Verdict
Highly suspicious (🟠). Primary clinical data table contains arithmetic contradictions and implausible P-values suggestive of fabrication or careless data transcription. Secondary concerns involve sample-size inconsistency and unrealistic experimental timelines.
Key findings
- Table 1 arithmetic failure: Stated LC group n=21, but Male 8 + Female 12 = 20 (one patient unaccounted); age distribution ≥65 (7) + <65 (11) = 18 (three patients missing).
- Implausible P-values in Table 1: Tumor-marker columns (CA125, CA153, CA242, CA724, CA199) list P-values as "12", "11", "12" — impossible output from any statistical software; likely mis-pasted footnote markers.
- Unrealistic P-value precision: Remaining P-values retain four decimal places (0.6262, 0.3722) despite very small subgroup denominators (e.g., only ~11 cases with tumor-marker data).
- Sample-size contradiction: Methods state 21 LC and 21 LCBM patients enrolled; Figure 6 caption states Western blots used five LC and five LCBM samples with no justification for the reduction.
- Timeline compression: Sample collection ended August 2023; manuscript received July 2024 — under one year to complete microarray analysis, ceRNA network construction, stable cell-line generation, full in vitro assays, TMT proteomics, and a 50-day intracardiac/intracarotid nude-mouse brain-metastasis model.
- Missing animal mortality data: Intracarotid injection models typically incur substantial mortality; none is reported despite "clean" endpoint statistics.
- Western blot panels (Figures 3D, 4D–G, 6B) flagged for raw-image review: No pixel-level duplication analysis possible from the supplied PDF; multi-molecular-weight composites in Figure 4 are particularly prone to hidden splicing.
- Direct numeric evidence from Table 1:
- LC sex split: Male 8 / Female 12; sum = 20 ≠ 21.
- LC age split: ≥65 = 7, <65 = 11; sum = 18.
- P-value cells: CA125 = "12"; CA153 = "11"; CA242, CA724, CA199 = "12".
- Reported P-values with four-decimal precision: 0.6262, 0.3722.
- Methods text: "From September 2020 to August 2023… included 21 patients with LC and 21 with LCBM."
- Figure 6 caption: "Western blot analysis of EEF1A2… in tumor samples from five LC patients and five LCBM patients."
- DOI: 10.20517/2394-4722.2024.77.
- Confidence is moderate-to-high for the Table 1 arithmetic issue; lower for Western-blot splicing, which requires raw uncropped images.
- Authors should be asked to (1) reconcile Table 1 counts, (2) explain the integer P-values, (3) justify the n=21 → n=5 reduction for Figure 6, and (4) provide original uncropped blot images and animal mortality records.
- Affiliations cited in the report include Kunming Medical University Third Affiliated Hospital and Yunnan University of Chinese Medicine; institutional ethics committees may need to review sample provenance and animal-experiment records.
- This automated report is an aid to discussion, not a final determination of misconduct.