Evidence map›Paper›PMID 42255325›Full record

ArticleBJUI compass2026

High folate receptor expression is associated with aggressive features in prostate cancer with low prostate-specific membrane antigen expression.

Ashorne K Mahenthiran, Burak Akgul, Mohammed Alshalalfa, Mark A Green, Giovanna A Giannico, Elai Davicioni, Daniel A Sidhom, Michael O Koch, Clinton D Bahler

Registry-linked trialAbstract read
In one paragraph

Article in BJUI compass, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02609269 (Prospective Expression Analysis Using The Decipher Genomics Resource for Intelligent Discovery), which is not on this 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.

NCT02609269 enrolling by invitationnot on this map

Prospective Expression Analysis Using The Decipher Genomics Resource for Intelligent Discovery (GRID)® and Data Sharing Program

Typeobservational_patient_registrySponsorGenomeDx Biosciences CorpRan2015 to 2040Enrolled1,000,000ConditionsProstate Cancer, Bladder Cancer, Renal CancerArmsDecipher Cancer Classifier
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

Ashorne K MahenthiranDepartment of Urology Indiana University School of Medicine Indianapolis Indiana USA.ORCID https://orcid.org/0000-0003-3409-2460
Burak AkgulDepartment of Urology Indiana University School of Medicine Indianapolis Indiana USA.
Mohammed AlshalalfaDepartment of Research and Development Veracyte Inc. South San Francisco California USA.
Mark A GreenDepartment of Radiology and Imaging Sciences Indiana University School of Medicine Indianapolis Indiana USA.
Giovanna A GiannicoDepartment of Pathology and Laboratory Medicine Indiana University School of Medicine Indianapolis Indiana USA.
Elai DavicioniDepartment of Research and Development Veracyte Inc. South San Francisco California USA.
Daniel A SidhomDepartment of Urology Indiana University School of Medicine Indianapolis Indiana USA.ORCID https://orcid.org/0000-0003-3773-7172
Michael O KochDepartment of Urology Indiana University School of Medicine Indianapolis Indiana USA.
Clinton D BahlerDepartment of Urology Indiana University School of Medicine Indianapolis Indiana USA.ORCID https://orcid.org/0000-0003-0484-801X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This work aimed to analyse the expression of and correlation between folate transporters FOLR1, FOLR2, SLC19A1 (reduced folate carrier, RFC), and FOLH1 (PSMA mRNA) in a large cohort of prostate cancer samples, with the goal of better understanding the nature of aggressive disease with low PSMA expression. Subjects and Methods: A total of 55 329 radical prostatectomy (RP) tumour specimens tested with the Decipher prostate genomic classifier (Veracyte, CA) were identified from the Decipher GRID database (NCT02609269). Transcriptome-wide mRNA expression and baseline clinicopathologic data were retrieved. Logistic regression assessed associations between gene expression, pathological Gleason grade group (GG) 4-5, lymph node invasion (LNI), seminal vesicle invasion (SVI), and very high Decipher score (>0.85). Results: This cohort had a median age of 65 years and PSA of 4.9 ng/mL. FOLR1and FOLR2 showed no correlation with PSMA. High FOLR2 and RFC were associated with very high Decipher scores and GG4-5. In the lowest 10% PSMA group, high FOLR2 correlated with high Decipher scores, GG4-5, LNI, and SVI (all Conclusions: Our large-scale study of transcriptome demonstrates FOLR2 gene expression is associated with aggressive prostate cancer in samples with low expression of PSMA. Future prediction of disease risk could be enhanced by using FOLR2 as a molecular target for identifying aggressive prostate cancer in cases of low PSMA.

Indexed as

folate receptorgenomicsprostate cancerprostate‐specific membrane antigenurologic oncology

Identifiers

PMID42255325
PMCPMC13239787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.