Evidence map›Paper›PMID 40230015›Full record

ArticleCarcinogenesis2025

Genetic determinants and clinical significance of circulating and tumor-specific levels of insulin-like growth factor binding protein 7 (IGFBP7) in a Swedish breast cancer cohort.

Christopher Godina, Ann H Rosendahl, Kelin Gonçalves de Oliveira, Somayeh Khazaei, Sofie Björner, Karin Jirström, Karolin Isaksson, Michael N Pollak, Helena Jernström

Abstract read
In one paragraph

Article in Carcinogenesis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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.

Christopher GodinaDepartment of Clinical Sciences Lund, Oncology, Lund University Cancer Center/Kamprad, Lund University and Skåne University Hospital, Barngatan4, SE 221 85 Lund, Sweden.
Ann H RosendahlDepartment of Clinical Sciences Lund, Oncology, Lund University Cancer Center/Kamprad, Lund University and Skåne University Hospital, Barngatan4, SE 221 85 Lund, Sweden.
Kelin Gonçalves de OliveiraDepartment of Clinical Sciences Lund, Oncology, Lund University Cancer Center/Kamprad, Lund University and Skåne University Hospital, Barngatan4, SE 221 85 Lund, Sweden.ORCID 0000-0003-1646-5657
Somayeh KhazaeiDepartment of Clinical Sciences Lund, Oncology, Lund University Cancer Center/Kamprad, Lund University and Skåne University Hospital, Barngatan4, SE 221 85 Lund, Sweden.
Sofie BjörnerDepartment of Clinical Sciences Lund, Oncology, Lund University Cancer Center/Kamprad, Lund University and Skåne University Hospital, Barngatan4, SE 221 85 Lund, Sweden.
Karin JirströmDepartment of Clinical Sciences Lund, Oncology and Therapeutic Pathology, Lund University Cancer Center/Kamprad, Lund University, Barngatan 4, SE 221 85 Lund, Sweden.
Karolin IsakssonDepartment of Clinical Sciences Lund, Surgery, Lund University Cancer Center, Lund University and Kristianstad Hospital, JA Hedlundsväg 5, SE 291 33 Kristianstad, Sweden.
Michael N PollakLady Davis Institute for Medical Research, Jewish General Hospital, Department of Oncology, McGill University, 3755 Côte Ste-Catherine Road, Montreal, QC H3T 1E2, Quebec, Canada.
Helena JernströmDepartment of Clinical Sciences Lund, Oncology, Lund University Cancer Center/Kamprad, Lund University and Skåne University Hospital, Barngatan4, SE 221 85 Lund, Sweden.ORCID 0000-0002-2301-5147

Funding

Swedish Cancer Society CAN 20 0763
6 · The paper itself

Abstract

Previous research indicates that insulin-like growth factor binding protein 7 (IGFBP7) protein levels in breast cancer tissue and blood are prognostic. However, genetic determinants of IGFBP7 in breast cancer remain largely unexplored. We examined IGFBP7 in a cohort of 1701 patients with first breast cancer from Sweden, enrolled prior to surgery 2002-16 and followed for up to 15 years. Genotyping was performed on blood samples using OncoArray. Tumor-specific protein levels of IGFBP7, insulin receptor (InsR), and IGF-I receptor (IGFIR) were assessed on tumor tissue microarrays in 964 patients. Furthermore, 275 patients had plasma IGFBP7 levels measured. A genetic proxy marker for circulating IGFBP7 levels was constructed from five candidate single-nucleotide polymorphisms (SNPs) (rs6852762, rs1714014, rs9992658, rs10004910, and rs4865180) based on number of recessive genotypes. Age-adjusted linear regression was used to evaluate SNPs and tumor-specific IGFBP7 levels in relation to circulating IGFBP7 levels. Cox regression adjusted for age, tumor characteristics, and adjuvant treatments was used to assess associations with clinical outcomes. Circulating and tumor-specific IGFBP7 levels were significantly positively correlated. High circulating and genetically predicted IGFBP7 levels were associated with increased risk for distant metastasis and all-cause mortality. A significant interaction between high tumor-specific IGFBP7 levels and membrane-bound InsR resulted in a four-fold increased risk of breast cancer events and distant metastases. Both measured and genetically predicted IGFBP7 levels were independent prognostic biomarkers in breast cancer.

Indexed as

Biomarkers, TumorBreast NeoplasmsInsulin-Like Growth Factor Binding ProteinsAdultAgedAntigens, CDClinical RelevanceCohort StudiesFemaleGenotypeHumansMiddle AgedPolymorphism, Single NucleotidePrognosisReceptor, IGF Type 1Receptor, InsulinAntigens, CDBiomarkers, TumorINSR protein, humaninsulin-like growth factor binding protein-related protein 1Insulin-Like Growth Factor Binding ProteinsReceptor, IGF Type 1Receptor, Insulinbreast cancercohort studygenotypeIGFBP7prognostic biomarker

Identifiers

PMID40230015
PMCPMC12066007

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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.