Evidence map›Paper›PMID 38817124›Full record

ArticleThe Journal of clinical endocrinology and metabolism2024

Developing a Predictive Model for Metastatic Potential in Pancreatic Neuroendocrine Tumor.

Jacques A Greenberg, Yajas Shah, Nikolay A Ivanov, Teagan Marshall, Scott Kulm, Jelani Williams, Catherine Tran, Theresa Scognamiglio, Jonas J Heymann, Yeon J Lee-Saxton and 9 more

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Developing a Predictive Model for Metastatic Potential in Pancreatic Neuroendocrine Tumor.The Journal of clinical endocrinology and metabolism · 2024
    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

19 authors.

Jacques A GreenbergDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.ORCID 0000-0002-7667-4402
Yajas ShahCaryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, Cornell University, New York, NY, 10065, USA.
Nikolay A IvanovDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.
Teagan MarshallDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.
Scott KulmCaryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, Cornell University, New York, NY, 10065, USA.
Jelani WilliamsDepartment of Surgery, University of Chicago Medicine, Chicago, IL 60637, USA.
Catherine TranDepartment of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, 52242, USA.
Theresa ScognamiglioDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY 10065, USA.
Jonas J HeymannDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY 10065, USA.
Yeon J Lee-SaxtonDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.ORCID 0000-0002-8568-926X
Caitlin EganDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.
Sonali MajumdarGenomics Facility, The Wistar Institute, Philadelphia, PA 19104, USA.
Irene M MinDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.
Rasa ZarnegarDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.ORCID 0000-0003-2548-5764
James HoweDepartment of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, 52242, USA.ORCID 0000-0001-5312-5972
Xavier M KeutgenDepartment of Surgery, University of Chicago Medicine, Chicago, IL 60637, USA.
Thomas J FaheyDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.
Olivier ElementoCaryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, Cornell University, New York, NY, 10065, USA.
Brendan M FinnertyDepartment of Surgery, Weill Cornell Medicine, New York, NY 10065, USA.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
J. NRSA Training CoreTL1TR002386 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI Genevieve Giny Fouda Amou ou · 2017 to 2026
$5.8M
NCATS NIH HHS TL1 TR002386NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NCI NIH HHS P30 CA086862NIH HHS TL1TR002386-04
6 · The paper itself

Abstract

contextPancreatic neuroendocrine tumors (PNETs) exhibit a wide range of behavior from localized disease to aggressive metastasis. A comprehensive transcriptomic profile capable of differentiating between these phenotypes remains elusive.

objectiveUse machine learning to develop predictive models of PNET metastatic potential dependent upon transcriptomic signature.

methodsRNA-sequencing data were analyzed from 95 surgically resected primary PNETs in an international cohort. Two cohorts were generated with equally balanced metastatic PNET composition. Machine learning was used to create predictive models distinguishing between localized and metastatic tumors. Models were validated on an independent cohort of 29 formalin-fixed, paraffin-embedded samples using NanoString nCounter®, a clinically available mRNA quantification platform.

resultsGene expression analysis identified concordant differentially expressed genes between the 2 cohorts. Gene set enrichment analysis identified additional genes that contributed to enriched biologic pathways in metastatic PNETs. Expression values for these genes were combined with an additional 7 genes known to contribute to PNET oncogenesis and prognosis, including ARX and PDX1. Eight specific genes (AURKA, CDCA8, CPB2, MYT1L, NDC80, PAPPA2, SFMBT1, ZPLD1) were identified as sufficient to classify the metastatic status with high sensitivity (87.5-93.8%) and specificity (78.1-96.9%). These models remained predictive of the metastatic phenotype using NanoString nCounter® on the independent validation cohort, achieving a median area under the receiving operating characteristic curve of 0.886.

conclusionWe identified and validated an 8-gene panel predictive of the metastatic phenotype in PNETs, which can be detected using the clinically available NanoString nCounter® system. This panel should be studied prospectively to determine its utility in guiding operative vs nonoperative management.

Indexed as

Machine LearningNeuroendocrine TumorsPancreatic NeoplasmsAdultAgedBiomarkers, TumorCohort StudiesFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansMaleMiddle AgedNeoplasm MetastasisPrognosisTranscriptomeBiomarkers, Tumormachine learningneuroendocrine tumorpancreatic neuroendocrine tumorPNET

Identifiers

PMID38817124
PMCPMC11651689

What OpenQuestion holds

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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.