Evidence map›Paper›PMID 19924529›Full record

ArticleBreast cancer research and treatment2010

Nuclear IRS-1 predicts tamoxifen response in patients with early breast cancer.

Ilenia Migliaccio, Meng-Fen Wu, Carolina Gutierrez, Luca Malorni, Syed K Mohsin, D Craig Allred, Susan G Hilsenbeck, C Kent Osborne, Heidi Weiss, Adrian V Lee

Open access · greenAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  7. Synergistic drug combinations from electronic health records and gene expression.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Nuclear IRS-1 and cancer.Journal of cellular physiology · 2012
    Review
  13. Article
  14. Article
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  16. 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

10 authors at 5 institutions in 2 countries.

Ilenia MigliaccioLester and Sue Smith Breast Center, Baylor College of Medicine, One Baylor Plaza, BCM:600, Room N1110, Houston, TX 77030, USA.
Meng-Fen Wu
Carolina Gutierrez
Luca Malorni
Syed K Mohsin
D Craig Allred
Susan G Hilsenbeck
C Kent Osborne
Heidi Weiss
Adrian V Lee
Baylor College of Medicine · USChildren's Cancer Center · USRiverside Methodist Hospital · USThe University of Texas Medical Branch at Galveston · USWashington University in St. Louis · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI DAVID R ROWLEY · 2007 to 2026
$73.9M
TUMOR SUPPRESSOR GENES IN BREAST CANCER DEVELOPMENTP50CA058183 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI OSBORNE, C KENT · 1992 to 2012
$30.9M
IRS1 and 2 Signaling in Mammary Development and CancerR01CA094118 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, ADRIAN V · 2002 to 2015
$3.0M
NCI NIH HHS P30 CA125123NCI NIH HHS P50 CA058183NCI NIH HHS P50CA58183NCI NIH HHS R01 CA094118
6 · The paper itself

Abstract

Insulin receptor substrate-1 (IRS-1) is a cytoplasmic scaffolding protein that is phosphorylated by insulin-like growth factor-I receptor and recruits downstream effectors. Recent evidence suggests that IRS-1 has a nuclear localization and function. Here we investigated whether nuclear and cytoplasmic IRS-1 levels are associated with clinico-pathological characteristics and clinical outcome in breast cancer patients. Tissue microarrays from 1,097 patients with stage I-II breast cancer were stained by immunohistochemistry for IRS-1. Nuclear and cytoplasmic IRS-1 were scored separately according to the Allred score. Nuclear IRS-1 showed a positive association with estrogen receptor (ER) (r = 0.09, P = 0.003) and progesterone receptor (PR) (r = 0.08, P = 0.008) status and a negative correlation with lymph node involvement (r = -0.10, P = 0.001). Cytoplasmic IRS-1 did not correlate with ER or PR but showed a positive correlation with tumor size (r = 0.10, P = 0.001) and S-phase fraction (r = 0.16, P < 0.001). In univariate analysis, tamoxifen-treated patients with tumors showing positive nuclear IRS-1 had a better recurrence-free survival (RFS) (P = 0.009) and overall survival (OS) (P = 0.0007), while no association was shown between cytoplasmic IRS-1 and RFS or OS in the same group of patients. In multivariate analysis of patients receiving tamoxifen, negative nuclear IRS-1 showed a significantly reduced RFS (P = 0.046) and OS (P = 0.018). Combining both PR and nuclear IRS-1, tamoxifen-treated patients with PR+/IRS-1+ tumors had a better RFS (P = 0.0003) and OS (P < 0.0001) when compared with patients with PR-/IRS-1- tumors. In conclusion, nuclear IRS-1 may be a useful marker to predict tamoxifen response in patients with early breast cancer, particularly when assessed in combination with PR.

Indexed as

Antineoplastic Agents, HormonalBiomarkers, TumorBreast NeoplasmsCell NucleusDisease-Free SurvivalFemaleHumansImmunohistochemistryInsulin Receptor Substrate ProteinsKaplan-Meier EstimateLymphatic MetastasisMiddle AgedProportional Hazards ModelsReceptors, EstrogenReceptors, ProgesteroneRisk AssessmentAntineoplastic Agents, HormonalBiomarkers, TumorInsulin Receptor Substrate ProteinsIRS1 protein, humanReceptors, EstrogenReceptors, ProgesteroneTamoxifen

Identifiers

PMID19924529
PMCPMC2891842
OpenAlexW2058983099

What OpenQuestion holds

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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.