Evidence map›Paper›PMID 34273216›Full record

Observational studyCancer science2021

Plasma extracellular vesicle microRNA-491-5p as diagnostic and prognostic marker for head and neck squamous cell carcinoma.

Wittaya Panvongsa, Teerada Siripoon, Wittawin Worakitchanon, Lalida Arsa, Narumol Trachu, Natini Jinawath, Nuttapong Ngamphaiboon, Arthit Chairoungdua

Abstract readObservational Study
In one paragraph

Observational study in Cancer science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Exosomal MicroRNAs as novel diagnostic biomarkers in head and neck cancer: a systematic evaluation and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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  13. Peripheral Blood Genes Crosstalk between COVID-19 and Sepsis.International journal of molecular sciences · 2023
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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.

Wittaya PanvongsaToxicology Graduate Program, Faculty of Science, Mahidol University, Bangkok, Thailand.
Teerada SiripoonDivision of Medical Oncology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Wittawin WorakitchanonExcellent Center for Drug Discovery (ECDD), Mahidol University, Bangkok, Thailand.
Lalida ArsaMolecular Histopathology Laboratory, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Narumol TrachuResearch Center, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Natini JinawathProgram in Translational Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Nuttapong NgamphaiboonExcellent Center for Drug Discovery (ECDD), Mahidol University, Bangkok, Thailand.
Arthit ChairoungduaToxicology Graduate Program, Faculty of Science, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-0965-126X

Funding

Mahidol University and Thailand Science Research and Innovation (Thailand Research Fund) RSA6280043Thailand Science Research and Innovation (Thailand Research Fund) through the Royal Golden Jubilee Ph.D. Program and Mahidol University PHD/0098/2559The National Research Council of Thailand (NRCT) through the Government Research 3484
6 · The paper itself

Abstract

Poor survival of patients with locally advanced head and neck squamous cell carcinoma (LA-HNSCC) is partly due to early diagnosis difficulties and the lack of reliable biomarkers for predicting treatment outcomes. In the discovery cohort, plasma-derived extracellular vesicles (EVs) from LA-HNSCC patients (n = 48) and healthy volunteers (n = 12) were used for profiling for microRNA (miRNA) expression by NanoString analysis. Ten EV-associated miRNAs were differentially expressed between LA-HNSCC patients and healthy volunteers. Subsequently, the results were validated in the individual discovery and additional cases (HNSCC, n = 73; control, n = 20) by quantitative RT-PCR. Among 10 EV-miRNAs, four (miR-27b-3p, miR-491-5p, miR-1910-5p, and miR-630) were significantly dysregulated in LA-HNSCC patients (n = 73) compared with healthy volunteers (n = 20). The miRNA prediction models were developed to discriminate HNSCC patients from healthy volunteers. The model using miR-491-5p was selected as a diagnostic biomarker for LA-HNSCC with a sensitivity and specificity of 46.6% and 100%, respectively (P < .001). The dynamic changes of miRNA model score (ΔmiRNAs) were determined using scores pre- and postdefinitive treatment to further investigate the prognostic value of miRNA prediction models. The univariate and multivariate analyses indicated that ΔmiR-491-5p was the most powerful and independent prognostic indicator for overall survival (hazard ratio [HR] 5.66, 95% confidence interval, 1.77-18.01; P = .003) and disease-free survival (HR 2.82, 95% CI, 1.13-7.05; P = .027) of HNSCC patients. In summary, the miR-491-5p prediction model could serve as a blood-based diagnostic marker for LA-HNSCC. Moreover, ΔmiR-491-5p could be a potential monitoring prognostic marker to reflect the survival of HNSCC patients.

Indexed as

AdultAgedAnalysis of VarianceBiomarkers, TumorCase-Control StudiesConfidence IntervalsDisease-Free SurvivalExtracellular VesiclesFemaleHead and Neck NeoplasmsHumansMaleMicroarray AnalysisMicroRNAsMiddle AgedPrognosisBiomarkers, TumorMicroRNAsMIRN27 microRNA, humanMIRN491 microRNA, humanMIRN630 microRNA, humanbiomarkerextracellular vesiclehead and neck squamous cell carcinomaliquid biopsymiRNA

Identifiers

PMID34273216
PMCPMC8486186

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.