Evidence map›Paper›PMID 29959570›Full record

ArticleJournal of cancer research and clinical oncology2018

FOXM1 predicts disease progression in non-muscle invasive bladder cancer.

Sebastien Rinaldetti, Ralph Wirtz, Thomas Stefan Worst, Arndt Hartmann, Johannes Breyer, Lars Dyrskjot, Philipp Erben

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 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

7 authors at 4 institutions in 2 countries.

Sebastien RinaldettiDepartment of Hematology and Oncology, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany. sebastienrinal@hotmail.com.ORCID http://orcid.org/0000-0003-1053-3831
Ralph WirtzStratifyer Molecular Pathology, Werthmannstraße 1, 50935, Cologne, Germany.
Thomas Stefan WorstDepartment of Urology, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Arndt HartmannInstitute of Pathology, University Hospital Erlangen, Krankenhausstraße 8-10, 91054, Erlangen, Germany.
Johannes BreyerDepartment of Urology, University of Regensburg, Landshuter Str. 65, Regensburg, Germany.
Lars DyrskjotDepartment of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark.
Philipp ErbenDepartment of Urology, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Heidelberg University · DEAarhus University · DKUniversitätsklinikum Erlangen · DEUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe proto-oncogene forkhead box M1 (FOXM1) is associated with poor survival in many cancers. The impact of FOXM1 expression on progression-free survival (PFS) of non-muscle invasive bladder cancer (NMIBC) has not yet been investigated. The differential expression of FOXM1 between the different molecular NMIBC subtypes has further been assessed.

methodsTranscript levels of FOXM1 and MKI67 were determined in 460 NMIBC patients (UROMOL cohort) by RNA-Seq and validated in silico by the Chungbuk and Lund cohort (n = 277). FOXM1 and MKI67 cutoffs were identified by the minimal p value method. Variables were evaluated by multivariable Cox regression analyses in order to identify independent predictors.

resultsFOXM1 is an independent predictor for PFS superior to current histological, clinical and molecular staging methods. Patients with high FOXM1 expression have a 6- to 8-fold higher risk of progression in multivariable analysis (p < 0.03). Highest transcript levels were found in the Class 2 and genomically unstable molecular NMIBC subtype (p < 0.03). The proto-oncogene further positively correlated with tumor grade and stage. NMIBCs with high FOXM1 expression showed a PFS advantage when treated with intravesical BCG instillation.

conclusionFOXM1 is a highly prognostic marker for disease progression of NMIBC superior to current histological, clinical and molecular staging methods and MKI67. It is mainly expressed in the Class 2 and genomically unstable molecular bladder cancer subtypes. Its role in drug resistance development makes FOXM1 valuable biomarker for NMIBC risk stratification.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorDisease-Free SurvivalDisease ProgressionFemaleForkhead Box Protein M1Gene Expression ProfilingHumansKi-67 AntigenMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPrognosisProto-Oncogene MasBiomarkers, TumorForkhead Box Protein M1FOXM1 protein, humanKi-67 AntigenMAS1 protein, humanProto-Oncogene MasBiomarkerBladder cancerFOXM1MKI67Molecular subtypesProgression-free survival

Identifiers

PMID29959570
PMCPMC6096766
OpenAlexW2810176990

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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.