Evidence map›Paper›PMID 33098447›Full record

ArticleJournal of cancer research and clinical oncology2021

The clinical relevance of the Hippo pathway in pancreatic ductal adenocarcinoma.

Richard Drexler, Mirco Küchler, Kim C Wagner, Tim Reese, Bernd Feyerabend, Moritz Kleine, Karl J Oldhafer

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

6 citing papers in PubMed, 9 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

7 authors at 3 institutions in 2 countries.

Richard DrexlerAsklepios Campus Hamburg, Semmelweis University Budapest, Hamburg, Germany. richard.drexler@semmelweis-hamburg.de.ORCID http://orcid.org/0000-0002-4830-3671
Mirco KüchlerAsklepios Campus Hamburg, Semmelweis University Budapest, Hamburg, Germany.
Kim C WagnerAsklepios Campus Hamburg, Semmelweis University Budapest, Hamburg, Germany.
Tim ReeseAsklepios Campus Hamburg, Semmelweis University Budapest, Hamburg, Germany.
Bernd FeyerabendMVZ Hanse Histologikum GmbH, Hamburg, Germany.
Moritz KleineDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Karl J OldhaferAsklepios Campus Hamburg, Semmelweis University Budapest, Hamburg, Germany. k.oldhafer@asklepios.com.
Asklepios Klinik Barmbek · DEMedizinische Hochschule Hannover · DESemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Hippo pathway has broadened in cancer research in the past decade and revealed itself to be an important driver for tumorigenesis and metastatic spread. In this study, we investigated the clinical relevance of the Hippo pathway with regard to metastatic invasion, patients' outcome and histopathological features.

methodsProtein expression of components of the Hippo pathway were analyzed by immunohistochemistry (IHC) using paraffin-embedded tissue from 103 patients who had been diagnosed with pancreatic ductal adenocarcinoma and had undergone surgery. Results were correlated with clinicopathological data, disease-free and overall survival.

resultsImmunohistochemistry studies in pancreatic tumour tissues revealed a significant upregulation of MST1, MST2, pLATS, pYAP and 14-3-3, representing the active Hippo pathway, in non-metastasized patients (p < 0.01). In turn, the pathway is more inactive in metastasized patients and relating liver metastases as LATS1, LATS2, YAP, transcriptional factors TEAD2 and TEAD3 were upregulated in these patients (p < 0.01). A higher pYAP expression was associated with a favorable OS and DFS.

conclusionThe Hippo pathway is inactive in metastasized patients releasing the pro-metastatic and proliferative potential of the pathway. Furthermore, our study underlines the prognostic relevance of the Hippo pathway as a shift in the balance towards the inactive pathway predicts an unfavorable OS and DFS.

Indexed as

AgedCarcinoma, Pancreatic DuctalCell Cycle ProteinsDNA-Binding ProteinsFemaleHippo KinasesHippo Signaling PathwayHumansImmunohistochemistryMaleNeoplasm MetastasisNuclear ProteinsPancreatic NeoplasmsProtein Serine-Threonine KinasesSerine-Threonine Kinase 3Signal TransductionCell Cycle ProteinsDNA-Binding ProteinsHippo KinasesLATS1 protein, humanNuclear ProteinsProtein Serine-Threonine KinasesSerine-Threonine Kinase 3STK3 protein, humanTEAD1 protein, humanTEA Domain Transcription FactorsTranscription FactorsYY1AP1 protein, humanHippo pathwayMetastasisPancreatic cancerPDACPrognosis

Identifiers

PMID33098447
PMCPMC7817599
OpenAlexW3094036597

What OpenQuestion holds

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LicenceCC BY
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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.