Evidence map›Paper›PMID 41218617›Full record

ArticleThe journal of obstetrics and gynaecology research2025

Prognostic Significance of Actinin-4 Protein Expression and Gene Amplification in Endometrial Carcinoma.

Li Xiang, Yutaka Naito, Masafumi Toyoshima, Mika Terasaki, Akihito Yamamoto, Akira Shimizu, Shunji Suzuki, Kazufumi Honda

Abstract read
In one paragraph

Article in The journal of obstetrics and gynaecology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

8 authors.

Li XiangDepartment of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Yutaka NaitoDepartment of Molecular Prevention, Institute for Advanced Medical Science, Nippon Medical School, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6827-601X
Masafumi ToyoshimaDepartment of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8199-9917
Mika TerasakiDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.ORCID https://orcid.org/0000-0003-0913-8279
Akihito YamamotoDepartment of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9158-4897
Akira ShimizuDepartment of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan.
Shunji SuzukiDepartment of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3996-2624
Kazufumi HondaDepartment of Molecular Prevention, Institute for Advanced Medical Science, Nippon Medical School, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate the clinical significance of actinin-4 in endometrial carcinoma. Actinin-4, an actin-binding protein involved in cytoskeletal dynamics, has been implicated in the progression of various cancers; however, its precise role in endometrial carcinoma is not fully understood. This research sought to evaluate actinin-4 protein expression and gene amplification and correlate these findings with clinicopathological parameters and patient survival to determine its prognostic value.

methodsA retrospective analysis was conducted on endometrial carcinoma patients who underwent surgical resection. Actinin-4 protein expression was assessed using immunohistochemical staining (IHC), and ACTN4 gene amplification was evaluated by fluorescence in situ hybridization (FISH). The intensity of actinin-4 staining was graded, and gene amplification of ACTN4 was defined using the ACTN4/CEP19 ratio. Statistical analysis, including Kaplan-Meier survival analysis and Cox proportional hazards modeling, was performed to correlate actinin-4 expression with clinicopathological features and survival outcomes.

resultsOverexpression of actinin-4 protein by IHC was significantly associated with advanced clinical stage and histological subtypes. While no significant difference was observed in overall survival (OS), patients with high actinin-4 IHC demonstrated significantly poorer progression-free survival (PFS). ACTN4 gene amplification by FISH was significantly associated with poorer prognosis for both OS and PFS compared to the group without amplification.

conclusionThis study suggests that actinin-4 plays a role in the progression of endometrial carcinoma, particularly influencing tumor aggressiveness and progression-free survival.

Indexed as

ActininEndometrial NeoplasmsGene AmplificationAdultAgedBiomarkers, TumorFemaleHumansMiddle AgedPrognosisRetrospective StudiesActininACTN4 protein, humanBiomarkers, Tumoractinin‐4ACTN4endometrial carcinomafluorescence in situ hybridizationimmunohistochemical staining

Identifiers

PMID41218617
PMCPMC12611447

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.