Evidence map›Paper›PMID 40789681›Full record

SynthesisJournal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology2025

Deciphering NOTCH1 as a Biomarker in Adenoid Cystic Carcinoma: Insights From a Systematic Review With Meta-Analysis.

Isabela de Sousa Slivar, Bruno de Andrade Zanesco, Manoela Domingues Martins, Leandro Luongo Matos, Fábio Daumas Nunes, Lauren Frenzel Schuch, Vivian Petersen Wagner

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Deciphering NOTCH1 as a Biomarker in Adenoid Cystic Carcinoma: Insights From a Systematic Review With Meta-Analysis.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2025
    Pooled it
  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

7 authors.

Isabela de Sousa SlivarDepartment of Dentistry, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, Brazil.
Bruno de Andrade ZanescoDepartment of Dentistry, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, Brazil.
Manoela Domingues MartinsDepartment of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba (UNICAMP), São Paulo, Brazil.ORCID https://orcid.org/0000-0001-8662-5965
Leandro Luongo MatosDepartament of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (ICESP HCFMUSP), São Paulo, Brazil.
Fábio Daumas NunesDepartment of Dentistry, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-7785-6785
Lauren Frenzel SchuchDepartament of Oral Pathology and Medicine Diagnosis, Molecular Pathology Area, School of Dentistry, Universidad de La Republica (UDELAR), Montevideo, Uruguay.ORCID https://orcid.org/0000-0002-0993-936X
Vivian Petersen WagnerDepartment of Dentistry, School of Dentistry, Universidade de São Paulo (FOUSP), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1447-2135

Funding

Brazilian National Council for Scientific and Technological Development (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001Fundação de Amparo à Pesquisa do Estado de São Paulo 2023/17711-9
6 · The paper itself

Abstract

backgroundMost studies suggest that NOTCH1 alterations are associated with prognosis in adenoid cystic carcinoma (ACC), but findings remain fragmented. We conducted an integrative analysis to evaluate the prognostic value of NOTCH1-related biomarkers in ACC.

methodsA comprehensive search was conducted across multiple databases. Inclusion criteria comprised studies examining NOTCH1-related features at ACC diagnosis and their relation with survival outcomes. Meta-analysis was performed on studies sharing similar methodology.

resultsTwelve studies met the eligibility criteria. NOTCH1 mutational status, Notch1 immunoexpression, and NICD1 immunoexpression were associated either with overall, disease-free or progression-free survival. Methodological disparities hindered integration of results. Meta-analyses of HRs were conducted with 2 studies for each index factor, revealing a 2.31-fold increased risk of death for primary ACC cases with NOTCH1 mutations, a 2.6-fold increased risk of death for those exhibiting positive NICD1 expression and a 1.91-fold heightened risk of disease recurrence for cases with high Notch1 expression.

conclusionThis comprehensive review underscores the prognostic relevance of NOTCH1 in ACC, indicating its potential as a valuable risk stratification tool.

Indexed as

Biomarkers, TumorCarcinoma, Adenoid CysticReceptor, Notch1Salivary Gland NeoplasmsHumansMutationPrognosisBiomarkers, TumorNOTCH1 protein, humanReceptor, Notch1biomarkershead and neck neoplasmssalivary gland neoplasmstumor

Identifiers

PMID40789681
PMCPMC12419985

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.