Evidence map›Paper›PMID 33221541›Full record

ArticleOral oncology2021

Survivin expression and impact on head and neck cancer outcomes.

Saad A Khan, Michael Burke, Fang Zhu, Dong-Hua Yang, Cara Dubyk, Ranee Mehra, Miriam J Lango, John A Ridge, David J Sher, Barbara Burtness

Open access · greenAbstract read
In one paragraph

Article in Oral oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Survivin expression as a prognostic marker for breast cancer.Revista da Associacao Medica Brasileira (1992) · 2023
    Article
  6. International journal of molecular sciences · 2022
    Article
  7. Article
  8. Article
  9. Review
  10. 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

10 authors at 5 institutions in 1 country.

Saad A KhanFox Chase Cancer Center, United States; Stanford University, United States.
Michael BurkeUniversity of Texas Southwestern Medical Center, United States.
Fang ZhuFox Chase Cancer Center, United States.
Dong-Hua YangFox Chase Cancer Center, United States.
Cara DubykFox Chase Cancer Center, United States.
Ranee MehraFox Chase Cancer Center, United States; University of Maryland, United States.
Miriam J LangoFox Chase Cancer Center, United States; University of Texas, MD Anderson Cancer Center, Houston Texas, United States.
John A RidgeFox Chase Cancer Center, United States.
David J SherUniversity of Texas Southwestern Medical Center, United States.
Barbara BurtnessFox Chase Cancer Center, United States. Electronic address: Barbara.Burtness@yale.edu.
Fox Chase Cancer Center · USThe University of Texas Southwestern Medical Center · USStanford University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Maryland, College Park · US

Funding

Yale Head and Neck Cancer SPORE: Overcoming Treatment Resistance in Head and Neck CancerP50DE030707 · NIDCR · YALE UNIVERSITY · PI BURTNESS, BARBARA · 2020 to 2024
$11.8M
NIDCR NIH HHS P50 DE030707
6 · The paper itself

Abstract

introductionSurvivin is an inhibitor of apoptosis that is proposed as a target for anti-cancer therapy because of its high expression in cancer cells. It has potential as a prognostic and predictive biomarker of response to radiation and systemic therapies. We report its expression in head and neck squamous cell carcinoma (HNSCC) and its correlation with treatment response and survival.

methodsWe measured survivin protein expression in tumor specimens from 96 patients with HNSCC treated at Fox Chase Cancer Center, of whom 21 were p16+. Quantitative automated immunofluorescence was employed to score nuclear and cytoplasmic survivin in 5 tissue microarrays (TMAs) consisting of 316 H&N tumor cores and 107 control tissue cores. Survivin levels were then correlated to therapy response and survival outcomes.

resultsUsing the median score as the cutoff, overall survival (OS) was significantly shorter for the group expressing higher survivin in nuclear (p = 0.013), cytoplasmic (p = 0.018) and total compartments (p = 0.006). No correlation was seen between survivin expression and patient sex or grade of tumor, T or N stage, or p16 status. Survivin expression in metastases did not significantly differ from that in primary tumors. Levels of p53 expression showed a significant positive correlation with higher survivin expression in the cytoplasm (p = 0.0264) and total compartments (p = 0.0264), but not in the nucleus (p = 0.0729).

conclusionsSurvivin expression above the median is associated with shorter overall survival in HNSCC, including for patients treated with chemotherapy or radiation. p16 expression did not correlate with survivin levels.

Indexed as

AdultAgedAged, 80 and overAge FactorsApoptosisCell NucleusCyclin-Dependent Kinase Inhibitor p16CytoplasmDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm ProteinsPrognosisSex FactorsBIRC5 protein, humanCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Neoplasm ProteinsSurvivinTumor Suppressor Protein p53Head and neck cancerPrognostic biomarkersSurvivin

Identifiers

PMID33221541
PMCPMC10916757
OpenAlexW3098921456

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.