Evidence map›Paper›PMID 35574415›Full record

ArticleFrontiers in oncology2022

Human Epidermal Growth Factor Receptor 2 Overexpression and Amplification in Patients With Colorectal Cancer: A Large-Scale Retrospective Study in Chinese Population.

Shujuan Ni, Xin Wang, Jinjia Chang, Hui Sun, Weiwei Weng, Xu Wang, Cong Tan, Meng Zhang, Lei Wang, Zhaohui Huang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. HER2-Positive Metastatic Colorectal Cancer.Current treatment options in oncology · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Detection ofFrontiers in oncology · 2019
    Article
  8. Targeting the human epidermal growth factor receptor 2 (HER2) oncogene in colorectal cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2018
    Review
  9. Article
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 1 country.

Shujuan NiDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Xin WangDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Jinjia ChangDepartment of Medical Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Hui SunDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Weiwei WengDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Xu WangDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Cong TanDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Meng ZhangDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Lei WangDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Zhaohui HuangWuxi Cancer Institute, Affiliated Hospital of Jiangnan University, Wuxi, China.
Dan HuangDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Midie XuDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Weiqi ShengDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China.
Shanghai Medical College of Fudan University · CNFudan University · CNFudan University Shanghai Cancer Center · CNWuxi Fourth People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cumulative evidence in colorectal cancer (CRC) suggests that patients with human epidermal growth factor receptor 2 (HER2) overexpression or amplification can benefit from anti-HER2 therapy. The purpose of our study was to evaluate HER2 status and its correlation with clinicopathological characteristics and survival according to currently utilized HER2 diagnostic criteria in a large cohort of Chinese CRC patients. Methods: HER2 protein expression was tested by immunohistochemistry (IHC) in formalin-fixed, paraffin-embedded (FFPE) samples from 4,836 CRC patients in our institution. Breast cancer (BC) and gastroesophageal adenocarcinoma (GEA) criteria, as well as the HERACLES criteria, were used for the determination of HER2 status. Dual-color silver-enhanced Results: The HER2 expression rate of IHC (1+~3+) was 7.01% (339/4,836) and 6.02% (291/4,836) in CRCs based on the BC/GEA criteria and the HERACLES criteria, respectively, while combined DSISH results in the HER2 amplification/overexpression ratio of 3.39% (164/4,836) in our cohort. HER2 expression detected by IHC was positively correlated with the female gender, whereas the HER2 overexpression/amplification showed no correlation with any clinicopathological parameter. In addition, no significant correlation was found between HER2 statuses and either disease-free survival or overall survival regardless of the evaluation criterion used. However, patients with HER2 1+ CRC showed a tendency of having the shortest overall survival as compared with any other group of patients according to the HERACLES criteria, and this trend has always existed in the rectal location, T3 stage, and TNM stage II, medium differentiation, and perineural invasion stratified group. Furthermore, the HER2 protein expression was significantly negatively correlated with RAS/BRAF mutations according to the HERACLES criteria. Conclusion: To our knowledge, this is the largest study of HER2 status in Asian patients with CRC. Our findings suggest that the current most commonly used HERACLES criteria might be too strict for patients with CRC. Future studies are needed to explore the most suitable criteria for screening CRC patients who could benefit from anti-HER2 therapy as much as possible.

Indexed as

amplificationcolorectal cancerHER2methodologyprognosis

Identifiers

PMID35574415
PMCPMC9097912
OpenAlexW4224990368

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.