Evidence map›Paper›PMID 41291809›Full record

Observational studyEuropean journal of medical research2025

The role of serum acsl4 in differentiating early-stage breast cancer.

Yi Zhang, Ying He, Qiang Liu, Nengbin Wan, Li Li, Xiao He

Abstract readObservational Study
In one paragraph

Observational study in European journal of medical research, 2025. 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. 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

6 authors.

Yi ZhangThe Second Department of Breast Surgery, Affiliated Cancer Hospital of Xiangya Medical School, Hunan Cancer Hospital, Central South University, No.283 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan Province, China. Zhangyi@hnca.org.cn.
Ying HeThe Second Department of Breast Surgery, Affiliated Cancer Hospital of Xiangya Medical School, Hunan Cancer Hospital, Central South University, No.283 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan Province, China.
Qiang LiuThe Second Department of Breast Surgery, Affiliated Cancer Hospital of Xiangya Medical School, Hunan Cancer Hospital, Central South University, No.283 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan Province, China.
Nengbin WanThe Second Department of Breast Surgery, Affiliated Cancer Hospital of Xiangya Medical School, Hunan Cancer Hospital, Central South University, No.283 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan Province, China.
Li LiThe Second Department of Breast Surgery, Affiliated Cancer Hospital of Xiangya Medical School, Hunan Cancer Hospital, Central South University, No.283 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan Province, China.
Xiao HeThe Second Department of Breast Surgery, Affiliated Cancer Hospital of Xiangya Medical School, Hunan Cancer Hospital, Central South University, No.283 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate the serum levels and clinical significance of Acyl-CoA synthetase long-chain family member 4 (ACSL4) in patients with early-stage breast cancer, and to evaluate its potential as a diagnostic and prognostic biomarker.

methodsIn this prospective observational study, serum levels of ACSL4, inflammatory factors (CRP, IL-6, and IL-17), and tumor markers (CEA and CA153) were measured using enzyme-linked immunosorbent assay (ELISA) in 138 early-stage breast cancer patients and 115 patients with benign breast lesions. Demographic, clinical, and follow-up data were collected, and statistical analyses were performed to assess the diagnostic and prognostic value of ACSL4.

resultsSerum ACSL4 levels were significantly lower in early-stage breast cancer patients compared to those with benign breast lesions (p < 0.01). Serum ACSL4 levels showed diagnostic performance for early-stage breast cancer, with an AUC of 0.774 (95% CI 0.717-0.813), a cut-off value of 21.47 ng/ml, yielding 73.9% sensitivity and 65.2%. Although not statistically significant, trends in survival analysis suggested that lower ACSL4 levels might be associated with poorer outcomes. Multivariate logistic regression identified serum ACSL4 as an independent risk factor for early-stage breast cancer progression (OR 1.407, 95% CI 1.274-1.554; p < 0.001).

conclusionSerum ACSL4 levels were significantly lower in early-stage breast cancer patients and might serve as a useful serum indicator to support diagnosis. These findings suggested the potential clinical relevance of ACSL4 in breast cancer and highlighted the need for further studies to validate its diagnostic and prognostic value.

Indexed as

Biomarkers, TumorBreast NeoplasmsCoenzyme A LigasesAdultAgedFemaleHumansLong-Chain-Fatty-Acid-CoA LigaseMiddle AgedNeoplasm StagingPrognosisProspective StudiesBiomarkers, TumorCoenzyme A LigasesLong-Chain-Fatty-Acid-CoA LigaseACSL4Breast cancerEarly detectionSerum biomarker

Identifiers

PMID41291809
PMCPMC12648852

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.