Evidence map›Paper›PMID 35608806›Full record

ArticleEndocrine pathology2022

Molecular Subtypes of Extra-pulmonary Neuroendocrine Carcinomas Identified by the Expression of Neuroendocrine Lineage-Specific Transcription Factors.

Jasna Metovic, Anna La Salvia, Ida Rapa, Francesca Napoli, Nadia Birocco, Maria Pia Bizzi, Rocio Garcia-Carbonero, Libero Ciuffreda, Giorgio Scagliotti, Mauro Papotti and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Endocrine pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  7. Concept of neuroendocrine neoplasms of all organs with a focus on grading, subtyping.Virchows Archiv : an international journal of pathology · 2026
    Review
  8. Article
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  13. Prognostic significance of tertiary lymphoid structures in gastric neuroendocrine carcinoma with association to delta-like ligand 3 and neuroendocrine expressions.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
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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

11 authors at 3 institutions in 2 countries.

Jasna MetovicDepartment of Oncology, University of Turin; Pathology Unit at Città della Salute e della Scienza Hospital, via Santena 7, Turin, Italy.
Anna La SalviaDivision of Medical Oncology, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Ida RapaDepartment of Oncology, University of Turin; Pathology Unit at San Luigi Hospital, Regione Gonzole 10, 10043, Orbassano, Turin, Italy.
Francesca NapoliDepartment of Oncology, University of Turin; Pathology Unit at San Luigi Hospital, Regione Gonzole 10, 10043, Orbassano, Turin, Italy.
Nadia BiroccoMedical Oncology Unit, Città Della Salute e Della Scienza Hospital, Turin, Italy.
Maria Pia BizziMedical Oncology Unit, San Luigi Hospital, Orbassano, Turin, Italy.
Rocio Garcia-CarboneroDivision of Medical Oncology, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Libero CiuffredaMedical Oncology Unit, Città Della Salute e Della Scienza Hospital, Turin, Italy.
Giorgio ScagliottiDepartment of Oncology, University of Turin; Medical Oncology Unit at San Luigi Hospital, Orbassano, Turin, Italy.
Mauro PapottiDepartment of Oncology, University of Turin; Pathology Unit at Città della Salute e della Scienza Hospital, via Santena 7, Turin, Italy.
Marco VolanteDepartment of Oncology, University of Turin; Pathology Unit at San Luigi Hospital, Regione Gonzole 10, 10043, Orbassano, Turin, Italy. marco.volante@unito.it.ORCID http://orcid.org/0000-0003-0719-105X
Ospedale San Luigi Gonzaga · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITHospital Universitario 12 De Octubre · ES

Funding

Associazione Italiana per la Ricerca sul Cancro 19238
6 · The paper itself

Abstract

Extra-pulmonary neuroendocrine carcinomas (EPNEC) represent a group of rare and heterogenous neoplasms with adverse clinical outcome. Their molecular profile is largely unexplored. Our aim was to investigate if the major transcriptional drivers recently described in high-grade pulmonary neuroendocrine carcinomas characterize distinct molecular and clinical subgroups of EPNEC. Gene expression of ASCL1, NEUROD1, DLL3, NOTCH1, INSM1, MYCL1, POU2F3, and YAP1 was investigated in a series of 54 EPNEC (including 10 cases with mixed components analyzed separately) and in a group of 48 pulmonary large cell neuroendocrine carcinomas (P-LCNEC). Unsupervised hierarchical cluster analysis classified the whole series into four major clusters. P-LCNEC were classified into two major clusters, the first ASCL1/DLL3/INSM1-high and the second (including four EPNEC) ASCL1/DLL3-low but INSM1-high. The remaining EPNEC cases were sub-classified into two other clusters. The first showed INSM1-high and alternative ASCL1/DLL3 or NEUROD1 high expression. The second was characterized mainly by MYCL1 and YAP1 overexpression. In the ten cases with mixed histology, ASCL1, DLL3, INSM1, and NEUROD1 genes were significantly upregulated in the neuroendocrine component. Higher gene-expression levels of NOTCH1 and INSM1 were associated with lower pT stage and negative nodal status. Low INSM1 gene expression was associated with shorter overall survival in the entire case series (p = 0.0017) and with a trend towards significance in EPNEC, only (p = 0.06). In conclusion, our results show that EPNEC possess distinct neuroendocrine-lineage-specific transcriptional profiles; moreover, low INSM1 gene expression represents a novel potential unfavorable prognostic marker in high-grade NECs including those in extra-pulmonary location.

Indexed as

Carcinoma, NeuroendocrineLung NeoplasmsBiomarkers, TumorHumansInfant, NewbornIntracellular Signaling Peptides and ProteinsMembrane ProteinsRepressor ProteinsTranscription FactorsBiomarkers, TumorDLL3 protein, humanINSM1 protein, humanIntracellular Signaling Peptides and ProteinsMembrane ProteinsRepressor ProteinsTranscription FactorsClassificationExtra-pulmonary neuroendocrine carcinomaINSM1PrognosisTranscriptional profile

Identifiers

PMID35608806
PMCPMC9420091
OpenAlexW4282924062

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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.