Evidence map›Paper›PMID 27476775›Full record

ArticleHuman pathology2016

Metastatic ocular melanoma to the liver exhibits infiltrative and nodular growth patterns.

Hans E Grossniklaus, Qing Zhang, Shuo You, Conni McCarthy, Steffen Heegaard, Sarah E Coupland

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Human pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.2field-weighted citation impact, top 5% of its field
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

38 citing papers in PubMed, 73 citations in OpenAlex.

  1. Article
  2. Review
  3. Management of liver metastases from uveal melanoma.The British journal of surgery · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Vascular Lakes in Uveal Melanoma and Their Association With Outcome.Translational vision science & technology · 2022
    Article
  14. Animal Models of Uveal Melanoma.Annals of eye science · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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 at 3 institutions in 3 countries.

Hans E GrossniklausDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA 30322; Winship Cancer Institute, Emory University, Atlanta, GA, USA 30322. Electronic address: ophtheg@emory.edu.
Qing ZhangDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA 30322.
Shuo YouWinship Cancer Institute, Emory University, Atlanta, GA, USA 30322.
Conni McCarthyMolecular and Clinical Cancer Medicine, Royal Liverpool and Broadgreen University Hospital NHS Trust, University of Liverpool, Liverpool, L69 3GA UK.
Steffen HeegaardDepartment of Pathology, Rigshospitalet, University of Copenhagen, DK-2100 Copenhagen, Denmark; Department of Ophthalmology, Rigshospitalet, University of Copenhagen, DK-2100 Copenhagen, Denmark.
Sarah E CouplandMolecular and Clinical Cancer Medicine, Royal Liverpool and Broadgreen University Hospital NHS Trust, University of Liverpool, Liverpool, L69 3GA UK.
Emory University · USUniversity of Liverpool · GBRigshospitalet · DK

Funding

P30-Core Grant for Vision Research Core CP30EY006360 · NEI · EMORY UNIVERSITY · PI BOATRIGHT, JEFFREY H · 1986 to 2025
$15.3M
Mechanisms of Action for KCN1 in the Control of Uveal Melanoma MetastasisR01CA176001 · NCI · EMORY UNIVERSITY · PI GROSSNIKLAUS, HANS E., VAN MEIR, ERWIN G. · 2014 to 2018
$1.7M
NCI NIH HHS R01 CA176001NEI NIH HHS P30 EY006360
6 · The paper itself

Abstract

We examined liver specimens from 15 patients with uveal melanoma (UM) who had died of their disseminated disease. We found 2 distinct growth patterns of UM metastasis: infiltrative (n = 12) and nodular (n = 3). In the infiltrative pattern, individual UM cells with a CD133+ cancer stem cell-like phenotype were present and formed aggregates of stage I <50-μm-diameter micrometastases in the sinusoidal spaces. These micrometastases appeared to expand, destroy adjacent hepatocytes, and form stage II 51- to 500-μm-diameter and then stage III >500μm-diameter metastases, which were encapsulated by collagenized fibrous septae. In the nodular growth pattern, CD133+ melanoma cells aggregated adjacent to portal venules and subsequently appeared to grow and efface the adjacent hepatocytes to form stage II 51- to 500-μm-diameter nodules that surrounded the portal venule. These avascular nodules appeared to further expand to form stage III >500-μm-diameter nodules that exhibited vascularization with minimal fibrosis. The tumor stem cell-like phenotype seen in individual UM cells was lost as the tumors progressed. There were CD56+ natural killer cells in sinusoidal spaces and CD3+ lymphocytes in periportal areas. The nodular growth pattern showed UM cells expressing MMP9 and VEGF. UM cells in both above-described growth patterns exhibited variable BAP1 expression. We propose that changes in the liver microenvironment are related to metastatic UM growth. We hypothesize that these changes include immune regulation within the sinusoidal space for the infiltrative pattern and changes in the VEGF/PEDF ratio for the nodular pattern.

Indexed as

Cell ProliferationAC133 AntigenAutopsyBiomarkers, TumorCD3 ComplexCD56 AntigenDenmarkEnglandEye ProteinsFemaleFluorescent Antibody TechniqueGeorgiaHumansLiver NeoplasmsMaleMatrix Metalloproteinase 9AC133 AntigenBiomarkers, TumorCD3 ComplexCD56 AntigenEye ProteinsMatrix Metalloproteinase 9MMP9 protein, humanNCAM1 protein, humanNerve Growth FactorsPigment Epithelium-Derived FactorPROM1 protein, humanSerpinsVascular Endothelial Growth Factor AVEGFA protein, humanGrowth patternsLiver metastasesMicrometastasesNK cellsOcular melanomaPEDF

Identifiers

PMID27476775
PMCPMC5547398
OpenAlexW2506618086

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.