Evidence map›Paper›PMID 36924358›Full record

ArticleThoracic cancer2023

CALML5 is a novel diagnostic marker for differentiating thymic squamous cell carcinoma from type B3 thymoma.

Koichiro Kanamori, Kentaro Suina, Takehito Shukuya, Fumiyuki Takahashi, Takuo Hayashi, Kieko Hara, Tsuyoshi Saito, Yoichiro Mitsuishi, Shoko Sonobe Shimamura, Wira Winardi and 10 more

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 12% 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, 11 citations in OpenAlex.

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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

20 authors at 2 institutions in 1 country.

Koichiro KanamoriDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Kentaro SuinaDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Takehito ShukuyaDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-0972-4692
Fumiyuki TakahashiDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Takuo HayashiDepartment of Human Pathology, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Kieko HaraDepartment of Human Pathology, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Tsuyoshi SaitoDepartment of Human Pathology, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Yoichiro MitsuishiDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Shoko Sonobe ShimamuraDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Wira WinardiDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Ken TajimaDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Ryo KoDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-2551-3529
Tomoyasu MimoriDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Tetsuhiko AsaoDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Masayoshi ItohRIKEN Preventive Medicine and Diagnosis Innovation Program, Saitama, Japan.
Hideya KawajiRIKEN Preventive Medicine and Diagnosis Innovation Program, Saitama, Japan.
Yoshiyuki SueharaDepartment of Orthopedic Surgery, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Kazuya TakamochiDepartment of General Thoracic Surgery, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Kenji SuzukiDepartment of General Thoracic Surgery, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Kazuhisa TakahashiDepartment of Respiratory Medicine, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Juntendo University · JPRIKEN Center for Brain Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThymic squamous cell carcinoma and type B3 thymoma are primary neoplasms of the anterior mediastinum that are sometimes difficult to differentiate from one another histologically. However, only a few immunohistochemical markers are available for the differential diagnosis. The purpose of this study was to discover a novel marker for differentiating between thymic squamous cell carcinoma and type B3 thymoma.

methodsWe used histological samples of thymic carcinomas (n = 26) and type B3 thymomas (n = 38) which were resected between 1986 and 2017. To search for candidates of differential markers, gene expression levels were evaluated in samples using promoter analysis by cap analysis of gene expression (CAGE) sequencing.

resultsPromoter level expression of CALML5 genes was significantly higher in thymic carcinomas than in type B3 thymomas. We further validated the results of the CAGE analysis in all 26 thymic carcinomas and 38 type B3 thymomas by immunohistochemistry (IHC). CALML5 was strongly expressed in the cytoplasm in 19 of 26 cases with thymic carcinoma, whereas positivity at the protein level was shown in two of 38 type B3 thymomas. Thus, the sensitivity (73.1%) and specificity (94.7%) of CALML5 as markers for immunohistochemical diagnosis of thymic carcinoma were extremely high.

conclusionWe identified CALML5 as a potential marker for differentiating thymic squamous cell carcinoma from type B3 thymoma. It is assumed that future clinical use of CALML5 may improve the diagnostic accuracy of differentiating between these two diseases.

Indexed as

Carcinoma, Squamous CellThymomaThymus NeoplasmsBiomarkers, TumorCalcium-Binding ProteinsHumansImmunohistochemistryBiomarkers, TumorCalcium-Binding ProteinsCALML5 protein, humanCALML5immunohistochemistrythymic carcinomathymoma

Identifiers

PMID36924358
PMCPMC10125782
OpenAlexW4327596671

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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.