Evidence map›Paper›PMID 34331569›Full record

ArticleVirchows Archiv : an international journal of pathology2021

LRIG1 is a positive prognostic marker in Merkel cell carcinoma and Merkel cell carcinoma expresses epithelial stem cell markers.

Benjamin Sundqvist, Harri Sihto, Maria von Willebrand, Tom Böhling, Virve Koljonen

Open access · hybridAbstract read
In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. mTORC1 regulates the proliferation of SOX9Histochemistry and cell biology · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. 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

5 authors at 1 institution in 1 country.

Benjamin SundqvistDepartment of Pathology, Haartman Institute, University of Helsinki, P.O. Box 21, 00014, Helsinki, Finland. benjamin.sundqvist@helsinki.fi.ORCID http://orcid.org/0000-0002-6316-1421
Harri SihtoDepartment of Pathology, Haartman Institute, University of Helsinki, P.O. Box 21, 00014, Helsinki, Finland.ORCID http://orcid.org/0000-0001-5265-5509
Maria von WillebrandDepartment of Pathology, Haartman Institute, University of Helsinki, P.O. Box 21, 00014, Helsinki, Finland.ORCID http://orcid.org/0000-0003-3024-7250
Tom BöhlingDepartment of Pathology, Haartman Institute, University of Helsinki, P.O. Box 21, 00014, Helsinki, Finland.ORCID http://orcid.org/0000-0001-8903-3690
Virve KoljonenDepartment of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID http://orcid.org/0000-0003-0398-4829
University of Helsinki · FI

Funding

Finska Läkaresällskapet 4708210Jane ja Aatos Erkon Säätiö 4706174Medicinska Understödsföreningen Liv och Hälsa 4706019University of Helsinki Funds 73604111
6 · The paper itself

Abstract

Merkel cell carcinoma (MCC) is a rare and aggressive neuroendocrine malignancy of the skin. The cell of origin of MCC is thus far unknown and proposed cells of origin include Merkel cells, pro-/pre- or pre-B cells, epithelial stem cells, and dermal stem cells. In this study, we aimed to shed further light on the possibility that a subset of MCC tumors arise from epithelial stem cells of the skin by examining the expression of hair follicle and epidermal stem cell markers in MCC and normal human skin. We also aimed to elucidate any correlation between the expression of these markers and tumor Merkel cell polyomavirus (MCPyV) status or other clinicopathological characteristics or patient survival. Expression of CK19, SOX9, LGR5, and LRIG1 in MCC and normal human skin was studied by immunohistochemistry, and the staining patterns or intensities were statistically correlated with patient, tumor, MCPyV, and survival parameters. In a cohort of 137 cases of MCC, we observed dot-like immunoexpression of CK19 in 30 cases (22.1%) and homogeneous expression in 103 cases (75.7%). We also observed positive immunoexpression of SOX9 in 21 cases (15.3%), LGR5 in 118 cases (86.1%), and LRIG1 in 117 cases (86.0%). Immunoexpression of LRIG1 was found to correlate with better overall and MCC-specific survival. We observed frequent immunoexpression of several hair follicle and epidermal stem cell markers in MCC and found LRIG1 to be a positive prognostic marker in MCC.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorCarcinoma, Merkel CellEpithelial CellsFemaleHumansImmunohistochemistryKeratin-19MaleMembrane GlycoproteinsMiddle AgedNeoplastic Stem CellsPhenotypePrognosisBiomarkers, TumorKeratin-19KRT19 protein, humanLGR5 protein, humanLRIG1 protein, humanMembrane GlycoproteinsReceptors, G-Protein-CoupledSOX9 protein, humanSOX9 Transcription FactorHair follicleImmunohistochemistryLRIG1Merkel cell carcinomaStem cell

Identifiers

PMID34331569
PMCPMC8724115
OpenAlexW3185260889

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.