Evidence map›Paper›PMID 28617833›Full record

Trial reportPloS one2017

Clinical performance validation of PITX2 DNA methylation as prognostic biomarker in patients with head and neck squamous cell carcinoma.

Verena Sailer, Heidrun Gevensleben, Joern Dietrich, Diane Goltz, Glen Kristiansen, Friedrich Bootz, Dimo Dietrich

Open access · goldAbstract readClinical TrialMulticenter StudyValidation Study
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  4. Article
  5. Review
  6. The expression and methylation ofFrontiers in genetics · 2022
    Article
  7. Recent progress of biomarkers in oral cancers.Journal of the Chinese Medical Association : JCMA · 2021
    Article
  8. Article
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  10. Article
  11. Article
  12. Review
  13. Article
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  17. Article
  18. The Predictive Value ofDisease markers · 2017
    Review
  19. Promoter hypermethylation ofInternational journal of clinical and experimental pathology · 2017
    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 at 3 institutions in 3 countries.

Verena SailerDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, New York, United States of America.
Heidrun GevenslebenInstitute of Pathology, University Hospital of Bonn, Bonn, Germany.
Joern DietrichDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Bonn, Bonn, Germany.
Diane GoltzInstitute of Pathology, University Hospital of Cologne, Cologne, Germany.
Glen KristiansenInstitute of Pathology, University Hospital of Bonn, Bonn, Germany.
Friedrich BootzDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Bonn, Bonn, Germany.
Dimo DietrichDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0001-9794-7927
University Hospital Bonn · DECornell University · USUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances in combined modality therapy, outcomes in head and neck squamous cell cancer (HNSCC) remain dismal with five-year overall survival rates of less than 50%. Prognostic biomarkers are urgently needed to identify patients with a high risk of death after initial curative treatment. Methylation status of the paired-like homeodomain transcription factor 2 (PITX2) has recently emerged as a powerful prognostic biomarker in various cancers. In the present study, the clinical performance of PITX2 methylation was validated in a HNSCC cohort by means of an independent analytical platform (Infinium HumanMethylation450 BeadChip, Illumina, Inc.).

methodsA total of 528 HNSCC patients from The Cancer Genome Atlas (TCGA) were included in the study. Death was defined as primary endpoint. PITX2 methylation was correlated with overall survival and clinicopathological parameters.

resultsPITX2 methylation was significantly associated with sex, tumor site, p16 status, and grade. In univariate Cox proportional hazards analysis, PITX2 hypermethylation analyzed as continuous and dichotomized variable was significantly associated with prolonged overall survival of HNSCC patients (continuous: hazard ratio (HR) = 0.19 [95%CI: 0.04-0.88], p = 0.034; dichotomized: HR = 0.52 [95%CI: 0.33-0.84], p = 0.007). In multivariate Cox analysis including established clinicopathological parameters, PITX2 promoter methylation was confirmed as prognostic factor (HR = 0.28 [95%CI: 0.09-0.84], p = 0.023).

conclusionUsing an independent analytical platform, PITX2 methylation was validated as a prognostic biomarker in HNSCC patients, identifying patients that potentially benefit from intensified surveillance and/or administration of adjuvant/neodjuvant treatment, i.e. immunotherapy.

Indexed as

Carcinoma, Squamous CellDNA MethylationHead and Neck NeoplasmsBiomarkers, TumorDisease-Free SurvivalDNA, NeoplasmFemaleHomeobox Protein PITX2Homeodomain ProteinsHumansMaleMiddle AgedNeoplasm ProteinsSurvival RateTranscription FactorsBiomarkers, TumorDNA, NeoplasmHomeobox Protein PITX2Homeodomain ProteinsNeoplasm ProteinsTranscription Factors

Identifiers

PMID28617833
PMCPMC5472307
OpenAlexW2625173287

What Socratic holds

Textmetadata
LicenceCC BY
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.