Evidence map›Paper›PMID 29473162›Full record

ArticleInternational journal of cancer2018

Tumor-associated autoantibodies as early detection markers for ovarian cancer? A prospective evaluation.

Rudolf Kaaks, Renée Turzanski Fortner, Anika Hüsing, Myrto Barrdahl, Marika Hopper, Theron Johnson, Anne Tjønneland, Louise Hansen, Kim Overvad, Agnès Fournier and 32 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  4. Article
  5. Early Detection of Ovarian Cancer.Cold Spring Harbor perspectives in medicine · 2023
    Review
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  7. Article
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  12. Review
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  14. Early Detection of Ovarian Cancer.Hematology/oncology clinics of North America · 2018
    Review
  15. 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

42 authors at 20 institutions in 12 countries.

Rudolf KaaksDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ) Heidelberg, Germany.ORCID 0000-0003-3751-3929
Renée Turzanski FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ) Heidelberg, Germany.ORCID 0000-0002-1426-8505
Anika HüsingDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ) Heidelberg, Germany.
Myrto BarrdahlDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ) Heidelberg, Germany.ORCID 0000-0003-4661-0763
Marika HopperVirginia G. Piper Center for Personal Diagnostics, Biodesign Institute, Arizona State University, Tempe, AZ.
Theron JohnsonDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ) Heidelberg, Germany.
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.
Agnès FournierCESP, INSERM U1018, Univ. Paris-Sud, UVSQ, Université Paris-Saclay, Villejuif Cedex, F-94805, France.
Marie-Christine Boutron-RuaultCESP, INSERM U1018, Univ. Paris-Sud, UVSQ, Université Paris-Saclay, Villejuif Cedex, F-94805, France.
Marina KvaskoffCESP, INSERM U1018, Univ. Paris-Sud, UVSQ, Université Paris-Saclay, Villejuif Cedex, F-94805, France.
Laure DossusInternational Agency for Research on Cancer, Lyon, France.
Mattias JohanssonInternational Agency for Research on Cancer, Lyon, France.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbrücke (DIfE), Nuthetal, Germany.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Vassiliki BenetouHellenic Health Foundation, Athens, Greece.
Carlo La VecchiaHellenic Health Foundation, Athens, Greece.ORCID 0000-0003-1441-897X
Sabina SieriEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, Milano, 20133, Italy.
Amalia MattielloDipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Institute for the Study and Prevention of Cancer (ISPO), Florence, Italy.ORCID 0000-0002-5558-2437
Rosario TuminoCancer Registry and Histopathology Unit, "Civic - M.P. Arezzo" Hospital, ASP Ragusa, Italy.
Giuseppe MatulloDepartment of Medical Sciences, University of Torino and Human Genetics Foundation - HuGeF, Torino, Italy.ORCID 0000-0003-0674-7757
N Charlotte Onland-MoretDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Inger T GramFaculty of Health Sciences, Department of Community Medicine, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Elisabete WeiderpassFaculty of Health Sciences, Department of Community Medicine, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Maria-Jose SánchezEscuela Andaluza de Salud Pública. Instituto de Investigación Biosanitaria ibs, GRANADA, Hopitales Universitarios de Granada/Universidad de Granada, Granada, Spain.
Carmen Navarro SanchezCIBER de Epidemiolgía y Salud Pública (CIBERESP), Spain.
Eric J DuellUnit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology (ICO-IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0001-5256-0163
Eva ArdanazCIBER de Epidemiolgía y Salud Pública (CIBERESP), Spain.
Nerea LarranagaBasque Regional Health Department, Public Health Division and BioDonostia Research Institute and CIBERESP, San Sebastian, Spain.
Eva LundinDepartment of Medical Biosciences, Umeå University, Umeå, 901 85, Sweden.
Annika IdahlDepartment of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
Karin JirströmDepartment of Surgery, Skane University Hospital, Lund University, Malmö, Sweden.
Björn NodinDepartment of Surgery, Skane University Hospital, Lund University, Malmö, Sweden.
Ruth C TravisCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
Elio RiboliFaculty of Medicine, School of Public Health, Imperial College London, London, United Kingdom.
Melissa MerrittFaculty of Medicine, School of Public Health, Imperial College London, London, United Kingdom.
Dagfinn AuneFaculty of Medicine, School of Public Health, Imperial College London, London, United Kingdom.
Kathryn TerryBrigham and Women's Hospital, Ob/Gyn Epidemiology Center, Boston, MA.
Daniel W CramerBrigham and Women's Hospital, Ob/Gyn Epidemiology Center, Boston, MA.
Karen S AndersonVirginia G. Piper Center for Personal Diagnostics, Biodesign Institute, Arizona State University, Tempe, AZ.
German Cancer Research Center · DEInserm · FRArizona State University · USBrigham and Women's Hospital · USCentre international de recherche sur le cancer · FRDanish Cancer Society · DKImperial College London · GBLund University · SENational and Kapodistrian University of Athens · GRUmeå University · SEAarhus University · DKAzienda Usl 8 Arezzo · ITCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Institute of Human Nutrition · DEInstitut d'Investigació Biomédica de Bellvitge · ESInstituto Murciano de Investigación Biosanitaria · ESItalian institute for Genomic Medicine · ITKarolinska Institutet · SE

