Evidence map›Paper›PMID 30578441›Full record

ArticleWorld journal of urology2019

Discovery and validation of a serum microRNA signature to characterize oligo- and polymetastatic prostate cancer: not ready for prime time.

Bert Dhondt, Elise De Bleser, Tom Claeys, Sarah Buelens, Nicolaas Lumen, Jo Vandesompele, Anneleen Beckers, Valerie Fonteyne, Kim Van der Eecken, Aurélie De Bruycker and 3 more

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  7. Article
  8. Review
  9. Oligometastatic Prostate Cancer: Current Status and Future Challenges.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Review
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  13. The Role of MiRNA in Cancer: Pathogenesis, Diagnosis, and Treatment.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
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  15. Article
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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

13 authors.

Bert DhondtDepartment of Radiation Oncology and Experimental Cancer Research, Laboratory of Experimental Cancer Research, Ghent University, Ghent, Belgium. bert.dhondt@uzgent.be.ORCID http://orcid.org/0000-0001-7223-7670
Elise De BleserCancer Research Institute Ghent, Ghent, Belgium. elise.debleser@uzgent.be.
Tom ClaeysDepartment of Urology, Ghent University Hospital, Ghent, Belgium.
Sarah BuelensCancer Research Institute Ghent, Ghent, Belgium.
Nicolaas LumenCancer Research Institute Ghent, Ghent, Belgium.
Jo VandesompeleCancer Research Institute Ghent, Ghent, Belgium.
Anneleen BeckersBiogazelle, Zwijnaarde, Belgium.
Valerie FonteyneCancer Research Institute Ghent, Ghent, Belgium.
Kim Van der EeckenDepartment of Pathology, Ghent University Hospital, Ghent, Belgium.
Aurélie De BruyckerDepartment of Radiation Oncology and Experimental Cancer Research, Ghent University Hospital, Ghent, Belgium.
Jérôme PaulDNAlytics, Louvain-La-Neuve, Belgium.
Pierre GrammeDNAlytics, Louvain-La-Neuve, Belgium.
Piet OstCancer Research Institute Ghent, Ghent, Belgium.ORCID http://orcid.org/0000-0002-2203-4848

Funding

Kom op tegen Kanker Emmanuel Vander Schueren Research Grant
6 · The paper itself

Abstract

purposePatients with oligometastatic prostate cancer (PC) may benefit from metastasis-directed therapy (MDT), delaying disease progression and the start of palliative systemic treatment. However, a significant proportion of oligometastatic PC patients progress to polymetastatic PC within a year following MDT, suggesting an underestimation of the metastatic load by current staging modalities. Molecular markers could help to identify true oligometastatic patients eligible for MDT.

methodsPatients with asymptomatic biochemical recurrence following primary PC treatment were classified as oligo- or polymetastatic based on 18

resultsOligometastatic PC patients had a more favorable prognosis compared to polymetastatic ones, as defined by a significantly longer median CRPC-free survival (not reached versus 38 months; 95% confidence interval 31-45 months with P < 0.001). Despite the good performance of a predictive model trained on the discovery cohort, with an AUC of 0.833 (0.693-0.973; 95% CI) and a sensitivity of 0.894 (0.714-1.000; 95% CI) for oligometastatic disease, none of the miRNA targets were found to be differentially expressed between oligo- and polymetastatic PC patients in the signature validation cohort. The multivariate model had an AUC of 0.393 (0.534 after cross-validation) and therefore, no predictive ability.

conclusionsAlthough PC patients with oligometastatic disease had a more favorable prognosis, no serum-derived biomarkers allowing for prospective discrimination of oligo- and polymetastatic prostate cancer patients could be identified.

Indexed as

AgedGene Expression Regulation, NeoplasticHumansMaleMicroRNAsMiddle AgedNeoplasm MetastasisProspective StudiesProstatic NeoplasmsTranscriptomeMicroRNAsBiomarkerMachine learningmiRNAOligometastasisProstate cancerSerum

Identifiers

What OpenQuestion holds

Textmetadata
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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.