Evidence map›Paper›PMID 34613397›Full record

ArticleJournal of the National Cancer Institute2022

A Serum Marker for Early Pancreatic Cancer With a Possible Link to Diabetes.

Hoonsik Nam, Soon-Sun Hong, Kyung Hee Jung, Sunmi Kang, Min Seok Park, Suyeon Kang, Han Sun Kim, Van-Hieu Mai, Juyoung Kim, Ho Lee and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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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

17 authors at 5 institutions in 1 country.

Hoonsik NamNatural Product Research Institute, College of Pharmacy, Seoul National University, Seoul, Korea.ORCID 0000-0003-2248-6833
Soon-Sun HongDepartment of Biomedical Sciences, College of Medicine, and Program in Biomedical Science and Engineering, Inha University, Incheon, Korea.
Kyung Hee JungDepartment of Biomedical Sciences, College of Medicine, and Program in Biomedical Science and Engineering, Inha University, Incheon, Korea.ORCID 0000-0002-1291-0461
Sunmi KangNatural Product Research Institute, College of Pharmacy, Seoul National University, Seoul, Korea.
Min Seok ParkDepartment of Biomedical Sciences, College of Medicine, and Program in Biomedical Science and Engineering, Inha University, Incheon, Korea.ORCID 0000-0003-2589-4090
Suyeon KangDepartment of Statistics, College of Natural Sciences, Inha University, Incheon, Korea.
Han Sun KimNatural Product Research Institute, College of Pharmacy, Seoul National University, Seoul, Korea.
Van-Hieu MaiNatural Product Research Institute, College of Pharmacy, Seoul National University, Seoul, Korea.
Juyoung KimDepartment of Biomedical Sciences, College of Medicine, and Program in Biomedical Science and Engineering, Inha University, Incheon, Korea.
Ho LeeGraduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea.ORCID 0000-0001-5573-742X
Woohyung LeeDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Young Ju SuhDepartment of Biomedical Sciences, College of Medicine, and Program in Biomedical Science and Engineering, Inha University, Incheon, Korea.ORCID 0000-0002-6816-8067
Joo Han LimDivision of Hematology and Oncology, Department of Internal Medicine, Inha University Hospital, Inha University, Incheon, Korea.
Soo-Youl KimDivision of Cancer Biology, Research Institute, National Cancer Center, Goyang, Korea.
Song Cheol KimDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID 0000-0003-4552-4169
So Hun KimDepartment of Endocrinology and Metabolism, Department of Internal Medicine, Inha University Hospital, Inha University, Incheon, Korea.ORCID 0000-0002-2554-3664
Sunghyouk ParkNatural Product Research Institute, College of Pharmacy, Seoul National University, Seoul, Korea.ORCID 0000-0003-1981-3274
Seoul National University · KRInha University · KRUlsan College · KRInha University Hospital · KRNational Cancer Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cancer (PC) has a grim prognosis, and an early diagnostic biomarker has been highly desired. The molecular link between diabetes and PC has not been well established.

methodsBioinformatics screening was performed for a serum PC marker. Experiments in cell lines (5 PC and 1 normal cell lines), mouse models, and human tissue staining (37 PC and 10 normal cases) were performed to test asprosin production from PC. Asprosin's diagnostic performance was tested with serums from multi-center cohorts (347 PC, 209 normal, and 55 additional diabetic patients) and evaluated according to PC status, stages, and diabetic status, which was compared with that of CA19-9.

resultsAsprosin, a diabetes-related hormone, was found from the bioinformatics screening, and its production from PC was confirmed. Serum asprosin levels from multi-center cohorts yielded an age-adjusted diagnostic area under the curve (AUC) of 0.987 (95% confidence interval [CI] = 0.961 to 0.997), superior to that of CA19-9 (AUC = 0.876, 95% CI = 0.847 to 0.905), and a cut-off of 7.18 ng/mL, at which the validation set exhibited a sensitivity of 0.957 and a specificity of 0.924. Importantly, the performance was maintained in early-stage and non-metastatic PC, consistent with the tissue staining. A slightly lower performance against additional diabetic patients (n = 55) was restored by combining asprosin and CA19-9 (AUC = 0.985, 95% CI = 0.975 to 0.995).

conclusionsAsprosin is presented as an early-stage PC serum marker that may provide clues for PC-induced diabetes. Larger prospective clinical studies are warranted to solidify its utility.

Indexed as

Diabetes MellitusPancreatic NeoplasmsAnimalsBiomarkers, TumorCA-19-9 AntigenHumansMiceProspective StudiesBiomarkers, TumorCA-19-9 Antigen

Identifiers

PMID34613397
PMCPMC8826585
OpenAlexW3204645384

What OpenQuestion holds

Textmetadata
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.