Evidence map›Paper›PMID 35523689›Full record

ArticleJapanese journal of clinical oncology2022

Tumor metabolic alterations after neoadjuvant chemoradiotherapy predict postoperative recurrence in patients with pancreatic cancer.

Yukiko Wada, Keiichi Okano, Kiyotoshi Sato, Masahiro Sugimoto, Ayaka Shimomura, Mina Nagao, Hiroyuki Matsukawa, Yasuhisa Ando, Hironobu Suto, Minoru Oshima and 9 more

Erratum issuedOpen access · bronzeAbstract read
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In one paragraph

Article in Japanese journal of clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 26% 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, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 2 institutions in 1 country.

Yukiko WadaDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Keiichi OkanoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.ORCID 0000-0001-9559-6182
Kiyotoshi SatoInstitute for Advanced Biosciences, Keio University, Kakuganji, Tsuruoka, Japan.
Masahiro SugimotoInstitute for Advanced Biosciences, Keio University, Kakuganji, Tsuruoka, Japan.
Ayaka ShimomuraDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Mina NagaoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Hiroyuki MatsukawaDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Yasuhisa AndoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Hironobu SutoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Minoru OshimaDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Akihiro KondoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Eisuke AsanoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Takayoshi KishinoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Kensuke KumamotoDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Hideki KobaraDepartment of Gastroenterology and Neurology, Kagawa University, Takamatsu, Kagawa, Japan.ORCID 0000-0002-8508-827X
Hideki KamadaDepartment of Gastroenterology and Neurology, Kagawa University, Takamatsu, Kagawa, Japan.
Tsutomu MasakiDepartment of Gastroenterology and Neurology, Kagawa University, Takamatsu, Kagawa, Japan.
Tomoyoshi SogaInstitute for Advanced Biosciences, Keio University, Kakuganji, Tsuruoka, Japan.
Yasuyuki SuzukiDepartment of Gastroenterological Surgery, Kagawa University, Kita-gun, Kagawa, Japan.
Kagawa University · JPKeio University · JP

Funding

Ministry of Education, Science and Culture of Japan 18K07298
6 · The paper itself

Abstract

objectiveWe investigated the metabolic changes in pancreatic ductal adenocarcinoma to identify the mechanisms of treatment response of neoadjuvant chemoradiation therapy.

methodsFrozen tumor and non-neoplastic pancreas tissues were prospectively obtained from 88 patients with pancreatic ductal adenocarcinoma who underwent curative-intent surgery. Sixty-two patients received neoadjuvant chemoradiation therapy and 26 patients did not receive neoadjuvant therapy (control group). Comprehensive analysis of metabolites in tumor and non-neoplastic pancreatic tissue was performed by capillary electrophoresis-mass spectrometry.

resultsCapillary electrophoresis-mass spectrometry detected 90 metabolites for analysis among more than 500 ionic metabolites quantified. There were significant differences in 27 tumor metabolites between the neoadjuvant chemoradiation therapy and control groups. There were significant differences in eight metabolites [1-MethylnNicotinamide, Carnitine, Glucose, Glutathione (red), N-acetylglucosamine 6-phosphate, N-acetylglucosamine 1-phosphate, UMP, Phosphocholine] between good responder and poor responder for neoadjuvant chemoradiation therapy. Among these metabolites, phosphocholine, Carnitine and Glutathione were associated with recurrence-free survival only in the neoadjuvant chemoradiation therapy group. Microarray confirmed marked gene suppression of choline transporters [CTL1-4 (SLC44A1-44A4)] in pancreatic ductal adenocarcinoma tissue of neoadjuvant chemoradiation therapy group.

conclusionThe present study identifies several important metabolic consequences and potential neoadjuvant chemoradiation therapy targets in pancreatic ductal adenocarcinoma. Choline metabolism is one of the key pathways involved in recurrence of the patients with pancreatic ductal adenocarcinoma who received neoadjuvant chemoradiation therapy.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsAntigens, CDCarnitineChemoradiotherapyGlutathioneHumansNeoadjuvant TherapyNeoplasm Recurrence, LocalOrganic Cation Transport ProteinsPancreatectomyPhosphorylcholineAntigens, CDCarnitineGlutathioneOrganic Cation Transport ProteinsPhosphorylcholineSLC44A1 protein, humanCE-MScholinemetabolomicsneoadjuvant therapyPDAC

Identifiers

PMID35523689
OpenAlexW4225738788

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.