Evidence map›Paper›PMID 29930748›Full record

ArticleOncotarget2018

Serum levels of soluble urokinase plasminogen activator receptor (suPAR) predict outcome after resection of colorectal liver metastases.

Sven H Loosen, Frank Tacke, Marcel Binnebosel, Catherine Leyh, Mihael Vucur, Florian Heitkamp, Wenzel Schoening, Tom F Ulmer, Patrick H Alizai, Christian Trautwein and 5 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  12. Soluble Urokinase Receptor and Liver Disease.Clinical liver disease · 2019
    Review
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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 3 institutions in 2 countries.

Sven H LoosenDepartment of Medicine III, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Frank TackeDepartment of Medicine III, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Marcel BinneboselDepartment of Visceral and Transplantation Surgery, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Catherine LeyhDivision of Gastroenterology, Hepatology and Hepatobiliary Oncology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Mihael VucurDivision of Gastroenterology, Hepatology and Hepatobiliary Oncology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Florian HeitkampDivision of Gastroenterology, Hepatology and Hepatobiliary Oncology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Wenzel SchoeningDepartment of Visceral and Transplantation Surgery, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Tom F UlmerDepartment of Visceral and Transplantation Surgery, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Patrick H AlizaiDepartment of Visceral and Transplantation Surgery, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Christian TrautweinDepartment of Medicine III, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Alexander KochDepartment of Medicine III, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Thomas LongerichInstitute of Pathology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Christoph RoderburgDepartment of Medicine III, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Ulf P NeumannDepartment of Visceral and Transplantation Surgery, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Tom LueddeDepartment of Medicine III, University Hospital RWTH Aachen, 52074 Aachen, Germany.
RWTH Aachen University · DEMaastricht University Medical Centre · NLUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn colorectal cancer (CRC), the liver is the most common site of metastasis. Surgical resection represents the standard therapy for patients with colorectal liver metastases (CRLM). However, 5-year survival rates after resection do not exceed 50%, and despite existing preoperative stratification algorithms it is still debated which patients benefit most from surgical treatment. The soluble urokinase plasminogen activator receptor (suPAR) has recently evolved as a promising biomarker for distinct clinical conditions. Here, we examined a potential role of suPAR as a biomarker in patients undergoing resection of CRLM.

resultsCorrelating with upregulated uPAR tissue expression in resected metastases, serum concentrations of suPAR were significantly elevated in CRLM patients compared to healthy controls. Importantly, patients with preoperative suPAR serum levels above the identified ideal cut-off value of 4.83 ng/ml showed a significantly reduced overall survival after resection of CRLM, both in right- and left-sided primary CRC. Moreover, multivariate Cox regression analysis revealed preoperative suPAR serum levels as a prognostic factor for mortality. Additionally, elevated preoperative suPAR but not creatinine levels were a predictor of acute kidney injury (AKI) after CRLM resection, correlating with a longer postoperative hospitalization.

conclusionSuPAR represents a promising novel biomarker in CRLM patients that might help to guide preoperative treatment decisions regarding patients' outcome and to identify patients particularly susceptible to AKI.

methodsExpression levels of uPAR were analyzed in CRLM tissue using RT-PCR and immunohistochemistry. SuPAR serum levels were measured by ELISA in 104 CRC patients undergoing hepatic resection for CRLM and 50 healthy controls.

Indexed as

acute kidney injurybiomarkercancerCEAprognosis

Identifiers

PMID29930748
PMCPMC6007468
OpenAlexW2807050053

What OpenQuestion holds

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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.