Evidence map›Paper›PMID 29568398›Full record

ArticleOncotarget2018

Philip D Dunne, Helen G Coleman, Peter Bankhead, Matthew Alderdice, Ronan T Gray, Stephen McQuaid, Victoria Bingham, Maurice B Loughrey, Jacqueline A James, Amy M B McCorry and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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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

19 authors at 4 institutions in 4 countries.

Philip D DunneCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Helen G ColemanCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Peter BankheadCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Matthew AlderdiceCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Ronan T GrayCentre for Public Health, Queens's University Belfast, Belfast, UK.
Stephen McQuaidCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Victoria BinghamCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Maurice B LoughreyCentre for Public Health, Queens's University Belfast, Belfast, UK.
Jacqueline A JamesCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Amy M B McCorryCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Alan GilmoreCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Caitriona HolohanCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Dirk KlingbielSAKK Swiss Group for Clinical Cancer Research, Coordinating Center, Bern, Switzerland.
Sabine TejparDigestive Oncology Unit, University Hospital Gasthuisberg, Leuven, Belgium.
Patrick G JohnstonCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Darragh G McArtCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Federica Di NicolantonioUniversity of Turin, Department of Oncology, Candiolo, Turin, Italy.
Daniel B LongleyCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Mark LawlerCentre for Cancer Research and Cell Biology, Queens's University Belfast, Belfast, UK.
Queen's University Belfast · GBQueens University · BDCandiolo Cancer Institute · ITUniversity of Lausanne · CH

Funding

Cancer Research UK 15333Cancer Research UK 24387Medical Research Council MC_PC_17117
6 · The paper itself

Abstract

Purpose: BRAF mutation occurs in 8-15% of colon cancers (CC), and is associated with poor prognosis in metastatic disease. Compared to wild-type BRAF (BRAFWT) disease, stage II/III CC patients with BRAF mutant (BRAFMT) tumors have shorter overall survival after relapse; however, time-to-relapse is not significantly different. The aim of this investigation was to identify, and validate, novel predictors of relapse of stage II/III BRAFMT CC. Experimental design: We used gene expression data from a cohort of 460 patients (GSE39582) to perform a supervised classification analysis based on risk-of-relapse within BRAFMT stage II/III CC, to identify transcriptomic biomarkers associated with prognosis within this genotype. These findings were validated using immunohistochemistry in an independent population-based cohort of Stage II/III CC ( Results: High gene expression levels of Bcl-xL, a key regulator of apoptosis, were associated with increased risk of relapse, specifically in BRAFMT tumors (HR = 8.3, 95% CI 1.7-41.7), but not KRASMT/BRAFWT or KRASWT/BRAFWT tumors. High Bcl-xL protein expression in BRAFMT, untreated, stage II/III CC was confirmed to be associated with an increased risk of death in an independent cohort (HR = 12.13, 95% CI 2.49-59.13). Additionally, BRAFMT tumors with high levels of Bcl-xL protein expression appeared to benefit from adjuvant chemotherapy (P for interaction = 0.006), indicating the potential predictive value of Bcl-xL expression in this setting. Conclusions: These findings provide evidence that Bcl-xL gene and/or protein expression identifies a poor prognostic subgroup of BRAFMT stage II/III CC patients, who may benefit from adjuvant chemotherapy.

Indexed as

Bcl-xLcolon cancergene expression profilingmolecular stratificationrelapse risk

Identifiers

PMID29568398
PMCPMC5862619
OpenAlexW2766059747

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.