Evidence map›Paper›PMID 40227115›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2025

p16, COX-2, and Ki67 Protein Expression in DCIS and Risk of Ipsilateral Invasive Breast Cancer.

Thomas E Rohan, Chenxin Zhang, Yihong Wang, Fergus J Couch, Robert T Greenlee, Stacey Honda, Azadeh Stark, Larissa L White, Dhananjay A Chitale, Xiaonan Xue and 2 more

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Thomas E RohanDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.ORCID 0000-0001-6897-4045
Chenxin ZhangDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.ORCID 0009-0006-3569-0250
Yihong WangDepartment of Pathology and Laboratory Medicine, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island.ORCID 0000-0003-1252-5579
Fergus J CouchDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-9417-9985
Robert T GreenleeCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin.ORCID 0000-0002-0618-7895
Stacey HondaCenter for Integrated Healthcare, Kaiser Permanente, Hawaii Permanente Medical Group, Honolulu, Hawaii.ORCID 0000-0001-5496-3759
Azadeh StarkDepartment of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan.ORCID 0000-0002-4252-8263
Larissa L WhiteInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.ORCID 0000-0001-9364-2704
Dhananjay A ChitaleDepartment of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan.ORCID 0000-0002-4421-6431
Xiaonan XueDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.ORCID 0000-0003-2872-8119
Mindy GinsbergDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.ORCID 0000-0002-4916-1273
Olivier LoudigCenter for Discovery and Innovation (CDI), Hackensack Meridian Health, Nutley, New Jersey.ORCID 0000-0001-5677-4716

Funding

Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Jessica Kahn, Mimi Y Kim · 2023 to 2026
$17.3M
Molecular markers of risk of subsequent invasive breast cancer in women wth ductal carcinoma in situR01CA218429 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI LOUDIG, OLIVIER, ROHAN, THOMAS E · 2017 to 2021
$6.4M
Breast Cancer Research Foundation (BCRF) BCRF-24-030Breast Cancer Research Foundation (BCRF) BCRF-24-140National Cancer Institute (NCI) R01CA218429NCATS NIH HHS UM1 TR004400NCI NIH HHS R01 CA218429
6 · The paper itself

Abstract

backgroundPrior research on the associations of p16, COX-2, and Ki67 immunopositivity in ductal carcinoma in situ (DCIS) tissue with the risk of subsequent ipsilateral invasive breast cancer (IBC) is limited.

methodsIn a case-control study nested in a cohort of women diagnosed with DCIS, immunostaining for p16, COX-2, and Ki67 was performed on DCIS tissue from those who developed subsequent ipsilateral IBC (cases; n = 146) and on matched subjects who did not develop IBC (controls; n = 273). Conditional logistic regression was used to estimate ORs and 95% confidence intervals for the associations between immunopositivity for p16, COX-2, and Ki67 and the risk of subsequent ipsilateral IBC.

resultsThere was no association between p16, COX-2, and Ki67 immunopositivity, examined either individually or in combination, and a risk of ipsilateral IBC. Compared with all other groups, the multivariable OR (95% confidence interval) for women who were triple positive for the three markers was 1.16 (0.38-3.54).

conclusionsp16, COX-2, and Ki67 immunopositivity was not associated with altered risk of ipsilateral IBC in women with DCIS. IMPACT: p16, COX-2, and Ki67 may not be prognostic for ipsilateral IBC in women with DCIS.

Indexed as

Breast NeoplasmsCarcinoma, Intraductal, NoninfiltratingCyclin-Dependent Kinase Inhibitor p16Cyclooxygenase 2Ki-67 AntigenAdultAgedBiomarkers, TumorCase-Control StudiesFemaleHumansMiddle AgedNeoplasm InvasivenessRisk FactorsBiomarkers, TumorCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Cyclooxygenase 2Ki-67 AntigenPTGS2 protein, human

Identifiers

PMID40227115
PMCPMC12133401

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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.