Evidence map›Paper›PMID 30276721›Full record

ArticleJournal of cancer research and clinical oncology2019

FGF8 induces therapy resistance in neoadjuvantly radiated rectal cancer.

Felix Harpain, Mohamed A Ahmed, Xenia Hudec, Gerald Timelthaler, Gerd Jomrich, Leonhard Müllauer, Edgar Selzer, Wolfgang Dörr, Michael Bergmann, Klaus Holzmann and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2019. 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
0.8field-weighted citation impact, top 27% 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, 17 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 2 institutions in 2 countries.

Felix HarpainDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Mohamed A AhmedDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Xenia HudecDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Gerald TimelthalerDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Gerd JomrichDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Leonhard MüllauerClinical Institute of Pathology, Medical University Vienna, Vienna, Austria.
Edgar SelzerDepartment of Radiotherapy and Radiobiology, Medical University of Vienna, Vienna, Austria.
Wolfgang DörrDepartment of Radiotherapy and Radiobiology, Medical University of Vienna, Vienna, Austria.
Michael BergmannDepartment of Surgery, Medical University Vienna, Vienna, Austria.
Klaus HolzmannDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Bettina Grasl-KrauppDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Michael GruschDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Walter BergerDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria.
Brigitte MarianDepartment of Medicine I, Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, 1090, Vienna, Austria. brigitte.marian@meduniwien.ac.at.ORCID http://orcid.org/0000-0001-7034-5563
Gerd R SilberhumerDepartment of Surgery, Medical University Vienna, Vienna, Austria.
Medical University of Vienna · ATEgyptian Atomic Energy Authority · EG

Funding

Austrian Science Fund P23693Magistrat der Stadt Wien 15230
6 · The paper itself

Abstract

purposeTherapy response to neoadjuvant radiochemotherapy (nRCT) of locally advanced rectal cancer varies widely so that markers predicting response are urgently needed. Fibroblast growth factor (FGF) and FGF receptor (FGFR) signaling is involved in pro-survival signaling and thereby may result in radiation resistance.

methodsIn a cohort of 43 rectal cancer patients, who received nRCT, we analyzed protein levels of FGF 8 and its downstream target Survivin by immunohistochemistry to assess their impact on nRCT response. In vitro resistance models were created by exposing colorectal cancer cell lines to fractionated irradiation and selecting long-term survivors.

resultsOur findings revealed significantly higher FGF8 and Survivin staining scores in pre-treatment biopsies as well as in surgical specimens of non-responsive compared to responsive patients. Functional studies demonstrated dose-dependent induction of FGF8 mRNA expression in mismatch-incompetent DLD1 cells already after one dose of irradiation. Surviving clones after one or two series of radiation were more resistant to an additional radiation fraction than non-irradiated controls and showed a significant increase in expression of the FGF8 receptor FGFR3 and of Survivin on both the RNA and the protein levels.

conclusionThe results of this study suggest that FGF8 and Survivin contribute to radiation resistance in rectal cancer and may serve as markers to select patients who may not benefit from neoadjuvant radiotherapy.

Indexed as

Chemoradiotherapy, AdjuvantAdultAgedAged, 80 and overApoptosisCell Line, TumorCell SurvivalChemoradiotherapyDrug Resistance, NeoplasmFemaleFibroblast Growth Factor 8HumansMaleMiddle AgedRadiation ToleranceReceptor, Fibroblast Growth Factor, Type 3BIRC5 protein, humanFGF8 protein, humanFGFR3 protein, humanFibroblast Growth Factor 8Receptor, Fibroblast Growth Factor, Type 3SurvivinFibroblast growth factor 8Neoadjuvant radiochemotherapyRectal cancerSurvivinTherapy response

Identifiers

PMID30276721
PMCPMC6326005
OpenAlexW2895006944

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.