Evidence map›Paper›PMID 34064473›Full record

ArticleCancers2021

Prognostic Significance of BIRC5/Survivin in Breast Cancer: Results from Three Independent Cohorts.

Nina Oparina, Malin C Erlandsson, Anna Fäldt Beding, Toshima Parris, Khalil Helou, Per Karlsson, Zakaria Einbeigi, Maria I Bokarewa

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  3. Survivin targeting triple-fusion vaccineMedical oncology (Northwood, London, England) · 2025
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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

8 authors at 3 institutions in 1 country.

Nina OparinaDepartment of Rheumatology and Inflammation Research, Institute of Medicine, University of Gothenburg; 40530 Gothenburg, Sweden.ORCID 0000-0003-3179-1258
Malin C ErlandssonDepartment of Rheumatology and Inflammation Research, Institute of Medicine, University of Gothenburg; 40530 Gothenburg, Sweden.ORCID 0000-0003-1100-7577
Anna Fäldt BedingDepartment of Medicine and Oncology, Southern Älvsborg Hospital, 50182 Borås, Sweden.ORCID 0000-0002-3336-2521
Toshima ParrisDepartment of Oncology, Institute of Clinical Science at Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden.ORCID 0000-0003-0834-5540
Khalil HelouDepartment of Oncology, Institute of Clinical Science at Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden.
Per KarlssonDepartment of Oncology, Institute of Clinical Science at Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, Sweden.ORCID 0000-0003-4841-2672
Zakaria EinbeigiDepartment of Medicine and Oncology, Southern Älvsborg Hospital, 50182 Borås, Sweden.
Maria I BokarewaDepartment of Rheumatology and Inflammation Research, Institute of Medicine, University of Gothenburg; 40530 Gothenburg, Sweden.ORCID 0000-0001-9424-5145
Sahlgrenska University Hospital · SESödra Älvsborg Hospital · SEUniversity of Gothenburg · SE

Funding

King Gustaf V:s 80-year Foundation MBKing Gustav V Jubilee Clinic Foundation 2019:248 (PK)Regional agreement on medical training and clinical research between the Western Götaland county council and the University of Gothenburg ALFGBG-717681 (MB); ALFGBG-716711 (PK)Swedish Association against Rheumatism R-566961 (MB)Swedish Cancer Society 2019/0081 (PK)Swedish Research Council 521-2017-03025 (MB)University of Gothenburg, Walter Andersons fond for scientific research, Southern Älvsborg Hospital, Borås, Sweden AFB and ZE
6 · The paper itself

Abstract

Breast cancer (BC) histological and molecular classifications significantly improved the treatment strategy and prognosis. Inhibitor of apoptosis BIRC5/survivin is often overexpressed in cancers, however, indications of its importance in BC are inconsistent. We integrate BIRC5 protein and mRNA measures with clinical associates and long-term outcome in three independent cohorts Protein levels of BIRC5 were measured in primary lysates of 845 patients of the West Swedish BC cohort (VGR-BC) and linked to 5- and 27-years survival. The results were externally validated in transcriptomic data from METABRIC and SCAN-B cohorts. Survival analysis showed that high levels of BIRC5 were consistently associated with a poor probability of 5-year overall survival. High BIRC5 in VGR-BC contributed negatively to the disease-specific survival at 5 and 27 years. Subsets with different status by ER (estrogen receptor) expression and presence of nodal metastasis supported independent association of high BIRC5 with poor prognosis in all cohorts. In METABRIC and SCAN-B cohorts, high levels of BIRC5 mRNA were associated with the basal-like and luminal B molecular BC subtypes and with increasing histologic grade. BIRC5 is a sensitive survival marker that acts independent of ER and nodal status, and its levels need to be considered when making treatment decisions.

Indexed as

BIRC5breast cancermolecular signaturesurvival probabilitysurvivin

Identifiers

PMID34064473
PMCPMC8125570
OpenAlexW3157965628

What OpenQuestion holds

Textmetadata
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.