Evidence map›Paper›PMID 34327857›Full record

ArticleCancer medicine2021

A MUCINs expression signature impacts overall survival in patients with clear cell renal cell carcinoma.

Hui Meng, Xuewen Jiang, Huangwei Huang, Neng Shen, Changsheng Guo, Chunxiao Yu, Gang Yin, Yu Wang

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 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
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

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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.

Hui MengDepartment of Urology, Qilu Hospital, Jinan, Shandong, China.
Xuewen JiangDepartment of Urology, Qilu Hospital, Jinan, Shandong, China.
Huangwei HuangCheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Neng ShenDepartment of Surgery, Taian TSCM hospital, Taian, Shandong, China.
Changsheng GuoDepartment of Urology, Liaoning Hospital of Traditional Chinese Medicine, Dezhou, Shandong, China.
Chunxiao YuDepartment of Urology, Central Hospital of Zaozhuang Mining Group, Shandong, China.
Gang YinDepartment of Urology, Qilu Hospital, Jinan, Shandong, China.
Yu WangCheeloo College of Medicine, Shandong University, Jinan, Shandong, China.ORCID 0000-0002-8569-6435
Shandong University · CNTaian City Central Hospital · CNZaozhuang Municipal Hospital · CN

Funding

China National Funds for young Scientists Program 81702559
6 · The paper itself

Abstract

backgroundKidney cancer, especially clear cell renal cell carcinoma (ccRCC), is one of the most common cancers in the urinary system. Previous studies suggested that certain members of MUCINs could serve as independent predictors for the survival of ccRCC patients. None of them, however, is robust enough to predict prognosis accurately.

objectiveTo analyze the correlation of MUCINs alterations and their expression levels with the prognosis of ccRCC patients and develop a prognosis-related predictor.

methodsWe applied whole-exome sequencing in samples from 22 Chinese ccRCC patients to identify genetic alterations in MUCIN genes and analyzed their genetic alterations, expression, and correlation with survival using the TCGA, GSE73731, and GSE29069 datasets.

resultGenetic alternations in MUCINs were identified in 91% and 51% of ccRCC patients in our cohort and the TCGA database, respectively. No correlation with survival was found for the genetic alterations. Using unsupervised clustering analysis of gene expression, we identified two major clusters of MUCIN expression patterns. Cluster 1 was characterized by a global overexpression of MUC1, MUC12, MUC13, MUC16, and OVGP1; and cluster 2 was characterized by a global overexpression of MUC4, MUC5B, MUC6, MUC20, EMCN, and MCAM. Patients with cluster 1 expression pattern had significantly shorter overall survival time and worse clinical features, including higher tumor grades and metastasis. Meanwhile, they had a higher level of mutation counts and more infiltrated immune cells, but lower enrichment in angiogenesis signature genes. A five-MUCINs expression signature was constructed from cluster 1, and notably, it was demonstrated to be associated with shorter overall survival. A similar worse clinical feature, lower angiogenesis but the more immune signature, was identified in samples presented with signature 1. In the validation data set GSE29069, patients with signature 1 were also associated with a trend of poor survival outcomes.

conclusionWe established a five-MUCINs expression signature as a new prognostic marker for ccRCC. The distinct tumor microenvironment feature between the two signatures may further affect ccRCC patients' clinical management.

Indexed as

Carcinoma, Renal CellFemaleHumansKidney NeoplasmsMaleMucin-1Survival AnalysisMUC1 protein, humanMucin-1ccRCCMUCINoverall survivalprognosisunsupervised hierarchical clustering

Identifiers

PMID34327857
PMCPMC8419780
OpenAlexW3185564219

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.