Evidence map›Paper›PMID 30907808›Full record

ArticlePlastic and reconstructive surgery2019

The Role of Deferoxamine in Irradiated Breast Reconstruction: A Study of Oncologic Safety.

Jeremy V Lynn, Kevin M Urlaub, Kavitha Ranganathan, Alexis Donneys, Noah S Nelson, Chitra Subramanian, Mark S Cohen, Steven R Buchman

Open access · greenAbstract read
In one paragraph

Article in Plastic and reconstructive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
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

8 authors at 1 institution in 1 country.

Jeremy V LynnFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Kevin M UrlaubFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Kavitha RanganathanFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Alexis DonneysFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Noah S NelsonFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Chitra SubramanianFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Mark S CohenFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Steven R BuchmanFrom the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Pharmacology, University of Michigan.
Ann Arbor Center for Independent Living · US

Funding

Translational Optimization of Bone Regeneration in the Irradiated MandibleR01CA125187 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BUCHMAN, STEVEN R · 2007 to 2017
$2.8M
NCI NIH HHS R01 CA125187
6 · The paper itself

Abstract

backgroundRadiotherapy plays an essential role in the oncologic management of breast cancer. However, patients who undergo radiotherapy experience significantly more wound complications during the reconstructive process. Deferoxamine has immense potential to up-regulate angiogenesis and improve reconstructive outcomes. The purpose of this study was to determine the impact of deferoxamine on breast cancer cell proliferation in vitro, to delineate oncologic safety concerns regarding the use of deferoxamine as a regenerative therapeutic.

methodsThe dose-dependent effect of radiation and deferoxamine on two triple-negative breast cancer cell lines (MDA-MB-231 and MDA-MB-468) was determined by means of MTS (percentage cell viability) and tumorsphere (sphere number) analysis. Radiation therapy and deferoxamine were delivered both individually and in combination, and all experiments were completed in triplicate. Intracellular iron, nuclear factor-κB localization, and apoptosis/necrosis assays were performed to delineate mechanism. Analysis of variance statistical analysis was performed using SPSS (p < 0.05).

resultsFor both cell lines, percentage viability and sphere number significantly decreased following exposure to 10 Gy of radiation. Surprisingly, the administration of 25 µM deferoxamine also significantly decreased each metric. The administration of deferoxamine (100 µM) in combination with radiation (10 Gy) resulted in significantly reduced percentage viability and sphere number compared with the administration of radiation alone. Deferoxamine treatment decreased intracellular iron, suppressed nuclear factor-κB activation, and induced apoptosis.

conclusionRadiation and deferoxamine significantly decrease breast cancer proliferation when delivered independently and in combination, suggesting deferoxamine may be safely used to facilitate improved reconstructive outcomes among triple-negative breast cancer survivors. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

Indexed as

Analysis of VarianceApoptosisCell Line, TumorCell ProliferationCell SurvivalDeferoxamineDose-Response Relationship, RadiationFemaleHumansImaging, Three-DimensionalIronRadiation DosageSensitivity and SpecificityTriple Negative Breast NeoplasmsDeferoxamineIron

Identifiers

PMID30907808
PMCPMC6538447
OpenAlexW2924252923

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.