Evidence map›Paper›PMID 37712876›Full record

ArticleCancer research communications2023

EphA2 Proteolytic Fragment as a Sensitive Diagnostic Biomarker for Very Early-stage Pancreatic Ductal Carcinoma.

Shinya Sato, Masatoshi Nakagawa, Takeshi Terashima, Soichiro Morinaga, Yohei Miyagi, Eisaku Yoshida, Toru Yoshimura, Motoharu Seiki, Shuichi Kaneko, Makoto Ueno and 2 more

Abstract read
In one paragraph

Article in Cancer research communications, 2023. 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.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. EphA2 in Cancer: Molecular Complexity and Therapeutic Opportunities.International journal of molecular sciences · 2024
    Review
  7. 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

12 authors.

Shinya Sato *Molecular Pathology and Genetics Division, Kanagawa Cancer Center Research Institute, Yokohama, Japan.ORCID 0000-0002-2155-2379
Masatoshi Nakagawa *Research and Development, Abbott Japan LLC, Chiba, Japan.ORCID 0009-0003-6276-1956
Takeshi TerashimaAdvanced Preventive Medical Sciences Research Center, Kanazawa University Hospital, Kanazawa, Japan.ORCID 0000-0002-1052-0101
Soichiro MorinagaDepartment of Gastroenterological Surgery, Kanagawa Cancer Center Hospital, Yokohama, Japan.ORCID 0009-0001-1551-1837
Yohei MiyagiMolecular Pathology and Genetics Division, Kanagawa Cancer Center Research Institute, Yokohama, Japan.ORCID 0000-0002-0056-7010
Eisaku YoshidaMorphological Analysis Laboratory, Kanagawa Cancer Center Research Institute, Yokohama, Japan.ORCID 0009-0005-3655-6339
Toru YoshimuraMorphological Analysis Laboratory, Kanagawa Cancer Center Research Institute, Yokohama, Japan.ORCID 0000-0002-9178-9777
Motoharu SeikiGraduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.ORCID 0000-0002-3909-0782
Shuichi KanekoGraduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.ORCID 0000-0001-7113-3319
Makoto UenoDepartment of Gastroenterology, Kanagawa Cancer Center Hospital, Yokohama, Japan.ORCID 0000-0003-4480-0029
Taro YamashitaGraduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.ORCID 0000-0002-3383-9131
Naohiko KoshikawaDepartment of Life Science and Technology, Tokyo Institute of Technology, Yokohama, Japan.ORCID 0000-0002-4539-888X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cleavage of erythropoietin-producing hepatocellular ephrin receptor A2 (EphA2) triggers malignant progression and yields an N-terminal fragment (EphA2-NF) detectable in sera from patients with pancreatic ductal carcinoma. We established a quantitative automated chemiluminescence immunoassay for EphA2-NF and evaluated serum EphA2-NF levels as a biomarker to diagnose pancreatic ductal carcinoma in the test and validation cohorts. The EphA2-NF value was elevated (above the cutoff: mean ± SD) in more than half of the patients with stage I/II pancreatic ductal carcinoma. Among patients receiving standard chemotherapy for pancreatic ductal carcinoma [gemcitabine plus nab-paclitaxel (GnP)], the median survival time of patients with elevated serum EphA2-NF was half that of patients with values below the cutoff. Patients with intraductal papillary mucinous neoplasm (IPMN), a precancerous pancreatic ductal carcinoma lesion, also show high serum EphA2 levels, which are associated with an increase in pancreatic duct size and the development of pancreatic ductal carcinoma in some cases. IHC showed loss of EphA2-NF staining in IPMN with pancreatic ductal carcinoma, but not in the normal epithelium or IPMN without pancreatic ductal carcinoma, regardless of the histologic grade. These results suggest that EphA2 cleavage is an essential event that occurs very early in pancreatic ductal carcinoma development, and that the consequent release of EphA2-NF can be detected in the serum. Thus, serum EphA2-NF could be a diagnostic biomarker for very early-stage pancreatic ductal carcinoma and pancreatic ductal carcinoma development from high-risk IPMN and as a prognostic biomarker after chemotherapy with GnP. SIGNIFICANCE: EphA2 N-terminus deletion is involved in pancreatic ductal carcinoma development from high-risk IPMN and EphA2-NF produced by cleavage can be used as a serum biomarker to diagnose pancreatic ductal carcinoma and predict pancreatic ductal carcinoma development from high-risk IPMN.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic Intraductal NeoplasmsPancreatic NeoplasmsHumansPeptide HydrolasesProteolysisPeptide Hydrolases

Identifiers

PMID37712876
PMCPMC10503484

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.