Evidence map›Paper›PMID 30788837›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2019

Over-expression of both VEGF-C and Twist predicts poor prognosis in human breast cancer.

Y-Q Zhang, W-L Chen, F Zhang, X-L Wei, D Zeng, Y-K Liang, J-D Wu, L-Y Zhang, C-P Guo, H-C Zeng and 4 more

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In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

13 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

14 authors at 3 institutions in 2 countries.

Y-Q ZhangThe Breast Center, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China.
W-L ChenDepartment of Head Neck and Breast Surgery, Yue Bei People's Hospital, 133 Huimin South Road, Shao Guan, China.
F ZhangGuangdong Provincial Key Laboratory for Breast Cancer Diagnosis and Treatment, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China.
X-L WeiDepartment of Pathology, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China.
D ZengChang Jiang Scholar's Laboratory of Shantou University Medical College, 22 Xin ling Road, Shantou, China.
Y-K LiangChang Jiang Scholar's Laboratory of Shantou University Medical College, 22 Xin ling Road, Shantou, China.
J-D WuThe Breast Center, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China.
L-Y ZhangDepartment of Pathology, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China.
C-P GuoThe Breast Center, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China.
H-C ZengThe Breast Center, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China.
S-S HaoChang Jiang Scholar's Laboratory of Shantou University Medical College, 22 Xin ling Road, Shantou, China.
R-H LiChang Jiang Scholar's Laboratory of Shantou University Medical College, 22 Xin ling Road, Shantou, China.
W-H HuangThe Breast Center, Cancer Hospital of Shantou University Medical College, 7 Rao ping Road, Shantou, China. huangwenhe2009@163.com.
G-J ZhangChang Jiang Scholar's Laboratory of Shantou University Medical College, 22 Xin ling Road, Shantou, China. gjzhang@xah.xmu.edu.cn.ORCID http://orcid.org/0000-0001-5182-5887
Shantou University · CNUniversity Medical Center Groningen · NLXiamen University · CN

Funding

Medical Scientific Research Foundation of Guangdong Province, China A2016589Natural Science Foundation Committee 81602345Science and Technology Planning Project of Guangdong Province, China 2016A020215145Shantou science and technology program, China 2015Shantou science and technology program, China No.123
6 · The paper itself

Abstract

backgroundAngiogenesis is an indispensable step in the growth and invasiveness of breast cancers involving a series of exquisite molecular steps. Pro-angiogenic factors, including vascular endothelial growth factor (VEGF), have been recognized as pivotal therapeutic targets in the treatment of breast cancer. More recently, a highly conserved transcription factor Twist has been reported to be involved in tumor angiogenesis and metastasis.

methodsThe expression of VEGF-C and Twist was immunohistochemically determined in tissue samples of primary tumors from 408 patients undergoing curative surgical resection for breast cancer. The correlations of VEGF-C and Twist expressions with clinicopathologic parameters as well as survival outcomes were evaluated.

resultsOf the 408 patients evaluated, approximately 70% had high expression of VEGF-C which was significantly associated with advanced tumor stages (P = 0.019). Similarly, VEGF-C expression was associated with the proliferation index Ki67, N3 lymph node metastasis, and D2-40-positive lymphatic vessel invasion (LVI) in a univariate analysis. Furthermore, patients with high expressions of VEGF-C and Twist (V + T+) had significantly increased lymph node metastasis, higher clinical stage, and worse disease-free survival, DFS (P = 0.001) and overall survival, OS (P = 0.011).

conclusionsOur results suggested that co-expression of VEGF-C and Twist was associated with larger tumor size, higher numbers of lymph node involvement, D2-40-positive LVI, higher risk of distant metastasis, and worse DFS or OS in breast cancer patients.

Indexed as

Biomarkers, TumorBreast NeoplasmsCarcinoma, Ductal, BreastFemaleFollow-Up StudiesGene Expression Regulation, NeoplasticHumansMiddle AgedNuclear ProteinsPrognosisSurvival RateTwist-Related Protein 1Vascular Endothelial Growth Factor CBiomarkers, TumorNuclear ProteinsTWIST1 protein, humanTwist-Related Protein 1Vascular Endothelial Growth Factor CVEGFC protein, humanBreast cancerLymphatic vessel invasionPrognosisTwistVEGF-C

Identifiers

PMID30788837
OpenAlexW2915912885

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.