Evidence map›Paper›PMID 34076963›Full record

ArticleCancer cytopathology2021

Keratin 17 testing in pancreatic cancer needle aspiration biopsies predicts survival.

Lucia Roa-Peña, Sruthi Babu, Cindy V Leiton, Maoxin Wu, Sofia Taboada, Ali Akalin, Jonathan Buscaglia, Luisa F Escobar-Hoyos, Kenneth R Shroyer

Open access · greenAbstract read
In one paragraph

Article in Cancer cytopathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 17 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

9 authors at 4 institutions in 2 countries.

Lucia Roa-PeñaDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Sruthi BabuDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Cindy V LeitonDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Maoxin WuDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Sofia TaboadaDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Ali AkalinDepartment of Pathology, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts.
Jonathan BuscagliaDivision of Gastroenterology and Hepatology, Department of Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Luisa F Escobar-HoyosDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Kenneth R ShroyerDepartment of Pathology, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.ORCID 0000-0001-8090-0778
Stony Brook School · USMemorial Medical Center · USUniversidad Nacional de Colombia · COYale University · US

Funding

Altered mRNA splicing dependent on mutant p53 identifies novel therapeutic vulnerability in pancreatic cancerR00CA226342 · NCI · YALE UNIVERSITY · PI ESCOBAR HOYOS, LUISA · 2020 to 2022
$741k
Altered mRNA splicing dependent on mutant p53 identifies novel therapeutic vulnerability in pancreatic cancerK99CA226342 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI ESCOBAR HOYOS, LUISA · 2018 to 2019
$204k
Damon Runyon Cancer Research FoundationHirshberg Foundation for Pancreatic Cancer ResearchNational Pancreas FoundationNational Science Foundation HRD-1311318NCI NIH HHS K99-R00 CA226342-01NCI NIH HHS R00 CA226342Pancreatic Cancer Action Network 18-65-SHRO
6 · The paper itself

Abstract

backgroundAlthough pancreatic ductal adenocarcinoma (PDAC) has one of the lowest 5-year survival rates of all cancers, differences in survival exist between patients with clinically identical characteristics. The authors previously demonstrated that keratin 17 (K17) expression in PDAC, measured by RNA sequencing or immunohistochemistry (IHC), is an independent negative prognostic biomarker. Only 20% of cases are candidates for surgical resection, but most patients are diagnosed by needle aspiration biopsy (NAB). The aims of this study were to determine whether there was a correlation in K17 scores detected in matched NABs and surgical resection tissue sections and whether K17 IHC in NAB cell block specimens could be used as a negative prognostic biomarker in PDAC.

methodsK17 IHC was performed for a cohort of 70 patients who had matched NAB cell block and surgical resection samples to analyze the correlation of K17 expression levels. K17 IHC was also performed in cell blocks from discovery and validation cohorts. Kaplan-Meier and Cox proportional hazards regression models were analyzed to determine survival differences in cases with different levels of K17 IHC expression.

resultsK17 IHC expression correlated in matched NABs and resection tissues. NAB samples were classified as high for K17 when ≥80% of tumor cells showed strong (2+) staining. High-K17 cases, including stage-matched cases, had shorter survival.

conclusionsK17 has been identified as a robust and independent prognostic biomarker that stratifies clinical outcomes for cases that are diagnosed by NAB. Testing for K17 also has the potential to inform clinical decisions for optimization of chemotherapeutic interventions.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsBiomarkers, TumorBiopsy, NeedleHumansKeratin-17PrognosisBiomarkers, TumorKeratin-17immunohistochemistrykeratin 17needle aspiration biopsiespancreatic ductal adenocarcinomaprognostic biomarker

Identifiers

PMID34076963
PMCPMC9014629
OpenAlexW3165520194

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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.