Evidence map›Paper›PMID 34240508›Full record

ArticlePathology international2021

Membranous HEG1 expression is a useful marker in the differential diagnosis of epithelioid and biphasic malignant mesothelioma versus carcinomas.

Kenzo Hiroshima, Di Wu, Eitetsu Koh, Yasuo Sekine, Daisuke Ozaki, Toshikazu Yusa, Tadao Nakazawa, Shoutaro Tsuji, Yohei Miyagi, Ann E Walts and 3 more

Open access · greenAbstract read
In one paragraph

Article in Pathology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. The specificity of HEG1 as mesothelioma marker depends on the differential diagnosis.Virchows Archiv : an international journal of pathology · 2026
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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

13 authors at 7 institutions in 3 countries.

Kenzo HiroshimaDepartment of Biochemistry and Genetics, Chiba University Graduate School of Medicine, Chiba, Japan.ORCID http://orcid.org/0000-0002-0865-0820
Di WuDepartment of Pathology, Tokyo Women's Medical University, Yachiyo Medical Center, Yachiyo, Japan.
Eitetsu KohDepartment of Thoracic Surgery, Tokyo Women's Medical University, Yachiyo Medical Center, Yachiyo, Japan.
Yasuo SekineDepartment of Thoracic Surgery, Tokyo Women's Medical University, Yachiyo Medical Center, Yachiyo, Japan.
Daisuke OzakiDepartment of Pathology, Chiba Rosai Hospital, Ichihara, Japan.
Toshikazu YusaDepartment of General Thoracic Surgery and Asbestos Disease Center, Chiba Rosai Hospital, Ichihara, Japan.
Tadao NakazawaDepartment of Pathology, Tokyo Women's Medical University, Yachiyo Medical Center, Yachiyo, Japan.
Shoutaro TsujiDivision of Cancer Therapeutics, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Yohei MiyagiMolecular Pathology and Genetics Division, Kanagawa Cancer Center Research Institute, Yokohama, Japan.
Ann E WaltsDepartment of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Alberto M MarchevskyDepartment of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Aliya N HusainDepartment of Pathology, University of Chicago, Chicago, Illinois, USA.
Kohzoh ImaiResearch Platform Office, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
Tokyo Women's Medical University · JPCedars-Sinai Medical Center · USChiba Rosai Hospital · JPKanagawa Prefectural Hospital Organization · JPChiba University · JPTokyo Medical University · JPUniversity of Chicago · US

Funding

Japan Agency for Medical Research and Development JP20cm0106406Ministry of the Environment of JapanNichias Corporation, Tokyo, Japan
6 · The paper itself

Abstract

Sialylated HEG1 has been reported as a highly specific and sensitive mesothelioma marker but a comprehensive evaluation of its expression in carcinomas in different organs, various sarcomas and reactive mesothelial proliferations has not been reported. The aim of this study was to evaluate the clinical applicability of HEG1 as a marker in the diagnosis of mesothelioma. HEG1 immunoreactivity was evaluated in whole sections of 122 mesotheliomas, 75 pulmonary carcinomas, 55 other carcinomas, 16 mesenchymal tumors, and 24 reactive mesothelial proliferations and in tissue microarrays containing 70 epithelioid (EM), 36 biphasic (BM), and 2 sarcomatoid mesotheliomas (SM). In whole sections and tissue microarrays, respectively, membranous HEG1 was expressed in 93.0% and 85.5% of EM, 81.3% and 69.4% of BM, 0% and 0% of SM. HEG1 was not expressed in pulmonary adenocarcinomas. HEG1 was expressed as cytoplasmic immunoreactivity in pulmonary squamous cell carcinomas (21.7%). Membranous HEG1 staining was seen in ovarian carcinomas (66.7%), thyroid carcinomas (100%), reactive conditions (16.7%), and mesenchymal tumors (18.8%). The sensitivity of membranous HEG1 expression to distinguish EM/BM from all carcinomas was 88.8%. The specificity for the differential diagnosis between EM/BM and all carcinomas and pulmonary carcinomas was 92.3% and 98.7%, respectively.

Indexed as

Carcinoma, Squamous CellDiagnosis, DifferentialEpitheliumHumansImmunohistochemistryLung NeoplasmsMembrane ProteinsMesothelioma, MalignantTissue Array AnalysisHEG1 protein, humanMembrane ProteinsHEG1immunohistochemistrymesothelial markermesothelioma

Identifiers

PMID34240508
PMCPMC8519072
OpenAlexW3180172973

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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.