Evidence map›Paper›PMID 31325200›Full record

Observational studyCancer science2019

Diagnostic potential of hypermethylation of the cysteine dioxygenase 1 gene (CDO1) promoter DNA in pancreatic cancer.

Nobuyuki Nishizawa, Hiroki Harada, Yusuke Kumamoto, Takashi Kaizu, Hiroshi Katoh, Hiroshi Tajima, Hideki Ushiku, Keigo Yokoi, Kazuharu Igarashi, Yoshiki Fujiyama and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cancer science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Clinical utility impact of DNA-based cytology using droplet digital methylation-specific PCR in gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
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  9. Combination Analysis ofJournal of Korean medical science · 2024
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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 2 institutions in 1 country.

Nobuyuki NishizawaDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Hiroki HaradaDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Yusuke KumamotoDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Takashi KaizuDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Hiroshi KatohDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Hiroshi TajimaDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Hideki UshikuDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Keigo YokoiDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Kazuharu IgarashiDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Yoshiki FujiyamaDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Kosuke OkuwakiDepartment of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Japan.
Tomohisa IwaiDepartment of Gastroenterology, Kitasato University School of Medicine, Sagamihara, Japan.
Masahiko WatanabeDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.
Keishi YamashitaDepartment of Surgery, Kitasato University Hospital, Sagamihara, Japan.ORCID https://orcid.org/0000-0002-8492-0300
Kitasato University Hospital · JPKitasato University · JP

Funding

Japan Society for the Promotion of Science JP18K16373Parents' Association Grant of Kitasato University School of Medicine
6 · The paper itself

Abstract

DNA markers for pancreatic ductal adenocarcinoma (PDAC) are urgently needed for detection of minimally invasive disease. The epigenetic relevance of the cysteine dioxygenase 1 gene (CDO1) has been never investigated in PDAC. Three studies, including cellular experiments, tissue validation, and pilot testing for pancreatic cytology, were carried out. Promoter DNA methylation value (MV) of CDO1 was quantified by quantitative methylation-specific PCR. CDO1 expression was consistent with its promoter DNA methylation in 7 PDAC cell lines. In 160 retrospectively collected primary PDAC tumor tissues, MV was significantly higher compared to the corresponding noncancerous pancreas (area under the receiver operating characteristic curve [AUC] = 0.97, P < .0001), and CDO1 hypermethylation was highly specific to PDAC tumor tissues. CDO1 hypermethylation group (MV over 19) was significantly associated with diverse prognostic factors in PDAC. Surprisingly, it was significantly higher in prospectively collected PDAC cytology samples (n = 37), including both pancreatic juice (n = 12) and endoscopic ultrasound-fine needle aspiration (EUS-FNA) cytology (n = 25) compared to pancreatic benign diseases (AUC = 0.96, P < .0001). Detection of PDAC was confirmed by DNA testing in 35 of 37 patients (95% sensitivity); thus, it was more sensitive than cytology (33%) or EUS-FNA cytology (88%). Promoter DNA methylation of CDO1 is extremely specific for PDAC tumors, and accumulates with PDAC tumor progression. It could be a definitive diagnostic marker of PDAC in pancreatic juice or EUS-FNA cytology.

Indexed as

DNA MethylationAgedBiomarkers, TumorCarcinoma, Pancreatic DuctalCell Line, TumorCysteine DioxygenaseDisease ProgressionEndoscopic Ultrasound-Guided Fine Needle AspirationFemaleHumansMaleMiddle AgedPancreasPancreatic JuicePancreatic NeoplasmsPilot ProjectsBiomarkers, TumorCDO1 protein, humanCysteine DioxygenaseCDO1diagnosismethylationpancreatic cancerprognosis

Identifiers

PMID31325200
PMCPMC6726695
OpenAlexW2963169116

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.