Evidence map›Paper›PMID 34458203›Full record

ArticleResearch and reports in urology2021

Expression of L-Type Amino Acid Transporter 1 is a Predictive Biomarker of Intravesical Recurrence in Patients with Non-Muscle Invasive Bladder Cancer.

Harutake Sawazaki, Yuichi Arai, Yuji Ito, Kimiya Sato, Hitoshi Tsuda, Takashi Yamaga, Hiroyuki Sakurai

Open access · goldAbstract read
In one paragraph

Article in Research and reports in urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. A pilot study of [European journal of nuclear medicine and molecular imaging · 2025
    Trial
  3. 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

7 authors at 3 institutions in 1 country.

Harutake SawazakiDepartment of Urology, Tama-Hokubu Medical Center, Higashimurayama, Japan.ORCID 0000-0002-8161-7664
Yuichi AraiDepartment of Urology, National Defense Medical College, Tokorozawa, Japan.
Yuji ItoDepartment of Pathology, Tama-Hokubu Medical Center, Higashimurayama, Japan.
Kimiya SatoDepartment of Basic Pathology, National Defense Medical College, Tokorozawa, Japan.
Hitoshi TsudaDepartment of Basic Pathology, National Defense Medical College, Tokorozawa, Japan.
Takashi YamagaDepartment of Pharmacology and Toxicology, Kyorin University School of Medicine, Mitaka, Japan.
Hiroyuki SakuraiDepartment of Pharmacology and Toxicology, Kyorin University School of Medicine, Mitaka, Japan.
Kyorin University · JPNational Defense Medical College · JPTokyo Metropolitan Tama-Hokubu Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeL-type amino acid transporter 1 (LAT1), a Na PATIENTS AND

methodsWe retrospectively reviewed 119 consecutive patients who underwent initial transurethral resection of bladder tumor. Of these, 75 patients with NMIBC were included in this study. Patients were classified into two groups according to the proportion of LAT1-positive cells, as determined by immunohistochemistry. Associations between LAT1 expression and clinicopathological factors were analyzed. Cox multivariate analyses were performed to identify independent predictors of intravesical recurrence (IVR). The LAT1 integrated risk model was compared with the European Organization for Research and Treatment of Cancer (EORTC) risk model to evaluate the predictive ability for IVR based on the c-index.

resultsThe median follow-up was 37 months. Twenty-eight patients (37.3%) had IVR. LAT1 expression was not correlated with any other clinicopathological factors. Patients with high LAT1 expression had a worse IVR-free survival than that of patients with low LAT1 expression (P = 0.038). Cox multivariate analyses indicated that tumor multiplicity and high LAT1 expression were independent predictors of IVR. The LAT1 integrated risk model had a significantly improved performance over the EORTC model for assessing recurrence risk (c-index: 0.695, improvement: 0.091, P = 0.001). When patients were stratified into three groups according to the score calculated by the LAT1 integrated risk model, the 2-year IVR-free survival rates were 93.3% in patients with 0 points, 66.9% for those with 2 points, and 37.5% for those with 4 points.

conclusionHigh LAT1 expression was an independent predictor of IVR in patients with NMIBC. The LAT1 integrated risk model had good predictability for IVR.

Indexed as

intravesical recurrenceL-type amino acid transporter 1non-muscle-invasive bladder cancertransurethral resection of bladder tumor

Identifiers

PMID34458203
PMCPMC8387640
OpenAlexW3193492054

What OpenQuestion holds

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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.