Evidence map›Paper›PMID 36827840›Full record

ArticleGynecologic oncology2023

Association of Sialyl Tn antigen with cervical cancer lymph node status: An NRG oncology/GOG study.

Doris M Benbrook, Wei Deng, Michael A Gold, Rajani Rai, Rachel Conrad, Hanke van der Wel, Sanam Husain, Kathleen Moore, Nick Spirtos, Amanda L Jackson and 3 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00460356 (Glycoprotein and Glycan Profiling in Patients With Locally Advanced Cervical Cancer), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-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.

NCT00460356 completednot on this map

Glycoprotein and Glycan Profiling in Patients With Locally Advanced Cervical Cancer (Stage IB2, IIA > 4 CM, IIB to IVA) Undergoing Pelvic and Para-aortic (Abdominal) Lymphadenectomy

TypeobservationalSponsorGynecologic Oncology GroupRan2007 to 2016Enrolled159ConditionsCervical Adenocarcinoma, Cervical Adenosquamous Carcinoma, Cervical Small Cell Carcinoma, Cervical Squamous Cell Carcinoma, Not Otherwise SpecifiedArmsLaboratory Biomarker Analysis, Lymphadenectomy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. 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

13 authors at 10 institutions in 1 country.

Doris M BenbrookGynecologic Oncology Section, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 975 NE 10th St, Room 1217A, Oklahoma City, OK 73104, USA. Electronic address: Doris-Benbrook@ouhsc.edu.
Wei DengNRG Oncology SDMC, CTDD Division, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA. Electronic address: DengW@NRGOncology.org.
Michael A GoldOklahoma Cancer Specialists and Research Institute, Gynecologic Oncology Section, Department of Obstetrics and Gynecology, OU School of Community Medicine, Tulsa, OK 74146, USA. Electronic address: Michael.Gold@OCSRI.org.
Rajani RaiGynecologic Oncology Section, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 975 NE 10th St, Room 1217A, Oklahoma City, OK 73104, USA. Electronic address: Rajani-Rai@ouhsc.edu.
Rachel ConradPathology and Laboratory Medicine Service, Jack C. Montgomery VA Medical Center, 1011 Honor Heights Drive, Muskogee, OK 74401, USA.
Hanke van der WelDepartment of Biochemistry and Molecular Biology, Oklahoma Center for Medical Glycobiology, 975 NE 10th St., Oklahoma City, OK 73104, USA. Electronic address: hanke@uga.edu.
Sanam HusainHenry Ford Health System, 2799 W. Grand Blvd., Pathology - K-6, Detroit, MI 48202, USA. Electronic address: shusain6@hfhs.org.
Kathleen MooreGynecologic Oncology Section, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 975 NE 10th St, Room 1217A, Oklahoma City, OK 73104, USA. Electronic address: Kathleen-Moore@ouhsc.edu.
Nick SpirtosWomen's Cancer Center of Nevada, 3131 La Canada Street, Suite 241, Las Vegas, NV 89169, USA. Electronic address: nmspirtos@wccenter.com.
Amanda L JacksonUniversity of Cincinnati Cancer Center, Department of Obstetrics and Gynecology, Gynecologic Oncology Division, Cincinnati, OH 45219, USA. Electronic address: jacks2a6@uc.mail.uc.edu.
Mae ZakhourUCLA Department of Obstetrics and Gynecology, Gynecologic Oncology Division, 200 UCLA Medical Plaza Suite 220, Los Angeles, CA 90095, USA. Electronic address: MZakhour@mednet.ucla.edu.
Cara A MathewsWomen and Infants Hospital of Rhode Island/The Warren Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: cmathews@wihri.org.
Christopher M WestDepartment of Biochemistry and Molecular Biology, Oklahoma Center for Medical Glycobiology, 975 NE 10th St., Oklahoma City, OK 73104, USA. Electronic address: westcm@uga.edu.
University of Oklahoma Health Sciences Center · USUniversity of Oklahoma Medical Center · USBrown University · USHenry Ford Health System · USJack C. Montgomery VA Medical Center · USOklahoma Cancer Specialists and Research Institute · USRoswell Park Comprehensive Cancer Center · USUCLA Medical Center · USUniversity of Cincinnati · USWomen's Cancer Center of Nevada · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam · 2014 to 2026
$146.4M
Tissue Pathology Shared ResourceP30CA225520 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI ROBERT S. MANNEL · 2018 to 2026
$27.1M
Network Lead Academic Participating Site Grant from the Roswell Park Cancer InstituteUG1CA233191 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI LELE, SHASHIKANT, LEVINE, ELLIS G · 2019 to 2025
$3.1M
NCI NIH HHS P30 CA225520NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA233191
6 · The paper itself

Abstract

objectiveDetection of lymph node metastases in cervical cancer patients is important for guiding treatment decisions, however accuracies of current detection methods are limited. We evaluated associations of abnormal glycosylation, represented by Tn and STn antigens on mucin (MUC) proteins, in primary tumor specimens with lymph node metastasis or recurrence of cervical cancer patients.

methodsSurgical specimens were prospectively collected from 139 patients with locally-advanced cervical cancer undergoing lymphadenectomy enrolled in a nation-wide clinical trial (NCT00460356). Of these patients, 133 had primary cervix tumor, 67 had pelvic lymph node (PLN) and 28 had para-aortic lymph node (PALN) specimens. Fixed tissue serial sections were immunohistochemically stained for Tn, STn, MUC1 or MUC4. Neuraminidase was used to validate Tn versus STn antibody specificity. Stain scores were compared with clinical characteristics.

resultsPrimary tumor STn expression above the median was associated with negative PLN status (p-value: 0.0387; odds ratio 0.439, 95% CI: 0.206 to 0.935). PLN had higher STn compared to primary tumor, while primary tumor had higher MUC1 compared to PALN, and MUC4 compared to PALN or PLN (p = 0.017, p = 0.011, p = 0.016 and p < 0.001, respectively). Tn and STn expression correlated in primary tumor, PALN, and PLN, Tn and MUC1 expression correlated in primary tumors only (Spearman correlation coefficient [r] = 0.301, r = 0.686, r = 0.603 and r = 0.249, respectively).

conclusionsSTn antigen expression in primary cervical tumors is a candidate biomarker for guiding treatment decisions and for mechanistic involvement in PLN metastases.

Indexed as

Uterine Cervical NeoplasmsAntigens, Tumor-Associated, CarbohydrateFemaleHumansLymph Node ExcisionLymph NodesPelvisAntigens, Tumor-Associated, CarbohydrateTn antigenCervical cancerGlycoproteinLymph nodeMetastasesMucin

Identifiers

PMID36827840
PMCPMC10040434
OpenAlexW4321523451

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Registered trials

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.