Evidence map›Paper›PMID 38967861›Full record

ArticleJournal of molecular neuroscience : MN2024

Characterizing the Linkage of Systemic Hypoxia and Angiogenesis in High-Grade Glioma to Define the Changes in Tumor Microenvironment for Predicting Prognosis.

Richa Shrivastava, Puneet Gandhi, Sandeep K Sorte, Adesh Shrivastava

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Article in Journal of molecular neuroscience : MN, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Richa ShrivastavaDepartment of Research and Training, ICMR-Bhopal Memorial Hospital and Research Centre, Bhopal, 462038, M.P, India.
Puneet GandhiDepartment of Research and Training, ICMR-Bhopal Memorial Hospital and Research Centre, Bhopal, 462038, M.P, India. puneetgandhi67@yahoo.com.ORCID http://orcid.org/0000-0001-9690-5207
Sandeep K SorteDepartment of Neurosurgery, ICMR-Bhopal Memorial Hospital and Research Centre, Raisen Bypass Road, Bhopal, 462038, M.P, India.
Adesh ShrivastavaDepartment of Neurosurgery, All India Institute of Medical Sciences, Bhopal, 462024, M.P, India.

Funding

Department of Science and Technology (DST), New Delhi WOS-A/LS-684/2016
6 · The paper itself

Abstract

High-grade gliomas (HGG) comprising WHO grades 3 and 4 have a poor overall survival (OS) that has not improved in the past decade. Herein, markers representing four components of the tumor microenvironment (TME) were identified to define their linked expression in TME and predict the prognosis in HGG, namely, interleukin6 (IL6, inflammation), inducible nitric oxide synthase(iNOS), heat shock protein-70 (HSP70, hypoxia), vascular endothelial growth receptor (VEGF), and endothelin1 (ET1) (angiogenesis) and matrix metalloprotease-14 (MMP14) and intercellular adhesion molecule1 (ICAM1, extracellular matrix). To establish a non-invasive panel of biomarkers for precise prognostication in HGG. Eighty-six therapy-naive HGG patients with 45 controls were analyzed for the defined panel. Systemic expression of extracellular/secretory biomarkers was screened dot-immune assay (DIA), quantified by ELISA, and validated by immunocytochemistry (ICC). Expression of iNOS, HSP70, IL-6, VEGF, ET1, MMP14, and ICAM1 was found to be positively associated with grade. Quantification of circulating levels of the markers by ELISA and ICC presented a similar result. The biomarkers were observed to negatively correlate with OS (p < 0.0001). Cox-regression analysis yielded all biomarkers as good prognostic indicators and independent of confounders. On applying combination statistics, the biomarker panel achieved higher sensitivity than single markers to define survival. The intra-association of all seven biomarkers was significant, hinting of a cross-talk between the TME components and a hypoxia driven systemic inflammation upregulating the expression of other components. This is a first ever experimental study of a marker panel that can distinguish between histopathological grades and also delineate differential survival using liquid biopsy, suggesting that markers of hypoxia can be a cornerstone for personalized therapy. The panel of biomarkers of iNOS, HSP70, IL-6, VEGF, ET1, MMP14, and ICAM1 holds promise for prognostication in HGG.

Indexed as

Biomarkers, TumorBrain NeoplasmsGliomaHSP70 Heat-Shock ProteinsNeovascularization, PathologicNitric Oxide Synthase Type IITumor MicroenvironmentAdultAgedAngiogenesisEndothelin-1FemaleHumansIntercellular Adhesion Molecule-1Interleukin-6MaleBiomarkers, TumorEndothelin-1HSP70 Heat-Shock ProteinsICAM1 protein, humanIntercellular Adhesion Molecule-1Interleukin-6Matrix Metalloproteinase 14MMP14 protein, humanNitric Oxide Synthase Type IINOS2 protein, humanVascular Endothelial Growth Factor AEndothelin 1High-grade gliomaInducible nitric oxide synthaseIntercellular adhesion molecule 1Interleukin 6Non-invasivePrognosisVascular endothelial growth factor

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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.