Evidence map›Paper›PMID 34979986›Full record

ArticleBMC cancer2022

The blood level of thioredoxin 1 as a supporting biomarker in the detection of breast cancer.

Youn Ju Lee, Young Kim, Bo Bae Choi, Je Ryong Kim, Hye Mi Ko, Kyoung Hoon Suh, Jin Sun Lee

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Hydrating with a higher-fructose sport drink does not worsen acute kidney injury risk during simulated work-related heat stress.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
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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

7 authors at 4 institutions in 1 country.

Youn Ju LeeDepartment of Surgery, Chungnam National University Sejong Hospital, 20, Bodeum 7-ro, Sejong, South Korea.
Young KimE&S Healthcare, 11-3, Techno 1-ro, Yuseong-gu, Daejeon, South Korea.
Bo Bae ChoiDepartment of Radiology, Chungnam National University Hospital, 282, Munhwa-ro, Jung-gu, Daejeon, South Korea.
Je Ryong KimDepartment of Surgery, Chungnam National University Hospital, 282, Munhwa-ro, Jung-gu, Daejeon, South Korea.
Hye Mi KoDepartment of Surgery, Chungnam National University Hospital, 282, Munhwa-ro, Jung-gu, Daejeon, South Korea.
Kyoung Hoon SuhE&S Healthcare, 11-3, Techno 1-ro, Yuseong-gu, Daejeon, South Korea.
Jin Sun LeeDepartment of Surgery, Chungnam National University Hospital, 282, Munhwa-ro, Jung-gu, Daejeon, South Korea. jinsunlee@cnuh.co.kr.ORCID http://orcid.org/0000-0003-2812-9976
Chungnam National University · KRChungnam National University Hospital · KRPai Chai University · KRYonsei University · KR

Funding

Korea Evaluation Institute of Industrial Technology N0002386
6 · The paper itself

Abstract

backgroundThere is a long-time unmet need for a means to detect breast cancer (BC) using blood. Although mammography is accepted as the gold standard for screening, a blood-based diagnostic can complement mammography and assist in the accurate detection of BC in the diagnostic process period of early diagnosis. We have previously reported the possible use of thioredoxin 1 (Trx1) in serum as a novel means to detect BC. In the present study, we validated the clinical utility of Trx1 to identify BC by testing sera from biopsy-confirmed cancer patients and women without cancer.

methodsWe have generated monoclonal antibodies against Trx1 and developed an ELISA kit that can quantitate Trx1 in sera. The level of Trx1 was determined in each serum from women without cancer (n = 114), as well as in serum from patients with BC (n = 106) and other types of cancers (n = 74), including cervical, lung, stomach, colorectal, and thyroid cancer. The sera from BC patients were collected and classified by the subjects' age and cancer stage. In addition to the Trx1 levels of BC patients, several pathological and molecular aspects of BC were analyzed. Test results were retrospectively compared to those from mammography. Each test was duplicated, and test results were analyzed by ROC analysis, one-way ANOVA tests, and unpaired t-tests.

resultsThe mean level of Trx1 from women without cancer was 5.45 ± 4.16 (±SD) ng/ml, that of the other malignant cancer patient group was 2.70 ± 2.01 ng/ml, and that from the BC group was 21.96 ± 6.79 ng/ml. The difference among these values was large enough to distinguish BC sera from non-BC control sera with a sensitivity of 97.17% and specificity of 94.15% (AUC 0.990, p < 0.0001). Most Trx1 levels from BC patients' sera were higher than the cut-off value of 11.4 ng/ml regardless of age, stage, histological grade, type, and specific receptors' expression profile of BC. The level of Trx1 could rescue women from most cases of misread or incomplete mammography diagnoses.

conclusionThese results indicated that the blood level of Trx1 could be an effective and accurate means to assist the detection of BC during the early diagnosis period.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorBreast NeoplasmsCross-Sectional StudiesEarly Detection of CancerFemaleHumansMammographyMiddle AgedNeoplasm StagingReproducibility of ResultsRetrospective StudiesROC CurveSensitivity and SpecificityBiomarkers, TumorThioredoxinsBiomarkerBloodBreast CancerDiagnostic intervalDiagnosticsEarly diagnosisMammographySensitivitySpecificityThioredoxin 1

Identifiers

PMID34979986
PMCPMC8722095
OpenAlexW4220657824

What OpenQuestion holds

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LicenceCC BY
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.