Evidence map›Paper›PMID 34793664›Full record

ArticleCancer research and treatment2022

Clinical Significance of Major Angiogenesis-Related Effectors in Patients with Metastatic Breast Cancer Treated with Trastuzumab-Based Regimens.

Helen P Kourea, Foteinos-Ioannis Dimitrakopoulos, Georgia-Angeliki Koliou, Anna Batistatou, Kyriaki Papadopoulou, Mattheos Bobos, Anthoula Asimaki-Vlachopoulou, Sofia Chrisafi, Kitty Pavlakis, Kyriakos Chatzopoulos and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Multi-parametric MRI radiomics predicts different HER2 expression in breast cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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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

19 authors at 12 institutions in 3 countries.

Helen P KoureaDepartment of Pathology, University Hospital of Patras, Rion, Greece.
Foteinos-Ioannis DimitrakopoulosDivision of Oncology, Department of Medicine, University Hospital, Medical School, University of Patras, Patras, Greece.
Georgia-Angeliki KoliouSection of Biostatistics, Hellenic Cooperative Oncology Group, Data Office, Athens, Greece.
Anna BatistatouDepartment of Pathology, Ioannina University Hospital, Ioannina, Greece.
Kyriaki PapadopoulouLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research/Aristotle University of Thessaloniki, Thessaloniki, Greece.
Mattheos BobosLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research/Aristotle University of Thessaloniki, Thessaloniki, Greece.
Anthoula Asimaki-VlachopoulouHistopathology and Cytology Laboratory, Thessaloniki, Greece.
Sofia ChrisafiLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research/Aristotle University of Thessaloniki, Thessaloniki, Greece.
Kitty PavlakisPathology Department, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.
Kyriakos ChatzopoulosLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research/Aristotle University of Thessaloniki, Thessaloniki, Greece.
Eleni GalaniSecond Department of Medical Oncology, Metropolitan Hospital, Piraeus, Greece.
George PentheroudakisDepartment of Medical Oncology, Medical School, University of Ioannina, Ioannina, Greece.
Dimitrios PectasidesOncology Section, Second Department of Internal Medicine, Hippokration Hospital, Athens, Greece.
Dimitrios BafaloukosFirst Department of Medical Oncology, Metropolitan Hospital, Piraeus, Greece.
Eleni ResThird Department of Medical Oncology, Agii Anargiri Cancer Hospital, Athens, Greece.
Pavlos PapakostasOncology Unit, Hippokration Hospital, Athens, Greece.
Angelos KoutrasDivision of Oncology, Department of Medicine, University Hospital, Medical School, University of Patras, Patras, Greece.
Vassiliki KotoulaLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research/Aristotle University of Thessaloniki, Thessaloniki, Greece.
George FountzilasLaboratory of Molecular Oncology, Hellenic Foundation for Cancer Research/Aristotle University of Thessaloniki, Thessaloniki, Greece.
Aristotle University of Thessaloniki · GRHippocration General Hospital · GRMetropolitan Hospital · GRUniversity of Patras · GRGeneral University Hospital of Patras · GRHellenic Cooperative Oncology Group · GRHospital Agioi Anargyroi · GRInstitute of Cytology · RULimassol General Hospital · CYNational and Kapodistrian University of Athens · GRUniversity Hospital of Ioannina · GRUniversity of Ioannina · GR

Funding

F. Hoffmann-La Roche HE TRANS_BR
6 · The paper itself

Abstract

purposeAngiogenesis is a crucial phenomenon in the development and progression of breast cancer (BC), but the clinical significance of angiogenesis-related proteins in metastatic BC remains unknown. This study investigates the prognostic value of vascular endothelial growth factor receptors 1, 2, 3 (VEGFR1, VEGFR2, VEGFR3) as well as vascular endothelial growth factors A and C (VEGFA and VEGFC) in metastatic BC patients treated with trastuzumab-based regimens. MATERIALS AND

methodsTwo hundred female patients were included. Protein and mRNA expression of the studied angiogenesis-related factors were evaluated by immunohistochemistry and quantitative polymerase chain reaction, respectively.

resultsHigh expression of VEGFA, VEGFC, VEGFR1, VEGFR2, and VEGFR3 in the tumor cells was observed in 43.5%, 24.2%, 36%, 29.5%, and 43%, respectively. Stromal elements expressed high levels of VEGFA, VEGFC, VEGFR1, VEGFR2, and VEGFR3 in 78.9%, 93.3%, 90.7%, 90.2%, and 74.8% of tumors with available data. High tumor cell expression of VEGFR1 was a favorable prognosticator for survival among patients with human epidermal growth factor receptor 2 (HER2)-positive tumors (hazard ratio [HR], 0.55; p=0.013). A trend towards longer progression-free survival was detected univariately for patients with HER2-negative tumors and high expression of VEGFR2 (HR, 0.60; p=0.059).

conclusionVEGFR1 and VEGFR2 seem to have significant prognostic value in BC patients with metastatic disease treated with trastuzumab-based regimens.

Indexed as

Breast NeoplasmsVascular Endothelial Growth Factor AFemaleHumansNeovascularization, PathologicRNA, MessengerTrastuzumabRNA, MessengerTrastuzumabVascular Endothelial Growth Factor AAngiogenesisBreast neoplasmsHER2PrognosisVascular endothelial growth factor AVEGFR

Identifiers

PMID34793664
PMCPMC9582468
OpenAlexW3213341130

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.