Evidence map›Paper›PMID 33042471›Full record

ArticleAmerican journal of translational research2020

CD44 expression enhances chemoresistance and implies occult micrometastases after conversion hepatectomy for initially unresectable colorectal liver metastases.

Hiromitsu Hayashi, Yuji Miyamoto, Takaaki Higashi, Yukiharu Hiyoshi, Takanobu Yamao, Norio Uemura, Kazuki Matsumura, Katsunori Imai, Yo-Ichi Yamashita, Hideo Baba

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Article in American journal of translational research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

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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

5 citing papers in PubMed.

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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

10 authors.

Hiromitsu HayashiDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Yuji MiyamotoDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Takaaki HigashiDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Yukiharu HiyoshiDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Takanobu YamaoDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Norio UemuraDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Kazuki MatsumuraDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Katsunori ImaiDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Yo-Ichi YamashitaDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Hideo BabaDepartment of Gastroenterological Surgery, Kumamoto University 1-1-1 Honjo, Kumamoto 860-8556, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe objective of this study was to examine the clinical and biological significance of CD44 expression in conversion hepatectomy for initially unresectable colorectal liver metastases.

methodsFifty-four patients who received chemotherapy followed by hepatectomy (conversion hepatectomy) for initially unresectable liver metastases were enrolled. CD44 expression and its clinical significance were examined in 52 resected specimens; two specimens revealed no residual cancer cells. The biological significance of CD44 expression in the chemoresistance response to fluorouracil, oxaliplatin or irinotecan, three major anti-cancer agents for colon cancer in the clinical setting, was examined using colon cancer cell lines.

resultsMembrane CD44 expression in the residual cancer cells after chemotherapy for colorectal liver metastases was detectable in 19 patients (37%), and was significantly associated with high proliferative activity represented by Ki-67 expression (

conclusionsCD44 enhances chemoresistance in response to anti-cancer drugs (fluorouracil and oxaliplatin) in colon cancer cells. CD44 expression in liver metastases after chemotherapy implies the presence of occult micrometastases and is a worse prognostic factor in patients with conversion hepatectomy for initially unresectable colorectal liver metastases.

Indexed as

cancer stem cell markerCD44chemoresistancecolorectal liver metastasisconversion therapy

Identifiers

PMID33042471
PMCPMC7540162

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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.