2012 to 2015
$2.0M
Cancer Research UK 14136Cancer Research UK 16491Cancer Research UK C570/A16491Cancer Research UK C8221/A19170Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1NCI NIH HHS R01 CA158119World Health Organization 001
6 · The paper itself

Abstract

CA125 is the best ovarian cancer early detection marker to date; however, sensitivity is limited and complementary markers are required to improve discrimination between ovarian cancer cases and non-cases. Anti-CA125 autoantibodies are observed in circulation. Our objective was to evaluate whether these antibodies (1) can serve as early detection markers, providing evidence of an immune response to a developing tumor, and (2) modify the discriminatory capacity of CA125 by either masking CA125 levels (resulting in lower discrimination) or acting synergistically to improve discrimination between cases and non-cases. We investigated these objectives using a nested case-control study within the European Prospective Investigation into Cancer and Nutrition cohort (EPIC) including 250 cases diagnosed within 4 years of blood collection and up to four matched controls. Circulating CA125 antigen and antibody levels were quantified using an electrochemiluminescence assay. Adjusted areas under the curve (aAUCs) by 2-year lag-time intervals were calculated using conditional logistic regression calibrated toward the absolute risk estimates from a pre-existing epidemiological risk model as an offset-variable. Anti-CA125 levels alone did not discriminate cases from controls. For cases diagnosed <2 years after blood collection, discrimination by CA125 antigen was suggestively higher with higher anti-CA125 levels (aAUC, highest antibody tertile: 0.84 [0.76-0.92]; lowest tertile: 0.76 [0.67-0.86]; p

Indexed as

AdultAgedArea Under CurveAutoantibodiesBiomarkers, TumorCA-125 AntigenCase-Control StudiesCohort StudiesEarly Detection of CancerFemaleHumansMembrane ProteinsMiddle AgedOvarian NeoplasmsROC CurveSensitivity and SpecificityAutoantibodiesBiomarkers, TumorCA-125 AntigenMembrane ProteinsMUC16 protein, humananti-CA125 antibodiesautoantibodiesCA125early detection markersMUC16ovarian cancer

Identifiers

PMID29159934
PMCPMC5805613
OpenAlexW2768234754

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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.