Evidence map›Paper›PMID 36428594›Full record

ArticleCancers2022

Prognostic Impact of Caspase-8, CDK9 and Phospho-CDK9 (Thr 186) Expression in Patients with Uterine Cervical Cancer Treated with Definitive Chemoradiation and Brachytherapy.

Maximilian Fleischmann, Ranadip Mandal, Izabela Kostova, Monika Raab, Mourad Sanhaji, Stephanie Hehlgans, Markus Diefenhardt, Claus Rödel, Emmanouil Fokas, Klaus Strebhardt and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

11 authors at 1 institution in 1 country.

Maximilian FleischmannDepartment of Radiotherapy and Oncology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Ranadip MandalDepartment of Gynecology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.ORCID 0000-0003-2861-9545
Izabela KostovaDepartment of Gynecology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Monika RaabDepartment of Gynecology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Mourad SanhajiDepartment of Gynecology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.ORCID 0000-0001-8202-0694
Stephanie HehlgansDepartment of Radiotherapy and Oncology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.ORCID 0000-0002-6816-3450
Markus DiefenhardtDepartment of Radiotherapy and Oncology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.ORCID 0000-0002-9042-9729
Claus RödelDepartment of Radiotherapy and Oncology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Emmanouil FokasDepartment of Radiotherapy and Oncology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Klaus StrebhardtDepartment of Gynecology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.ORCID 0000-0003-2173-9763
Franz RödelDepartment of Radiotherapy and Oncology, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.ORCID 0000-0001-6057-1022
Goethe University Frankfurt · DE

Funding

Deutsche Forschungsgemeinschaft MA 9266/2-1German Cancer Aid 70114007
6 · The paper itself

Abstract

Introduction: After primary platinum-based chemoradiation of locally advanced uterine cervical cancer, a substantial proportion of women present with persistent, recurrent or metastatic disease, indicating an unmet need for biomarker development. Methods: We evaluated the clinical records of 69 cervical cancer patients (Federation of Gynecology and Obstetrics, FIGO Stage > IB3) who were subjected to definitive CRT. Immunohistochemical scoring of caspase-8, cyclin dependent kinase 9 (CDK9) and phosphorylated (phospho-)CDK9 (threonine (Thr) 186) was performed on pretreatment samples and correlated with the histopathological and clinical endpoints, including relapse-free survival (RFS), distant metastasis-free survival (DMFS), cancer-specific survival (CSS) and overall survival (OS). Results: Lower levels of caspase-8 were more prevalent in patients with a higher T-stage (p = 0.002) and a higher FIGO stage (p = 0.003), and were significantly correlated with CDK9 expression (p = 0.018) and inversely with pCDK9 detection (p = 0.014). Increased caspase-8 levels corresponded to improved RFS (p = 0.005), DMFS (p = 0.038) and CSS (p = 0.017) in the univariate analyses. Low CDK9 expression was associated with worse RFS (p = 0.008), CSS (p = 0.015) and OS (p = 0.007), but not DMFS (p = 0.083), and remained a significant prognosticator for RFS (p = 0.003) and CSS (p = 0.009) in the multivariate analyses. Furthermore, low pCDK9 staining was significantly associated with superior RFS (p = 0.004) and DMFS (p = 0.001), and increased CSS (p = 0.022), and remained significant for these endpoints in the multivariate analyses. Conclusion: Increased caspase-8 and CDK9 levels correlate with improved disease-related outcomes in cervical cancer patients treated with CRT, whereas elevated pCDK9 levels predict worse survival in this patient population.

Indexed as

caspase-8CDK9cervical cancerphospho-CDK9 (Thr 186)prognosisradiochemotherapy

Identifiers

PMID36428594
PMCPMC9688434
OpenAlexW4308712209

What OpenQuestion holds

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LicenceCC BY
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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.