Evidence map›Paper›PMID 29906417›Full record

ArticleGastroenterology2018

Selection and Application of Tissue microRNAs for Nonendoscopic Diagnosis of Barrett's Esophagus.

Xiaodun Li, Sam Kleeman, Sally B Coburn, Carlo Fumagalli, Juliane Perner, Sriganesh Jammula, Ruth M Pfeiffer, Linda Orzolek, Haiping Hao, Philip R Taylor and 7 more

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Biomarker Use in Barrett's Esophagus Surveillance.The American journal of gastroenterology · 2026
    Review
  3. Observational
  4. Review
  5. Review
  6. Article
  7. Noninvasive tests for eosinophilic esophagitis: Ready for use?Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Review
  8. Article
  9. Utility and Cost-Effectiveness of a Nonendoscopic Approach to Barrett's Esophagus Surveillance After Endoscopic Therapy.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Article
  10. Review
  11. Review
  12. Screening for Barrett's Oesophagus: Are We Ready for it?Current treatment options in gastroenterology · 2021
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Novel Screening Alternatives for Barrett Esophagus.Gastroenterology & hepatology · 2020
    Article
  19. Review
  20. 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

17 authors at 4 institutions in 2 countries.

Xiaodun LiMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK.
Sam KleemanMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK.
Sally B CoburnDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Rockville, Maryland.
Carlo FumagalliMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK.
Juliane PernerCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Sriganesh JammulaCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Ruth M PfeifferDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Rockville, Maryland.
Linda OrzolekJohns Hopkins Medical Institutions Deep Sequencing and Microarray Core, Baltimore, Maryland.
Haiping HaoJohns Hopkins Medical Institutions Deep Sequencing and Microarray Core, Baltimore, Maryland.
Philip R TaylorDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Rockville, Maryland.
Ahmad MiremadiCambridge University Hospitals NHS Trust, Cambridge UK.
Núria Galeano-DalmauMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK.
Pierre Lao-SirieixMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK.
Maria TennysonMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK.
Shona MacRaeMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK.
Michael B CookDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Rockville, Maryland.
Rebecca C FitzgeraldMRC Cancer Unit, Hutchison-MRC Research Centre, University of Cambridge, Cambridge, UK. Electronic address: rcf29@mrc-cu.cam.ac.uk.
University of Cambridge · GBNational Institutes of Health · USJohns Hopkins University · USCambridge University Hospitals NHS Foundation Trust · GB

Funding

Upper Gastrointestinal Cancer StudiesZIACP000185 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ABNET, CHRISTIAN · 2009 to 2025
$25.6M
Upper Gastrointestinal Cancer StudiesZ01CP000185 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI DAWSEY, SANFORD M · 2005 to 2008
$1.4M
Cancer Research UK 12088Cancer Research UK C14478/A12088Intramural NIH HHS Z01 CP000185Medical Research Council MC_UU_12022/2
6 · The paper itself

Abstract

BACKGROUND &

aimsMicroRNA (miRNA) is highly stable in biospecimens and provides tissue-specific profiles, making it a useful biomarker of carcinogenesis. We aimed to discover a set of miRNAs that could accurately discriminate Barrett's esophagus (BE) from normal esophageal tissue and to test its diagnostic accuracy when applied to samples collected by a noninvasive esophageal cell sampling device.

methodsWe analyzed miRNA expression profiles of 2 independent sets of esophageal biopsy tissues collected during endoscopy from 38 patients with BE and 26 patients with normal esophagus (controls) using Agilent microarray and Nanostring nCounter assays. Consistently up-regulated miRNAs were quantified by real-time polymerase chain reaction in esophageal tissues collected by Cytosponge from patients with BE vs without BE. miRNAs were expressed from plasmids and antisense oligonucleotides were expressed in normal esophageal squamous cells; effects on proliferation and gene expression patterns were analyzed.

resultsWe identified 15 miRNAs that were significantly up-regulated in BE vs control tissues. Of these, 11 (MIR215, MIR194, MIR 192, MIR196a, MIR199b, MIR10a, MIR145, MIR181a, MIR30a, MIR7, and MIR199a) were validated in Cytosponge samples. The miRNAs with the greatest increases in BE tissues (7.9-fold increase in expression or more, P < .0001: MIR196a, MIR192, MIR194, and MIR215) each identified BE vs control tissues with area under the curve (AUC) values of 0.82 or more. We developed an optimized multivariable logistic regression model, based on expression levels of 6 miRNAs (MIR7, MIR30a, MIR181a, MIR192, MIR196a, and MIR199a), that identified patients with BE with an AUC value of 0.89, 86.2% sensitivity, and 91.6% specificity. Expression level of MIR192, MIR196a, MIR199a, combined that of trefoil factor 3, identified patients with BE with an AUC of 0.93, 93.1% sensitivity, and 93.7% specificity. Hypomethylation was observed in the promoter region of the highly up-regulated cluster MIR192-MIR194. Overexpression of these miRNAs in normal esophageal squamous cells increased their proliferation, via GRHL3 and PTEN signaling.

conclusionsIn analyses of miRNA expression patterns of BE vs non-BE tissues, we identified a profile that can identify Cytosponge samples from patients with BE with an AUC of 0.93. Expression of MIR194 is increased in BE samples via epigenetic mechanisms that might be involved in BE pathogenesis.

Indexed as

AdultAgedArea Under CurveBarrett EsophagusBiopsyCase-Control StudiesEpigenesis, GeneticEsophagusFemaleGene ExpressionHumansLogistic ModelsMaleMicroRNAsMiddle AgedMultivariate AnalysisMicroRNAsMIRN194 microRNA, humanBiomarkerDiagnosisEsophageal AdenocarcinomaGene Regulation

Identifiers

PMID29906417
PMCPMC6120784
OpenAlexW2808151820

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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.