Evidence map›Paper›PMID 18663571›Full record

ArticleBreast cancer research and treatment2009

Cyclooxygenase-2 expression in primary breast cancers predicts dissemination of cancer cells to the bone marrow.

Anthony Lucci, Savitri Krishnamurthy, Balraj Singh, Isabelle Bedrosian, Funda Meric-Bernstam, James Reuben, Kristine Broglio, Kailash Mosalpuria, Ashutosh Lodhi, Laura Vincent and 1 more

Open access · greenAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  4. The Role of Inflammation in Breast and Prostate Cancer Metastasis to Bone.International journal of molecular sciences · 2021
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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

11 authors at 1 institution in 1 country.

Anthony LucciDepartment of Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, 77030, USA. alucci@mdanderson.org
Savitri Krishnamurthy
Balraj Singh
Isabelle Bedrosian
Funda Meric-Bernstam
James Reuben
Kristine Broglio
Kailash Mosalpuria
Ashutosh Lodhi
Laura Vincent
Massimo Cristofanilli
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Role of COX-2 in breast cancer metastasis to boneR21DK067682 · NIDDK · UNIVERSITY OF TEXAS MD ANDERSON CAN CTR · PI LUCCI, ANTHONY · 2003 to 2004
$302k
NCI NIH HHS CA16672NCI NIH HHS P30 CA016672NIDDK NIH HHS DK067682NIDDK NIH HHS R21 DK067682
6 · The paper itself

Abstract

purposeCyclooxygenase-2 (COX2) plays a role in breast cancer progression at various stages starting from pre-malignant phenotype to clinical metastasis. Breast cancer metastasizes commonly to the bone and preclinical studies suggest an involvement of COX2 in this process. Detection of disseminated tumor cells in the bone marrow of patients at the time of surgery correlates with the subsequent development of clinical bone metastasis. Therefore, to investigate whether COX2 is important for breast cancer metastasis in humans, we analyzed COX2 protein expression by immunostaining of primary tumors from 112 operable stages I, II, or III patients and determined its correlation with bone marrow micrometastasis (BMM).

methodsWe detected COX2 protein in primary tumors by immunostaining with a monoclonal antibody, and tumor cells present in the bone marrow by immunostaining for epithelial cytokeratins and by morphological criteria.

resultsCOX2 expression in primary breast cancer correlated with BMM in a highly statistically significant manner (P = 0.006). Our statistical analyses of correlations of the COX2 positivity in primary tumor with other clinically relevant indicators revealed that COX2 positivity correlates with high nuclear grade (P = 0.0004). Furthermore, we were able to detect COX2 protein in BMM by immunostaining.

conclusionsThese studies indicate that COX2 produced in primary breast cancer cells may be vital to the initial development of BMM that may subsequently lead to osteolytic bone metastases in patients with breast cancer, and that COX2 inhibitors may be useful in halting this process.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorBone Marrow NeoplasmsBreast NeoplasmsCyclooxygenase 2FemaleGene ExpressionHumansImmunohistochemistryMiddle AgedNeoplasm InvasivenessNeoplasm StagingBiomarkers, TumorCyclooxygenase 2

Identifiers

PMID18663571
PMCPMC5842357
OpenAlexW2055985999

What OpenQuestion 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 OpenQuestion graph.