Evidence map›Paper›PMID 34941961›Full record

ArticlePloS one2021

Expression of Ki-67, Cornulin and ISG15 in non-involved mucosal surgical margins as predictive markers for relapse in oral squamous cell carcinoma (OSCC).

Padmanabha Kumar Govindaraj, Thomas George Kallarakkal, Rosnah Mohd Zain, Wanninayake Mudiyanselage Tilakaratne, Huai Lin Lew

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  5. The impact of histology and molecular biology in refining the prognostic value of surgical margins in head and neck oncology - A narrative review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 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

5 authors at 4 institutions in 2 countries.

Padmanabha Kumar GovindarajDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, MAHSA University, Jenjarom, Selangor, Malaysia.
Thomas George KallarakkalDepartment of Oral & Maxillofacial Clinical Sciences, University of Malaya, Kuala Lumpur, Malaysia.
Rosnah Mohd ZainDepartment of Oral & Maxillofacial Surgery, Faculty of Dentistry, MAHSA University, Jenjarom, Selangor, Malaysia.
Wanninayake Mudiyanselage TilakaratneDepartment of Oral & Maxillofacial Clinical Sciences, University of Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0002-7061-7378
Huai Lin LewDepartment of Oral Pathology & Oral Medicine, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.ORCID 0000-0003-3040-229X
University of Malaya · MYMahsa University · MYQueen Elizabeth Hospital · MYUniversity of Peradeniya · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocal relapse of oral squamous cell carcinoma in non-involved mucosal surgical margins indicated possibility of field alteration in the margins, which could be predicted with certain biomarkers. The objectives were to evaluate the expression of Ki-67, Cornulin and ISG15 in non-involved mucosal surgical margins and the association of clinicopathological prognosticators with local relapse in oral squamous cell carcinoma.

methodsSurgical margins from the study (relapse) group (n = 23), control (non-relapse) group (n = 32) and normal oral mucosa (n = 5) were immunohistochemically stained using Ki-67, Cornulin and ISG15 antibodies. Association between expression of markers and clinicopathological prognosticators with local relapse in oral squamous cell carcinoma was analyzed statistically.

resultsThe study group surgical margins demonstrated significantly decreased Cornulin expression (p = 0.032). Low Cornulin expression was significantly associated with local relapse (p = 0.004) and non-tongue primary tumor (p = 0.013). Although not significantly associated with local relapse, expression of Ki-67 was significantly reduced in female patients (p = 0.041). Age above 57.5 years, Chinese & Indian ethnicity, alcohol consumption, epithelial dysplasia in surgical margins, and type III and IV patterns of invasion of tumor were also significantly related to local relapse. Regression analysis showed low expression of Cornulin (p = 0.018), and increased patient's age (p = 0.008) were predictors of local relapse in oral squamous cell carcinoma, with 34-fold risk and 18-fold risk, respectively. Expression of Ki-67 and ISG15 did not show significant association with local relapse in oral squamous cell carcinoma.

conclusionLow expression of Cornulin is an independent predictor of relapse in oral squamous cell carcinoma.

Indexed as

AdultAgedBiomarkers, TumorCytokinesFemaleHead and Neck NeoplasmsHumansKi-67 AntigenMaleMargins of ExcisionMembrane ProteinsMiddle AgedNeoplasm ProteinsNeoplasm Recurrence, LocalPrognosisSquamous Cell Carcinoma of Head and NeckBiomarkers, TumorCRNN protein, humanCytokinesISG15 protein, humanKi-67 AntigenMembrane ProteinsNeoplasm ProteinsUbiquitins

Identifiers

PMID34941961
PMCPMC8700009
OpenAlexW4200208691

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Registered trials

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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.