Evidence map›Paper›PMID 32279400›Full record

ArticleCancer science2020

High expression of Krüppel-like factor 5 is associated with poor prognosis in patients with colorectal cancer.

Yutaka Takagi, Nozomu Sakai, Hideyuki Yoshitomi, Katsunori Furukawa, Tsukasa Takayashiki, Satoshi Kuboki, Shigetsugu Takano, Daisuke Suzuki, Shingo Kagawa, Takashi Mishima and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 48 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

14 authors at 1 institution in 1 country.

Yutaka TakagiDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0002-5594-4899
Nozomu SakaiDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hideyuki YoshitomiDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Katsunori FurukawaDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Tsukasa TakayashikiDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Satoshi KubokiDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Shigetsugu TakanoDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0002-6495-0422
Daisuke SuzukiDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Shingo KagawaDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Takashi MishimaDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Eri NakadaiDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hideaki MiyauchiDepartment of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hisahiro MatsubaraDepartment of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Masayuki OhtsukaDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Chiba University · JP

Funding

Japan Society for the Promotion of Science JP16K10564
6 · The paper itself

Abstract

Krüppel-like factor 5 (KLF5) plays an oncogenic role and has diverse functions in cancer cells. However, correlation between KLF5 and clinical outcome has not been determined in patients with colorectal cancer and colorectal liver metastasis. Herein, we analyzed 65 patients with colorectal cancer who developed colorectal liver metastasis. Clinical effects were assessed through immunohistochemical analysis of primary colorectal cancer lesions and metastatic liver lesions. High expression of KLF5 in these tissues correlated with the presence of vascular invasion, elevated serum carbohydrate antigen 19-9 levels, large diameters of metastatic liver tumors, and poor prognosis following surgery. Multivariate analyses revealed that high expression of KLF5 was an independent prognostic factor. Increased expression of KLF5 in both colorectal cancer primaries and colorectal liver metastasis was significantly associated with shorter overall survival time and time to surgical failure. Krüppel-like factor 5 expression positively correlated with Ki-67 and c-Myc expression in colorectal cancer tissues. In vitro experiments with colon cancer cell lines showed that siRNA knockdown of KLF5 inhibited cell proliferation. Western blot analyses revealed that knockdown of KLF5 expression reduced cyclin D1 and c-Myc expression. It also impaired the stem cell-like properties of cancer cells in tumorsphere formation assays. Furthermore, anoikis assay indicated that KLF5 contributed to anoikis resistance. High KLF5 expression is associated with poor prognosis in patients with colorectal cancer and liver metastasis by promoting cell proliferation and cancer stem cell-like properties.

Indexed as

AgedAged, 80 and overBiomarkers, TumorCell ProliferationColorectal NeoplasmsDisease ProgressionFemaleHumansKruppel-Like Transcription FactorsMaleMiddle AgedNeoplasm MetastasisNeoplastic Stem CellsPrognosisBiomarkers, TumorKLF5 protein, humanKruppel-Like Transcription Factorscancer stem cellc-Myccolorectal cancercolorectal liver metastasisKrüppel-like factor 5

Identifiers

PMID32279400
PMCPMC7293098
OpenAlexW3015752518

What OpenQuestion holds

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LicenceCC BY-NC
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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.