Evidence map›Paper›PMID 34720812›Full record

ArticleBreast care (Basel, Switzerland)2021

PITX2 DNA-Methylation: Predictive versus Prognostic Value for Anthracycline-Based Chemotherapy in Triple-Negative Breast Cancer Patients.

Rudolf Napieralski, Gabriele Schricker, Gert Auer, Michaela Aubele, Jonathan Perkins, Viktor Magdolen, Kurt Ulm, Moritz Hamann, Axel Walch, Wilko Weichert and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. PITX1 plays essential functions in cancer.Frontiers in oncology · 2023
    Review
  4. Review
  5. 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

12 authors at 7 institutions in 3 countries.

Rudolf NapieralskiTherawis Diagnostics GmbH, Munich, Germany.
Gabriele SchrickerTherawis Diagnostics GmbH, Munich, Germany.
Gert AuerDepartment of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden.
Michaela AubeleTherawis Diagnostics GmbH, Munich, Germany.
Jonathan PerkinsQIAGEN Manchester Ltd., Manchester, United Kingdom.
Viktor MagdolenDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center (CCCTUM), Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Kurt UlmInstitute of Medical Informatics, Statistics and Epidemiology, Technische Universität München, Munich, Germany.
Moritz HamannDepartment of Gynecology Rotkreuzklinikum München, Munich, Germany.
Axel WalchResearch Unit Analytical Pathology, Helmholtz Zentrum München, Munich, Germany.
Wilko WeichertInstitute of Pathology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Marion KiechleDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center (CCCTUM), Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Olaf G WilhelmTherawis Diagnostics GmbH, Munich, Germany.
CS Diagnostics · DETechnical University of Munich · DEHelmholtz Zentrum München · DEKarolinska Institutet · SEQiagen (United Kingdom) · GBRotkreuzklinikum München · DETUM Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPITX2 DNA methylation has been shown to predict outcomes in high-risk breast cancer patients after anthracycline-based chemotherapy. To determine its prognostic versus predictive value, the impact of PITX2 DNA methylation on outcomes was studied in an untreated cohort vs. an anthracycline-treated triple-negative breast cancer (TNBC) cohort. MATERIAL AND

methodsThe percent DNA methylation ratio (PMR) of paired-like homeodomain transcription factor 2 (PITX2) was determined by a validated methylation-specific real-time PCR test. Patient samples of routinely collected archived formalin-fixed paraffin-embedded (FFPE) tissue and clinical data from 144 TNBC patients of 2 independent cohorts (i.e., 66 untreated patients and 78 patients treated with anthracycline-based chemotherapy) were analyzed.

resultsThe risk of 5- and 10-year overall survival (OS) increased continuously with rising PITX2 DNA methylation in the anthracycline-treated population, but it increased only slightly during 10-year follow-up time in the untreated patient population. PITX2 DNA methylation with a PMR cutoff of 2 did not show significance for poor vs. good outcomes (OS) in the untreated patient cohort (HR = 1.55;

conclusionIn this hypothesis-generating study PITX2 DNA methylation demonstrated predominantly predictive value in anthracycline treatment in TNBC patients. The risk of poor outcome (OS) correlates with increasing PITX2 DNA methylation.

Indexed as

AnthracyclinesBiomarkerChemotherapyDNA methylationHomeodomain proteins/geneticsPITX2Therapy predictionTreatment outcomeTriple-negative breast cancer/neoplasmsTumor/genetics

Identifiers

PMID34720812
PMCPMC8543364
OpenAlexW3111528422

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.