Evidence map›Paper›PMID 32222932›Full record

ArticleJournal of neuro-oncology2020

RIPK3 is a novel prognostic marker for lower grade glioma and further enriches IDH mutational status subgrouping.

Guilherme Afonso Vergara, Gisele Cristine Eugenio, Suzana Maria Fleury Malheiros, Elivane da Silva Victor, Ricardo Weinlich

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Article in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 24 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

5 authors at 1 institution in 1 country.

Guilherme Afonso VergaraHospital Israelita Albert Einstein, São Paulo, Brazil.
Gisele Cristine EugenioHospital Israelita Albert Einstein, São Paulo, Brazil.
Suzana Maria Fleury MalheirosHospital Israelita Albert Einstein, São Paulo, Brazil.
Elivane da Silva VictorHospital Israelita Albert Einstein, São Paulo, Brazil.
Ricardo WeinlichHospital Israelita Albert Einstein, São Paulo, Brazil. ricardo.weinlich@einstein.br.ORCID https://orcid.org/0000-0001-6822-7330
Hospital Israelita Albert Einstein · BR

Funding

FAPESP 2016/17628-0FAPESP/CAPES 2016/19110-0
6 · The paper itself

Abstract

purposeNecroptosis is a necrotic-like cell death pathway in which Receptor-interacting serine/threonine-protein kinase 3 (RIPK3) plays a central role and may induce inflammation and immunity. Lower RIPK3 levels have been correlated with a poor prognosis in breast and colorectal cancer patients. Instead, in gliomas, the most prevalent among central nervous system cancers, necrosis concurs with a more aggressive and lethal outcome, suggesting that, in these cases, necrotic-like pathways may be linked to worse prognoses. Lower-grade gliomas (LGG) exhibit highly diverse clinical behaviors, ranging from slow-paced growth to fast progression to glioblastoma yet patient outcomes cannot be fully predicted through the available markers. To date, IDH mutational status is the most broadly used prognostic marker, albeit several candidates have been proposed to refine LGG subgrouping. Here, we aimed to assess RIPK3 role as a prognostic marker for LGG patients, independently of or in combination with IDH.

methodsUsing publicly available discovery (513 patients) and validation (134 patients) cohorts, we performed Kaplan Meier survival analysis and uni- and multivariate Cox regression models.

resultsRIPK3 is an independent prognostic marker in LGG patients, even when controlled by age and molecular or histological diagnostic criteria. Contrary to what was previously reported for other cancers, high RIPK3 expression levels correlates with an increased risk of death. Importantly, RIPK3 expression levels further split both the mutant and wild-type IDH patients into distinct risk groups.

conclusionRIPK3 expression levels can be used in combination with IDH mutational status to better subgroup LGG patients regarding overall survival.

Indexed as

AdultBiomarkers, TumorBrain NeoplasmsFemaleGliomaHumansIsocitrate DehydrogenaseKaplan-Meier EstimateMaleMiddle AgedMutationPrognosisReceptor-Interacting Protein Serine-Threonine KinasesBiomarkers, TumorIDH1 protein, humanIDH2 protein, humanIsocitrate DehydrogenaseReceptor-Interacting Protein Serine-Threonine KinasesRIPK3 protein, humanLGGNecroptosisOverall survivalPrognostic biomarkerRIPK3

Identifiers

PMID32222932
OpenAlexW3013611671

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.