Evidence map›Paper›PMID 34094525›Full record

ArticleAnnals of medicine and surgery (2012)2021

PAI-1 expression in intratumoral inflammatory infiltrate contributes to lymph node metastasis in oral cancer: A cross-sectional study.

Mayara Mota de Oliveira, Gabriela Tonini Peterle, Cinthia Vidal Monteiro da Silva Couto, Lucas de Lima Maia, Andre Kühl, Joaquim Gasparini Dos Santos, Raquel Ajub Moysés, Leonardo Oliveira Trivilin, Aline Ribeiro Borçoi, Anderson Barros Archanjo and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Biomarkers in oral squamous cell carcinoma: a systematic review.Medicina oral, patologia oral y cirugia bucal · 2026
    Pooled it
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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

14 authors at 4 institutions in 2 countries.

Mayara Mota de OliveiraBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Gabriela Tonini PeterleBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Cinthia Vidal Monteiro da Silva CoutoBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Lucas de Lima MaiaBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Andre KühlDepartment of Anatomy and Cell Biology, Wayne State University School of Medicine, Detroit, MI, USA.
Joaquim Gasparini Dos SantosBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Raquel Ajub MoysésHead and Neck Surgery Service, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.
Leonardo Oliveira TrivilinDepartment of Veterinary Medicine, Federal University of Espirito Santo, Alegre, ES, Brazil.
Aline Ribeiro BorçoiBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Anderson Barros ArchanjoBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Arícia Leone Evangelista Monteiro de AssisBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Fábio Daumas NunesOral and Maxillofacial Pathology Department, Faculty of Dentistry, University of São Paulo, São Paulo, SP, Brazil.
Marcelo Dos SantosMulticampi School of Medical Sciences, Federal University of Rio Grande do Norte. Rio Grande do Norte, Caicó, RN, Brazil.
Adriana Madeira Álvares da SilvaBiotechnology Postgraduate Program, Federal University of Espirito Santo, Vitória, ES, Brazil.
Universidade Federal do Espírito Santo · BRUniversidade de São Paulo · BRUniversidade Federal do Rio Grande do Norte · BRWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmune cells contribute with mediators in the protein expression profile of the tumor microenvironment. Levels of plasminogen activator inhibitor-1 (PAI-1) are elevated in non-malignant inflammatory conditions; however, the association between PAI-1 expression and inflammation remains uncertain in oral squamous cell carcinoma (OSCC). This study aimed to investigate PAI-1 expression in mononuclear inflammatory cell infiltrate in OSCC and its role as a prognostic marker.

methodsSamples were collected from patients with OSCC, treated surgically, and followed for 24 months after the procedure. Thirty-nine tumoral tissue were analyzed using immunohistochemistry. Correlation between protein expression, clinicopathological parameters, and the prognosis was investigated.

resultsPositive PAI-1 expression in mononuclear inflammatory cell infiltrate was significantly associated with lymph node status (p = 0.009) and with the cytoplasmic expression of vascular endothelial growth factor A (VEGFA) (p = 0.028). Multivariate analysis revealed weak PAI-1 expression as an independent marker for lymph node metastases, with approximately 8-fold increased risk compared to strong expression (OR = 8.60; CI = 1.54-48.08; p = 0.014).

conclusionOur results suggest that the strong PAI-1 expression in intratumoral inflammatory infiltrate is an indicator of a better prognosis for patients diagnosed with oral squamous cell carcinoma.

Indexed as

Lymph nodeOral squamous cell carcinomaPAI-1Prognostic marker

Identifiers

PMID34094525
PMCPMC8167432
OpenAlexW3154914655

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LicenceCC BY-NC-ND
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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.