Evidence map›Paper›PMID 32058311›Full record

ArticleCancer epidemiology2020

Breast tumor tissue inflammation but not lobular involution is associated with survival among breast cancer patients in the Multiethnic Cohort.

Gertraud Maskarinec, Dan Ju, Yurii B Shvetsov, David Horio, Owen Chan, Lenora W M Loo, Brenda Y Hernandez

Open access · greenAbstract read
In one paragraph

Article in Cancer epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 58% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Gertraud MaskarinecUniversity of Hawaii Cancer Center, Honolulu, HI, United States. Electronic address: gertraud@cc.hawaii.edu.
Dan JuDepartment of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Yurii B ShvetsovUniversity of Hawaii Cancer Center, Honolulu, HI, United States.
David HorioUniversity of Hawaii Cancer Center, Honolulu, HI, United States.
Owen ChanUniversity of Hawaii Cancer Center, Honolulu, HI, United States.
Lenora W M LooUniversity of Hawaii Cancer Center, Honolulu, HI, United States.
Brenda Y HernandezUniversity of Hawaii Cancer Center, Honolulu, HI, United States.
University of Hawaiʻi at Mānoa · USUniversity of Pennsylvania · US

Funding

University of Hawaii Cancer Center CCSGP30CA071789 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI GERTRAUD MASKARINEC · 1996 to 2026
$56.2M
Understanding Population Differences in Cancer: The MEC StudyU01CA164973 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI HAIMAN, CHRISTOPHER ALAN, LE MARCHAND, LOIC · 2015 to 2025
$37.4M
NESTED CASE CONTROL STUDY OF MAMMOGRAPHIC DENSITYR01CA085265 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI MASKARINEC, GERTRAUD · 2000 to 2002
$728k
Soy Consumption and Breast Tissue ProliferationR21CA108250 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI MASKARINEC, GERTRAUD · 2005 to 2006
$414k
NCI NIH HHS HHSN261201000037CNCI NIH HHS HHSN261201800011CNCI NIH HHS P30 CA071789NCI NIH HHS R01 CA085265NCI NIH HHS R21 CA108250NCI NIH HHS U01 CA164973
6 · The paper itself

Abstract

backgroundThis study investigated the association of breast lobular involution status and three inflammatory markers as predictors of survival among breast cancer patients in the Multiethnic Cohort.

methodsLobular involution was evaluated in tissue sections of normal breast tissue and COX-2, TNF-α, and TGF-β proteins were assessed by immunohistochemistry in tumor microarrays. A summary score added the expression levels of the three markers. Cox regression was applied to estimate hazard ratios (HRs) and 95 % confidence intervals (CI) with age as the time metric and adjustment for factors known to affect mortality.

resultsAmong 254 women (mean age = 61.7 ± 8.7 years) with pathologic blocks and follow-up information, 54 all-cause and 10 breast cancer-specific deaths were identified after a mean follow-up time of 16.0 ± 3.1 years. For 214 participants, an inflammatory score was available and 157 women had information on lobular involution. Lobular involution was not significantly associated with survival. Expression of both COX-2 and TNF-α were significant predictors of lower survival (p = 0.02 and 0.04), while the association for TGF-β was weaker (p = 0.09). When combined into one overall inflammation score, both intermediate (HR = 2.72; 95 % CI 0.90-8.28) and high (HR = 4.21; 95 % CI 1.51-11.8) scores were associated with higher mortality but only the latter was statistically significant. No significant association with breast cancer-specific mortality was detected.

conclusionsThese results suggest that strong expression of inflammatory markers in breast tissue predicts a poorer prognosis possibly due to a system-wide state of chronic inflammation.

Indexed as

Breast NeoplasmsCohort StudiesEthnicityFemaleHawaiiHumansInflammationInflammatory Breast NeoplasmsMiddle AgedSurvival AnalysisBreast tissueInflammatory markersInvolutionSurvivalTissue microarray

Identifiers

PMID32058311
PMCPMC7131953
OpenAlexW3005993524

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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.