Evidence map›Paper›PMID 33776480›Full record

ArticleCancer management and research2021

Serum Apolipoprotein A-I Predicts Response of Rectal Cancer to Neoadjuvant Chemoradiotherapy.

Su-Ping Guo, Chen Chen, Zhi-Fan Zeng, Qiao-Xuan Wang, Wu Jiang, Yuan-Hong Gao, Hui Chang

Abstract read
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Article in Cancer management and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Translational cancer research · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Apolipoproteins: New players in cancers.Frontiers in pharmacology · 2022
    Review
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.

Su-Ping Guo *Department of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Chen Chen *Department of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Zhi-Fan ZengDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.ORCID 0000-0001-7508-1536
Qiao-Xuan WangDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Wu JiangState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, People's Republic of China.
Yuan-Hong GaoDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.ORCID 0000-0001-7459-2713
Hui ChangDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.ORCID 0000-0001-6651-5101

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerum lipids have been reported as prognosticators for malignancies, including rectal cancer (RC). Yet, their value in predicting the response of RC to neoadjuvant chemoradiotherapy (NACRT) remains unknown. This study aimed to assess the predictive abilities of serum lipids for a bad response, and to build a serum lipid-based prediction model.

methodsIn total, 751 patients diagnosed with stage cII-III RC and treated with NACRT plus surgery from January 2007 to August 2018 were retrospectively reviewed and randomly divided into two data sets, in a ratio of 1:1. Receiver operating characteristics (ROC) analysis was conducted in the development set to select possible predictors of bad NACRT response from pathoclinical factors, including serum lipids. Multivariate logistic regression was conducted to further determine independent predictors, which were then used to develop a prediction index (PI). Finally, the PI was verified in the validation set, through ROC analysis and chi-squared test.

resultsFive independent predictors were identified: tumor length ≥4 cm, cT4 stage, carcinoembryonic antigen ≥5.0 ng/mL, irradiation with three-dimensional conformal radiotherapy technique, and apolipoprotein A-I ≤1.20 g/L. Each of them was assigned a number of points. In the validation set, the area under the curve of PI appeared as 0.642 (95% confidence interval 0.586-0.697). The sensitivity, specificity, positive and negative predictive values, and concordance were 72.3%, 52.3%, 63.8%, 61.9%, and 63.0%, respectively.

conclusionSerum apolipoprotein A-I was found to correlate negatively with the RC response to NACRT. It could serve as a biomarker for guiding individualized treatment and a potential target for improving sensitivity to chemoradiation.

Indexed as

apolipoprotein A-Iprediction modelradiotherapyrectal cancertumor response

Identifiers

PMID33776480
PMCPMC7987273

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