Evidence map›Paper›PMID 35085004›Full record

ArticleJCO precision oncology2022

Urinary 3-Methoxytyramine Is a Biomarker for MYC Activity in Patients With Neuroblastoma.

Iedan R N Verly, Yvette A H Matser, René Leen, Rutger Meinsma, Marta Fiocco, Jan Koster, Richard Volckmann, Dilara Savci-Heijink, Giuliana Cangemi, Sebastiano Barco and 3 more

Open access · hybridAbstract read
In one paragraph

Article in JCO precision oncology, 2022. 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
0.6field-weighted citation impact, top 32% 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, 5 citations in OpenAlex.

  1. Effect ofJCO precision oncology · 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

13 authors at 4 institutions in 2 countries.

Iedan R N VerlyPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0001-6745-3360
Yvette A H MatserPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0002-7182-3202
René LeenDepartment of Clinical Chemistry, Cancer Center Amsterdam, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Center, University of Amsterdam, the Netherlands.
Rutger MeinsmaDepartment of Clinical Chemistry, Cancer Center Amsterdam, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Center, University of Amsterdam, the Netherlands.
Marta FioccoPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Jan KosterDepartment of Oncogenomics, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Richard VolckmannDepartment of Oncogenomics, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Dilara Savci-HeijinkDepartment of Pathology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Giuliana CangemiCentral Laboratory of Analyses, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0001-6847-5983
Sebastiano BarcoCentral Laboratory of Analyses, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0002-1148-427X
Linda J ValentijnDepartment of Oncogenomics, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-8386-540X
Godelieve A M TytgatPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0003-4452-0748
André B P van KuilenburgDepartment of Clinical Chemistry, Cancer Center Amsterdam, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam University Medical Center, University of Amsterdam, the Netherlands.ORCID 0000-0002-7989-4910
University of Amsterdam · NLPrincess Máxima Center · NLIstituto Giannina Gaslini · ITLeiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeElevated urinary 3-methoxytyramine (3MT) level at diagnosis was recently put forward as independent risk factor for poor prognosis in neuroblastoma. Here, we investigated the biologic basis underlying the putative association between elevated 3MT levels and poor prognosis.

methodsUrinary 3MT levels and prognosis were investigated in both retrospective Italian (N = 90) and prospective Dutch (N = 95) cohorts. From the Dutch Cancer Oncology Group cohort (N = 122), patients with available urinary 3MT and gene expression data (n = 90) were used to generate a 3MT gene signature. The 3MT gene signature score was then used to predict survival outcome in the Children's Oncology Group (N = 247) and German Pediatric Oncology Group (N = 498) cohorts and compared with other known gene signatures. Immunohistochemistry of MYCN and dopamine β-hydroxylase proteins was performed on primary tumors.

resultsElevated urinary 3MT levels were associated with poor prognosis in a retrospective cohort and a prospective cohort. Moreover, elevated urinary 3MT levels were associated with eight differentially expressed genes, providing a 3MT gene signature that successfully predicted poor clinical outcome. Even among low-risk patients, high 3MT signature score was associated with poor 5-year overall survival (72%

conclusionElevated urinary 3MT is a promising biomarker for poor prognosis and reflects increased MYC activity in the tumor. Therefore, urinary 3MT levels should be measured at diagnosis and may assist in assessing risk.

Indexed as

Biomarkers, TumorDopamineHumansNeuroblastomaN-Myc Proto-Oncogene ProteinProspective StudiesRetrospective Studies3-methoxytyramineBiomarkers, TumorDopamineMYCN protein, humanN-Myc Proto-Oncogene Protein

Identifiers

PMID35085004
PMCPMC8830522
OpenAlexW4210687003

What OpenQuestion holds

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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.