Funding

Biomarker Detection Using NAPPA Tumor Antigen ArraysU01CA117374 · NCI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ANDERSON, KAREN SUE, LABAER, JOSHUA · 2005 to 2015
$6.2M
Novel approaches to study immune responses to post translational modifications for cancer detectionU01CA214201 · NCI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI ANDERSON, KAREN SUE, LABAER, JOSHUA · 2016 to 2021
$2.6M
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 MR/M012190/1NCI NIH HHS R01 CA158119NCI NIH HHS U01 CA117374NCI NIH HHS U01 CA214201World Health Organization 001
6 · The paper itself

Abstract

Immuno-proteomic screening has identified several tumor-associated autoantibodies (AAb) that may have diagnostic capacity for invasive epithelial ovarian cancer, with AAbs to P53 proteins and cancer-testis antigens (CTAGs) as prominent examples. However, the early detection potential of these AAbs has been insufficiently explored in prospective studies. We performed ELISA measurements of AAbs to CTAG1A, CTAG2, P53 and NUDT11 proteins, for 194 patients with ovarian cancer and 705 matched controls from the European EPIC cohort, using serum samples collected up to 36 months prior to diagnosis under usual care. CA125 was measured using electrochemo-luminiscence. Diagnostic discrimination statistics were calculated by strata of lead-time between blood collection and diagnosis. With lead times ≤6 months, ovarian cancer detection sensitivity at 0.98 specificity (SE98) varied from 0.19 [95% CI 0.08-0.40] for CTAG1A, CTAG2 and NUDT1 to 0.23 [0.10-0.44] for P53 (0.33 [0.11-0.68] for high-grade serous tumors). However, at longer lead-times, the ability of these AAb markers to distinguish future ovarian cancer cases from controls declined rapidly; at lead times >1 year, SE98 estimates were close to zero (all invasive cases, range: 0.01-0.11). Compared to CA125 alone, combined logistic regression scores of AAbs and CA125 did not improve detection sensitivity at equal level of specificity. The added value of these selected AAbs as markers for ovarian cancer beyond CA125 for early detection is therefore limited.

Indexed as

Early Detection of CancerAdultAgedAntigens, NeoplasmAutoantibodiesBiomarkers, TumorCA-125 AntigenCase-Control StudiesFemaleHumansMiddle AgedOvarian NeoplasmsProspective StudiesRisk FactorsSensitivity and SpecificityAntigens, NeoplasmAutoantibodiesBiomarkers, TumorCA-125 Antigenantibodiesearly detectionprospective validation

Identifiers

PMID29473162
PMCPMC6019150
OpenAlexW2792254469

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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.