Evidence map›Paper›PMID 29859041›Full record

ArticleBMC cancer2018

Differences in LC3B expression and prognostic implications in oropharyngeal and oral cavity squamous cell carcinoma patients.

Kenneth Lai, Slade Matthews, James S Wilmott, Murray C Killingsworth, Jim L Yong, Nicole J Caixeiro, James Wykes, Allan Samakeh, Dion Forstner, Mark Lee and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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

15 authors at 6 institutions in 1 country.

Kenneth LaiSydney Medical School, The University of Sydney, Sydney, Australia. k.lai@uws.edu.au.
Slade MatthewsSydney Medical School, The University of Sydney, Sydney, Australia.
James S WilmottSydney Medical School, The University of Sydney, Sydney, Australia.
Murray C KillingsworthDiscipline of Pathology, School of Medicine, Western Sydney University, Sydney, Australia.
Jim L YongDepartment of Anatomical Pathology, Sydney South West Pathology Service (SSWPS) Liverpool Hospital, Sydney, Australia.
Nicole J CaixeiroDiscipline of Pathology, School of Medicine, Western Sydney University, Sydney, Australia.
James WykesFaculty of Medicine, University of New South Wales, Sydney, Australia.
Allan SamakehDepartment of Head & Neck Surgery, Liverpool Hospital, Sydney, Australia.
Dion ForstnerFaculty of Medicine, University of New South Wales, Sydney, Australia.
Mark LeeDepartment of Radiation Oncology, Liverpool Hospital, Sydney, Australia.
John McGuinnessDepartment of Head & Neck Surgery, Liverpool Hospital, Sydney, Australia.
Navin NilesDepartment of Head & Neck Surgery, Liverpool Hospital, Sydney, Australia.
Angela HongSydney Medical School, The University of Sydney, Sydney, Australia.
Ardalan EbrahimiDepartment of Head & Neck Surgery, Liverpool Hospital, Sydney, Australia.
Cheok Soon LeeSydney Medical School, The University of Sydney, Sydney, Australia.
Liverpool Hospital · AUUniversity of Sydney · AUUNSW Sydney · AUIngham Institute · AURobert Bosch (Australia) · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study examined the prognostic significance of microtubule-associated protein light chain 3B (LC3B) expression in oropharyngeal and oral cavity squamous cell carcinoma (SCC). The prognostic significance of LC3B expression in relation to human papillomavirus (HPV) status in oropharyngeal SCC was also examined.

methodsTissue microarrays (TMAs) were constructed from formalin-fixed, paraffin-embedded oropharyngeal (n = 47) and oral cavity (n = 95) SCC tissue blocks from patients with long-term recurrence and overall survival data (median = 47 months). LC3B expression on tumour was assessed by immunohistochemistry and evaluated for associations with clinicopathological variables. LC3B expression was stratified into high and low expression cohorts using ROC curves with Manhattan distance minimisation, followed by Kaplan-Meier and multivariable survival analyses. Interaction terms between HPV status and LC3B expression in oropharyngeal SCC patients were also examined by joint-effects and stratified analyses.

resultsKaplan-Meier survival and univariate analyses revealed that high LC3B expression was correlated with poor overall survival in oropharyngeal SCC patients (p = 0.007 and HR = 3.18, 95% CI 1.31-7.71, p = 0.01 respectively). High LC3B expression was also an independent prognostic factor for poor overall survival in oropharyngeal SCC patients (HR = 4.02, 95% CI 1.38-11.47, p = 0.011). In contrast, in oral cavity SCC, only disease-free survival remained statistically significant after univariate analysis (HR = 2.36, 95% CI 1.19-4.67, p = 0.014), although Kaplan-Meier survival analysis showed that high LC3B expression correlated with poor overall and disease-free survival (p = 0.046 and 0.011 respectively). Furthermore, oropharyngeal SCC patients with HPV-negative/high LC3B expression were correlated with poor overall survival in both joint-effects and stratified presentations (p = 0.024 and 0.032 respectively).

conclusionsHigh LC3B expression correlates with poor prognosis in oropharyngeal and oral cavity SCC, which highlights the importance of autophagy in these malignancies. High LC3B expression appears to be an independent prognostic marker for oropharyngeal SCC but not for oral cavity SCC patients. The difference in the prognostic significance of LC3B between oropharyngeal and oral cavity SCCs further supports the biological differences between these malignancies. The possibility that oropharyngeal SCC patients with negative HPV status and high LC3B expression were at particular risk of a poor outcome warrants further investigation in prospective studies with larger numbers.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateMaleMicrotubule-Associated ProteinsMiddle AgedMouth NeoplasmsOropharyngeal NeoplasmsPapillomavirus InfectionsPrognosisSquamous Cell Carcinoma of Head and NeckBiomarkers, TumorMAP1LC3B protein, humanMicrotubule-Associated ProteinsAutophagyHPVImmunohistochemistryLC3BOral cavityOropharyngealSCCSurvival outcome

Identifiers

PMID29859041
PMCPMC5984815
OpenAlexW2806141898

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.