Evidence map›Paper›PMID 33035689›Full record

ArticleMitochondrion2020

Diagnostic value of circulating cell-free mtDNA in patients with suspected thyroid cancer: ND4/ND1 ratio as a new potential plasma marker.

Zhiying Jiang, Tyler Bahr, Chen Zhou, Tao Jin, Hao Chen, Shujie Song, Yuji Ikeno, Hengli Tian, Yidong Bai

Open access · greenAbstract read
In one paragraph

Article in Mitochondrion, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Microbiology spectrum · 2025
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Roles of MT-ND1 in Cancer.Current medical science · 2023
    Review
  8. Article
  9. Article
  10. Mitochondrial chaperones in human health and disease.Free radical biology & medicine · 2022
    Review
  11. 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

9 authors at 4 institutions in 2 countries.

Zhiying JiangKey Laboratory of Laboratory Medicine, Ministry of Education, Zhejiang Provincial Key Laboratory of Medical Genetics, College of Laboratory Medicine and Life Sciences, Wenzhou Medical University, China; Department of Clinical Laboratory, Nanjing Jiangbei People's Hospital Affiliated of Nantong University, China.
Tyler BahrUniversity of Texas Health San Antonio, United States.
Chen ZhouKey Laboratory of Laboratory Medicine, Ministry of Education, Zhejiang Provincial Key Laboratory of Medical Genetics, College of Laboratory Medicine and Life Sciences, Wenzhou Medical University, China.
Tao JinKey Laboratory of Laboratory Medicine, Ministry of Education, Zhejiang Provincial Key Laboratory of Medical Genetics, College of Laboratory Medicine and Life Sciences, Wenzhou Medical University, China.
Hao ChenThe Sixth People's Hospital, Shanghai Jiaotong University, China.
Shujie SongKey Laboratory of Laboratory Medicine, Ministry of Education, Zhejiang Provincial Key Laboratory of Medical Genetics, College of Laboratory Medicine and Life Sciences, Wenzhou Medical University, China.
Yuji IkenoUniversity of Texas Health San Antonio, United States.
Hengli TianThe Sixth People's Hospital, Shanghai Jiaotong University, China.
Yidong BaiUniversity of Texas Health San Antonio, United States. Electronic address: baiy@uthscsa.edu.
The University of Texas Health Science Center at San Antonio · USWenzhou Medical University · CNShanghai Sixth People's Hospital · CNMinistry of Education of the People's Republic of China · CN

Funding

TRANSGENIC COREP30AG013319 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI JAMES FLOYD NELSON · 1995 to 2026
$30.6M
Targeting Cellular Senescence to Extend HealthspanP01AG062413 · NIA · MAYO CLINIC ROCHESTER · PI Sundeep Khosla, Nathan K LeBrasseur · 2019 to 2026
$28.7M
NIA NIH HHS P01 AG062413NIA NIH HHS P30 AG013319
6 · The paper itself

Abstract

Thyroid cancer is the most common endocrine malignancy, and its incidence continues to rise. For clinicians with cancer patients, choosing and interpreting diagnostic laboratory studies has become increasingly important. Previously, changes in plasma free mitochondrial DNA levels have been found in colorectal, breast, lung, and urinary cancers, and have demonstrated diagnostic value. In this study, we investigated whether the occurrence and development of thyroid cancer might be predicted using mtDNA copy number (ND1), mtDNA integrity (ND4/ND1) and levels of cell-free nDNA (GAPDH). We analyzed ND1, ND4, and GAPDH levels in plasma and blood cells from 75 patients with thyroid cancer, 40 patients with nodular goiter, and 107 normal controls using real-time PCR. Although both the thyroid nodule and thyroid cancer patients had significantly increased ND1 levels, the ND4/ND1 ratio in the thyroid cancer group was higher than the thyroid nodule group (P < 0.05), and significantly higher than the normal control group (P < 0.01). Plasma levels of nuclear DNA (GAPDH) in the thyroid cancer group were also higher compared to normal (P < 0.05). These results indicate that increased intactness of plasma free mtDNA is associated with increased levels of plasma cell-free nDNA, and that the ND4/ND1 ratio has the potential to be a new detection indicator in thyroid cancer. Furthermore, we classified thyroid cancer patients according to clinical data including age, tumor size, and metastasis. We found significantly higher levels of GAPDH in malignant tissues. Because ND4/ND1 correlated with plasma GAPDH in the plasma studies, this also suggests a potential relationship between ND4 intactness and thyroid tumor tissue size. Taken together, our findings suggest a tumor-specific process involving increased release of intact mtDNA, detectable in the plasma, which differentiates normal patients from patients with thyroid cancer.

Indexed as

Biomarkers, TumorCase-Control StudiesCell-Free Nucleic AcidsDNA, MitochondrialEarly Detection of CancerFemaleGene DosageHumansMaleNADH DehydrogenaseThyroid NeoplasmsBiomarkers, TumorCell-Free Nucleic AcidsDNA, MitochondrialNADH DehydrogenaseNADH dehydrogenase subunit 1, humanNADH dehydrogenase subunit 4Cell free mtDNAmtDNA copy numbermtDNA integrityND4/ND1Thyroid cancer

Identifiers

PMID33035689
PMCPMC9680688
OpenAlexW3091933896

What OpenQuestion holds

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LicenceTDM
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.