Evidence map›Paper›PMID 39285510›Full record

ArticleCancer science2024

Prognosis prediction of PDAC via detection of O-glycan altered extracellular vesicles in perioperative sera.

Sho Uemura, Yasuaki Kabe, Minoru Kitago, Sachiko Matsuda, Yuta Abe, Yasushi Hasegawa, Shutaro Hori, Masayuki Tanaka, Yutaka Nakano, Yasunori Sato and 5 more

Abstract read
In one paragraph

Article in Cancer science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
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  5. Article
  6. Review
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

15 authors.

Sho UemuraDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0009-0000-4512-4355
Yasuaki KabeDepartment of Biochemistry, Keio University School of Medicine, Tokyo, Japan.
Minoru KitagoDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4909-1199
Sachiko MatsudaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Yuta AbeDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Yasushi HasegawaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Shutaro HoriDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Masayuki TanakaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Yutaka NakanoDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3228-3474
Yasunori SatoDepartment of Biostatistics, Keio University School of Medicine, Tokyo, Japan.
Makoto ItonagaHealthcare Division, Jvckenwood Corporation, Yokohama, Japan.
Masayuki OnoFuture Creation Research Laboratory, Jvckenwood Corporation, Yokohama, Japan.ORCID https://orcid.org/0000-0002-8047-2934
Tatsuya KawakamiFuture Creation Research Laboratory, Jvckenwood Corporation, Yokohama, Japan.
Makoto SuematsuDepartment of Biochemistry, Keio University School of Medicine, Tokyo, Japan.
Yuko KitagawaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.

Funding

AMED-CREST JPgm0710010joint research agreement with JVCKENWOOD Corporation 2021122JSPS KAKENHI 18K06921JSPS KAKENHI 19K18132JSPS KAKENHI 24K11897JST ERATO Suematsu Gas Biology ProjectMoonshot Research and Development JPMJPS2022
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a fatal malignancy due to the difficulty in diagnosis and poor prognosis because of the high recurrence rate, necessitating reliable biomarkers to improve the diagnosis and prognosis. However, the existing markers have limitations. We previously identified extracellular vesicles (EVs) recognized by O-glycan-binding lectins (Amaranthus caudatus agglutinin [ACA]) as a novel diagnostic biomarker for PDAC using an EV-counting system (ExoCounter). This retrospective study analyzed changes in ACA-positive EVs in perioperative PDAC serum and its association with prognosis using ExoCounter. Absolute EV levels in the pre- and postoperative sera of 44 patients who underwent curative pancreatectomy for PDAC were quantified using ExoCounter. The carbohydrate antigen 19-9 levels declined in most samples postoperatively, and presented no correlation with poor prognosis. In contrast, ACA-positive EVs increased in serum at 7 days postoperatively in 27 of 44 patients (61.4%). We therefore divided participants with ACA-positive EVs before and after surgery into elevation and decline groups. The overall survival (OS) and recurrence-free survival (RFS) of patients with higher ACA-positive EVs were significantly shorter than those with lower ACA-positive EVs (26.1 months vs. not reached, P = 0.018; 11.9 vs. 38.6 months, P = 0.013). Multivariable analysis revealed that ACA-positive EV elevation in postoperative serum was an independent prognostic factor for poor OS (hazard ratio [HR] = 3.891, P = 0.023) and RFS (HR = 2.650, P = 0.024). The detection of ACA-positive EVs in perioperative serum may be used to predict the prognosis of PDAC in the early postoperative period.

Indexed as

Biomarkers, TumorCarcinoma, Pancreatic DuctalExtracellular VesiclesPancreatic NeoplasmsAgedCA-19-9 AntigenFemaleHumansMaleMiddle AgedPancreatectomyPerioperative PeriodPolysaccharidesPrognosisRetrospective StudiesBiomarkers, TumorCA-19-9 AntigenPolysaccharidesextracellular vesicleslectinliquid biopsyO‐glycanpancreatic cancer

Identifiers

PMID39285510
PMCPMC11531947

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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.