Evidence map›Paper›PMID 41533164›Full record

ArticleClinical and experimental medicine2026

MUC1/CA15-3 identifies a clear cell renal carcinoma characterized by Sunitinib response with a specific metabolic signature.

Giuseppe Lucarelli, Francesco Lasorsa, Martina Milella, Antonio d'Amati, Giuseppe Ingravallo, Antonio Di Bari, Savio Domenico Pandolfo, Roberto Tamma, Michela De Giorgis, Domenico Ribatti and 8 more

Abstract read
In one paragraph

Article in Clinical and experimental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

18 authors.

Giuseppe Lucarelli *Urology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy. giuseppe.lucarelli@uniba.it.
Francesco Lasorsa *Urology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.
Martina MilellaUrology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.
Antonio d'AmatiUrology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.
Giuseppe IngravalloPathology Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.
Antonio Di BariUrology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.
Savio Domenico PandolfoDepartment of Neurosciences, Science of Reproduction and Odontostomatology, Federico II University, Naples, 80138, Italy.
Roberto TammaDepartment of Translational Biomedicine and Neuroscience, University of Bari "Aldo Moro", Bari, 70124, Italy.
Michela De GiorgisDepartment of Translational Biomedicine and Neuroscience, University of Bari "Aldo Moro", Bari, 70124, Italy.
Domenico RibattiDepartment of Translational Biomedicine and Neuroscience, University of Bari "Aldo Moro", Bari, 70124, Italy.
Annalisa SchirinziClinical Pathology Unit, Polyclinic University Hospital, Bari, 70124, Italy.
Francesca di SerioClinical Pathology Unit, Polyclinic University Hospital, Bari, 70124, Italy.
Alessandro CanigliaPathology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, 70124, Italy.
Francesco Alfredo ZitoPathology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, 70124, Italy.
Emanuele NaglieriOncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, 70124, Italy.
Michele BattagliaUrology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.
Pasquale DitonnoUrology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.
Monica RutiglianoUrology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Bari, 70124, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clear cell renal carcinoma (ccRCC) is a prevalent kidney cancer with limited effective biomarkers for prognosis and treatment guidance. Despite advancements, a significant portion of ccRCC cases progress to advanced stages, necessitating novel diagnostic tools. Here, we investigated the expression of MUC1 and its soluble form, CA15-3, in ccRCC, evaluating their potential as biomarkers for angiogenesis and response to sunitinib therapy. Molecular analyses showed that MUC1 expression was associated with angiogenesis, epithelial-mesenchymal transition, hypoxia/metabolism regulation, and complement system activation. In particular MUC1 overexpression correlated with increased microvascular density in vitro and in vivo models. Elevated CA15-3 levels were associated with tumor burden and predict clinical response to sunitinib in metastatic ccRCC. Metabolomic analysis showed that sunitinib-responding tumors were characterized by specific metabolic changes involving glucose and lipid metabolism, in association with impaired oxidative phosphorylation. MUC1 expressing ccRCC is a high angiogenic tumor that presents characteristics of increased aggressiveness, and a specific metabolic profile. Serum CA15-3 is a marker of poor survival and predicts response of sunitinib in patients with metastatic disease.

Indexed as

Antineoplastic AgentsBiomarkers, TumorCarcinoma, Renal CellIndolesKidney NeoplasmsMucin-1PyrrolesSunitinibAnimalsFemaleHumansMetabolomeNeovascularization, PathologicAntineoplastic AgentsBiomarkers, TumorIndolesMUC1 protein, humanMucin-1PyrrolesSunitinibAngiogenesisCA15-3MUC1Renal cell carcinomaSunitinib

Identifiers

PMID41533164
PMCPMC12819446

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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.