Evidence map›Paper›PMID 34378678›Full record

ArticleBrazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica2021

Decreased levels of cathepsin Z mRNA expressed by immune blood cells: diagnostic and prognostic implications in prostate cancer.

A A S Batista, B M Franco, M M Perez, E G Pereira, T Rodrigues, M L Wroclawski, F L A Fonseca, E R Suarez

Open access · goldAbstract read
In one paragraph

Article in Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 40% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Cathepsin Z/X: Breaking Down the Known and Unknown.International journal of molecular sciences · 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

8 authors at 4 institutions in 1 country.

A A S BatistaCentro de Ciências Naturais e Humanas, Universidade Federal do ABC, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0002-0579-3754
B M FrancoCentro de Ciências Naturais e Humanas, Universidade Federal do ABC, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0002-2353-2574
M M PerezLaboratório de Análises Clínicas, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0002-0066-6422
E G PereiraCentro de Ciências Naturais e Humanas, Universidade Federal do ABC, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0003-4840-1949
T RodriguesCentro de Ciências Naturais e Humanas, Universidade Federal do ABC, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0003-1277-0224
M L WroclawskiHospital Israelita Albert Einstein, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0001-6835-9085
F L A FonsecaLaboratório de Análises Clínicas, Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0003-1223-1589
E R SuarezCentro de Ciências Naturais e Humanas, Universidade Federal do ABC, Santo André, SP, Brasil.ORCID http://orcid.org/0000-0002-0521-1056
Universidade Federal do ABC · BRFaculdade de Medicina do ABC · BRHospital Israelita Albert Einstein · BRInstituto de Ciências Farmacêuticas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cathepsin Z (CTSZ) is a cysteine protease responsible for the adhesion and migration of both immune and tumor cells. Due to its dual role, we hypothesized that the site of CTSZ expression could be determinant of the pro- or anti-tumorigenic effects of this enzyme. To test this hypothesis, we analyzed CTSZ expression data in healthy and tumor tissues by bioinformatics and evaluated the expression levels of CTSZ mRNA in the blood cells of prostate cancer (PCa) patients by qRT-PCR compared with healthy subjects, evaluating its diagnostic and prognostic implications for this type of cancer. Immune cells present in the blood of healthy patients overexpress CTSZ. In PCa, we found decreased CTSZ mRNA levels in blood cells, 75% lower than in healthy subjects, that diminished even more during biochemical relapse. CTSZ mRNA in the blood cells had an area under the curve for PCa diagnosis of 0.832, with a 93.3% specificity, and a positive likelihood ratio of 9.4. The site of CTSZ mRNA expression is fundamental to determine its final role as a protective determinant in PCa, such as CTSZ mRNA in the blood cells, or a malignant determinant, such as found for CTSZ expressed in high levels by different types of primary and metastatic tumors. Low CTSZ mRNA expression in the total blood is a possible PCa marker complementary to prostate-specific antigen (PSA) for biopsy decisions, with the potential to eliminate unnecessary biopsies.

Indexed as

Cathepsin ZProstatic NeoplasmsBlood CellsHumansMalePrognosisProstate-Specific AntigenRNA, MessengerCathepsin ZProstate-Specific AntigenRNA, Messenger

Identifiers

PMID34378678
PMCPMC8365873
OpenAlexW3189247821

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.