Evidence map›Paper›PMID 33804101›Full record

ArticleBiomolecules2021

Leptin Is Associated with Poor Clinical Outcomes and Promotes Clear Cell Renal Cell Carcinoma Progression.

Wen-Lang Fan, Yuan-Ming Yeh, Tsung-Ta Liu, Wei-Ming Lin, Tse-Yen Yang, Chao-Wei Lee, Tsung-Chieh Lin

Open access · goldAbstract read
In one paragraph

Article in Biomolecules, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 32% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 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 5 institutions in 1 country.

Wen-Lang FanGenomic Medicine Core Laboratory, Chang Gung Memorial Hospital, Linkou 33305, Taiwan.
Yuan-Ming YehGenomic Medicine Core Laboratory, Chang Gung Memorial Hospital, Linkou 33305, Taiwan.ORCID 0000-0001-8720-947X
Tsung-Ta LiuDivision of Gastroenterology, Tri-Service General Hospital, Taipei 11490, Taiwan.
Wei-Ming LinDepartment of Diagnostic Radiology, Chang Gung Memorial Hospital, Chiayi Branch, Chang Gung University of Science and Technology, Chiayi 61363, Taiwan.
Tse-Yen YangCenter of Augmented Intelligence in Healthcare, China Medical University Hospital, Taichung 40447, Taiwan.ORCID 0000-0002-3165-132X
Chao-Wei LeeDivision of General Surgery, Department of Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan.ORCID 0000-0002-6853-4557
Tsung-Chieh LinGenomic Medicine Core Laboratory, Chang Gung Memorial Hospital, Linkou 33305, Taiwan.ORCID 0000-0002-5985-3580
Chang Gung Memorial Hospital · TWAsia University · TWChang Gung University · TWChang Gung University of Science and Technology · TWTri-Service General Hospital · TW

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3J1412
6 · The paper itself

Abstract

Emerging evidence has shown the oncogenic roles of leptin in modulating cancer progression in addition to its original roles. Analyses of transcriptomic data and patients' clinical information have revealed leptin's prognostic significance in renal cell carcinoma (RCC). However, its biological effects on RCC progression have not yet been explored. Clinical and transcriptomic data of a RCC cohort of 603 patients were retrieved from The Cancer Genome Atlas (TCGA) and analyzed to reveal the correlation of leptin with clinical outcomes and the hierarchical clustering of gene signatures based on leptin levels. In addition, cox univariate and multivariate regression analyses, cell migration upon leptin treatment, identification of putative leptin-regulated canonical pathways via ingenuity pathway analysis (IPA), and the investigation of induction of Wnt5a, ROR2, and Jun N-terminal Kinases (JNK) phosphorylation activation were performed. We first observed a correlation of high leptin levels and poor outcomes in RCC patients. Knowledge-based analysis by IPA indicated the induction of cancer cell migration by leptin, which was manifested via direct leptin treatment in the RCC cell lines. In RCC patients with high leptin levels, the planar cell polarity (PCP)/JNK signaling pathway was shown to be activated, and genes in the axis, including CTHRC1, FZD2, FZD10, ROR2, WNT2, WNT4, WNT10B, WNT5A, WNT5B, and WNT7B, were upregulated. All of these genes were associated with unfavorable clinical outcomes. WNT5A and ROR2 are pivotal upstream regulators of PCP/JNK signaling, and their correlations with leptin expression levels were displayed by a Pearson correlation analysis. The inhibition of signal transduction by SP600125 reversed leptin-mediated cell migration properties in RCC cell lines. The results indicate the prognostic impact of leptin on RCC patients and uncover its ability to promote cell migration via PCP/JNK signaling.

Indexed as

Disease ProgressionCarcinoma, Renal CellCell Line, TumorCell MovementCell PolarityCluster AnalysisCohort StudiesGene Expression Regulation, NeoplasticHumansKidney NeoplasmsLeptinMAP Kinase Signaling SystemMultivariate AnalysisNeoplasm MetastasisPrognosisRegression AnalysisLeptinclinical outcomeleptinrenal cell carcinoma

Identifiers

PMID33804101
PMCPMC7999177
OpenAlexW3138354823

What OpenQuestion holds

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LicenceCC BY
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.