Evidence map›Paper›PMID 39373851›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2024

Immunohistochemical Evaluation of Potential Biomarkers for Targeted Intraoperative Fluorescence Imaging in Endometriosis: Towards Optimizing Surgical Treatment.

Fokkedien H M P Tummers, Rozemarijn de Koning, Maria K Bazelmans, Frank Willem Jansen, Mathijs D Blikkendaal, Ronald L P van Vlierberghe, Alexander L Vahrmeijer, Hans Marten Hazelbag, Peter J K Kuppen

Abstract read
In one paragraph

Article in Reproductive sciences (Thousand Oaks, Calif.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Fokkedien H M P TummersDepartment of Gynecology, Leiden University Medical Center, Leiden, The Netherlands. f.h.m.p.tummers@lumc.nl.ORCID 0000-0002-6840-2044
Rozemarijn de KoningDepartment of Gynecology, Leiden University Medical Center, Leiden, The Netherlands.
Maria K BazelmansDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Frank Willem JansenDepartment of Gynecology, Leiden University Medical Center, Leiden, The Netherlands.
Mathijs D BlikkendaalEndometriose in Balans, Haaglanden Medical Center, The Hague, The Netherlands.
Ronald L P van VlierbergheDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Alexander L VahrmeijerDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Hans Marten HazelbagDepartment of Pathology, Haaglanden Medical Center, The Hague, The Netherlands.
Peter J K KuppenDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical intervention for endometriosis is an important treatment modality, yet incomplete resection resulting from poor visibility of affected tissue and consequently recurrence of disease remains a prevalent challenge. Intra-operative visualization of endometriosis, enabling fluorescence-guided surgery (FGS), could help to optimize surgical treatment. A biomarker, upregulated in endometriosis compared to adjacent tissue, is required to use as a target for FGS. Immunohistochemistry was used to evaluate protein expression of a selection of previously identified potential biomarkers. Ten biomarkers were stained in a large cohort of 84 tissues, both deep and peritoneal endometriosis and tissue without endometriosis, all from patients with confirmed endometriosis. MMP11 and VCAN showed the largest upregulation in endometriosis compared to adjacent tissue and showed a membranous or extracellular staining pattern. MMP11 is a promising target for glandular and stromal visualization, VCAN for stromal visualization only. For both biomarkers, upregulation was high in both peritoneal and deep endometriosis and for patients with and without hormonal medication. Other stained biomarkers showed non-beneficial characteristics based on staining pattern or upregulation. Analysis of all endometriosis samples showed that combined glandular and stromal targeting is expected to result in optimal visualization of endometriosis. Further research is needed to determine whether targeting one biomarker is sufficient for this goal, or if dual targeting is necessary. Development of clinical tracers for VCAN and MMP11 is necessary.

Indexed as

BiomarkersEndometriosisImmunohistochemistryAdultFemaleHumansMiddle AgedOptical ImagingSurgery, Computer-AssistedBiomarkersBiomarkersEndometriosisFluorescence-guided surgeryImmunohistochemistry

Identifiers

PMID39373851
PMCPMC11611954

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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.