Evidence map›Paper›PMID 31666119›Full record

ArticleClinical epigenetics2019

DNA methylation in repeat negative prostate biopsies as a marker of missed prostate cancer.

Valentina Fiano, Daniela Zugna, Chiara Grasso, Morena Trevisan, Luisa Delsedime, Luca Molinaro, Paola Cassoni, Mauro Papotti, Franco Merletti, Olof Akre and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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 at 5 institutions in 2 countries.

Valentina FianoCancer Epidemiology Unit-CeRMS, Department of Medical Sciences, University of Turin and CPO Piemonte, Via Santena 7, 10126, Turin, Italy. valentina.fiano@unito.it.ORCID 0000-0001-7978-372X
Daniela ZugnaCancer Epidemiology Unit-CeRMS, Department of Medical Sciences, University of Turin and CPO Piemonte, Via Santena 7, 10126, Turin, Italy.
Chiara GrassoCancer Epidemiology Unit-CeRMS, Department of Medical Sciences, University of Turin and CPO Piemonte, Via Santena 7, 10126, Turin, Italy.
Morena TrevisanCancer Epidemiology Unit-CeRMS, Department of Medical Sciences, University of Turin and CPO Piemonte, Via Santena 7, 10126, Turin, Italy.
Luisa DelsedimePathology Unit, A.O.U. Città della Salute e della Scienza Hospital, Turin, Italy.
Luca MolinaroPathology Unit, A.O.U. Città della Salute e della Scienza Hospital, Turin, Italy.
Paola CassoniPathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Mauro PapottiPathology Unit, Department of Oncology, University of Turin, Turin, Italy.
Franco MerlettiCancer Epidemiology Unit-CeRMS, Department of Medical Sciences, University of Turin and CPO Piemonte, Via Santena 7, 10126, Turin, Italy.
Olof AkreDepartment of Molecular Medicine and Surgery, Karolinska Institutet and Department of Urology, Karolinska University Hospital, SE-17176, Stockholm, Sweden.
Andreas PetterssonClinical Epidemiology Unit, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Laura De MarcoCancer Epidemiology Unit-CeRMS, Department of Medical Sciences, University of Turin and CPO Piemonte, Via Santena 7, 10126, Turin, Italy.
Lorenzo RichiardiCancer Epidemiology Unit-CeRMS, Department of Medical Sciences, University of Turin and CPO Piemonte, Via Santena 7, 10126, Turin, Italy.
Piedmont Reference Center for Epidemiology and Cancer Prevention · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITUniversity of Turin · ITKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMen often undergo repeat prostate biopsies because of suspicion of missed cancer. We assessed if (i) methylation of selected genes in prostate tissue vary with aging and (ii) methylation alterations in repeat biopsies predict missed prostate cancer.

methodsWe conducted a case-control study among men who underwent at least two negative prostate biopsies followed by a sampling either positive (cases n = 111) or negative (controls n = 129) for prostate cancer between 1995 and 2014 at the University Hospital (Turin, Italy). Two pathology wards were included for replication purposes. We analyzed methylation of GSTP1, APC, PITX2, C1orf114, GABRE, and LINE-1 in the first two negative biopsies. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of the association between genes methylation and prostate cancer.

resultsAge at biopsy and time interval between the two negative biopsies were not associated with methylation levels of the selected genes in neither cases nor controls. GSTP1 methylation in the first and in the second negative biopsy was associated with prostate cancer detection [OR per 1% increase: 1.14 (95% CI 1.01-1.29) for the second biopsy and 1.21 (95% CI 1.07-1.37) for the highest methylation level (first or second biopsy)]. A threshold > 10% for GSTP1 methylation corresponded to a specificity of 0.98 (positive likelihood ratio 7.87). No clear association was found for the other genes. Results were consistent between wards.

conclusionsOur results suggest that GSTP1 methylation in negative prostate biopsies is stable over time and can predict missed cancer with high specificity.

Indexed as

DNA MethylationAgedBiomarkers, TumorBiopsyCase-Control StudiesCross-Sectional StudiesEpigenesis, GeneticGenetic Predisposition to DiseaseGlutathione S-Transferase piHumansItalyLogistic ModelsLongitudinal StudiesMaleMiddle AgedProstatic NeoplasmsBiomarkers, TumorGlutathione S-Transferase piGSTP1 protein, humanDNA methylationNegative prostate biopsiesProstate cancerProstate cancer diagnosis

Identifiers

PMID31666119
PMCPMC6820908
OpenAlexW2982439762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.