Evidence map›Paper›PMID 31240326›Full record

ArticleCancer immunology, immunotherapy : CII2019

High levels of tissue inhibitor of metalloproteinase-1 (TIMP-1) in the serum are associated with poor prognosis in HPV-negative squamous cell oropharyngeal cancer.

Timo Carpén, Timo Sorsa, Lauri Jouhi, Taina Tervahartiala, Caj Haglund, Stina Syrjänen, Jussi Tarkkanen, Hesham Mohamed, Antti Mäkitie, Jaana Hagström and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 36% 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, 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

11 authors at 3 institutions in 2 countries.

Timo CarpénDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 263, 00029 HUS, Helsinki, Finland. timo.carpen@fimnet.fi.ORCID http://orcid.org/0000-0003-0117-8559
Timo SorsaDepartment of Oral and Maxillofacial Diseases, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 41, 00014 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0001-7914-3052
Lauri JouhiDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 263, 00029 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0003-1354-8027
Taina TervahartialaDepartment of Oral and Maxillofacial Diseases, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 41, 00014 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0001-8817-896X
Caj HaglundDepartment of Surgery, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 440, 00029 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0003-0456-4965
Stina SyrjänenDepartment of Oral Pathology and Oral Radiology, University of Turku, Lemminkäisenkatu 2, 20520, Turku, Finland.ORCID http://orcid.org/0000-0003-0738-5698
Jussi TarkkanenDepartment of Pathology, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 21, 00014 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0002-5807-1085
Hesham MohamedDepartment of Pathology, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 21, 00014 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0002-9044-366X
Antti MäkitieDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 263, 00029 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0002-0451-2404
Jaana HagströmDepartment of Pathology, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 21, 00014 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0001-6079-7881
Petri S MattilaDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, P.O.Box 263, 00029 HUS, Helsinki, Finland.ORCID http://orcid.org/0000-0003-1911-1811
University of Helsinki · FIKarolinska University Hospital · SEUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn emerging subset of oropharyngeal squamous cell carcinomas (OPSCC) is caused by HPV. HPV-positive OPSCC has a better prognosis than HPV-negative OPSCC, but other prognostic markers for these two different diseases are scarce. Our aim was to evaluate serum levels and tumor expression of matrix metalloproteinase-8 (MMP-8) and tissue inhibitor of metalloproteinase-1 (TIMP-1) and to assess their prognostic role in HPV-positive and HPV-negative OPSCC. MATERIALS AND

methodsA total of 90 consecutive OPSCC patients diagnosed and treated with curative intent at the Helsinki University Hospital between 2012 and 2016 were included. Serum samples were prospectively collected. An immunofluorometric assay and an enzyme-linked immunosorbent assay were used to determine MMP-8 and TIMP-1 serum concentrations, respectively. HPV status of the tumors was determined using a combination of HPV-DNA genotyping and p16-INK4a immunohistochemistry. The endpoints were overall survival (OS) and disease-free survival (DFS).

resultsHigh TIMP-1 serum levels were strongly and independently associated with poorer OS (adjusted HR 14.7, 95% CI 1.8-117.4, p = 0.011) and DFS (adjusted HR 8.7, 95% CI 1.3-57.1, p = 0.024) among HPV-negative patients; this association was not observed in HPV-positive OPSCC. Although TIMP-1 was immunoexpressed in the majority of the tumor tissue samples, the level of immunoexpression was not associated with prognosis, nor did MMP-8 serum levels.

conclusionOur results indicate that serum TIMP-1 levels may serve as an independent prognostic marker for HPV-negative OPSCC patients.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorCarcinoma, Squamous CellFemaleFinlandHumansMaleMatrix Metalloproteinase 8Middle AgedOropharyngeal NeoplasmsPapillomaviridaePapillomavirus InfectionsPrognosisSurvival AnalysisBiomarkers, TumorMatrix Metalloproteinase 8Tissue Inhibitor of Metalloproteinase-1HPVMMP-8Oropharyngeal cancerPrognosisSurvivalTIMP-1

Identifiers

PMID31240326
PMCPMC6682571
OpenAlexW2955942833

What OpenQuestion holds

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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.