Evidence map›Paper›PMID 21367843›Full record

ArticleEndocrine-related cancer2011

Therapeutically activating RB: reestablishing cell cycle control in endocrine therapy-resistant breast cancer.

Chellappagounder Thangavel, Jeffry L Dean, Adam Ertel, Karen E Knudsen, C Marcelo Aldaz, Agnieszka K Witkiewicz, Robert Clarke, Erik S Knudsen

Open access · bronzeAbstract read
In one paragraph

Article in Endocrine-related cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 2% 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

158 citing papers in PubMed, 2 syntheses or guidelines pooled it, 295 citations in OpenAlex.

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  13. Metabolic Response to CDK4/6 Inhibition in ER+ Breast Cancer Creates a Therapeutic Vulnerability in Drug-Tolerant Persister Cells.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  20. CDK4/6 Inhibitor Resistance in ER+ Breast Cancer.Advances in experimental medicine and biology · 2025
    Review

98 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 1 country.

Chellappagounder ThangavelKimmel Cancer Center, Philadelphia, Pennsylvania 19107, USA.
Jeffry L Dean
Adam Ertel
Karen E Knudsen
C Marcelo Aldaz
Agnieszka K Witkiewicz
Robert Clarke
Erik S Knudsen
Sidney Kimmel Cancer Center · USThomas Jefferson University · USThe University of Texas MD Anderson Cancer Center · USVince Lombardi Cancer Clinic · US

Funding

Cyclin D1: repercussions of AR control and alternative splicing in prostate canceR01CA099996 · NCI · UNIVERSITY OF CINCINNATI · PI KNUDSEN, KAREN E · 2003 to 2013
$2.6M
Endocrine resistance in breast cancerR01CA131465 · NCI · GEORGETOWN UNIVERSITY · PI CLARKE, ROBERT R. · 2009 to 2013
$1.7M
Action of RB Pathway in Breast Cancer TherapyR01CA129134 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI KNUDSEN, ERIK · 2010 to 2014
$1.7M
NCI NIH HHS R01 CA099996NCI NIH HHS R01 CA129134NCI NIH HHS R01 CA12934NCI NIH HHS R01 CA131465
6 · The paper itself

Abstract

The majority of estrogen receptor (ER)-positive breast cancers are treated with endocrine therapy. While this is effective, acquired resistance to therapies targeted against ER is a major clinical challenge. Here, model systems of ER-positive breast cancers with differential susceptibility to endocrine therapy were employed to define common nodes for new therapeutic interventions. These analyses revealed that cell cycle progression is effectively uncoupled from the activity and functional state of ER in these models. In this context, cyclin D1 expression and retinoblastoma tumor suppressor protein (RB) phosphorylation are maintained even with efficient ablation of ER with pure antagonists. These therapy-resistant models recapitulate a key feature of deregulated RB/E2F transcriptional control. Correspondingly, a gene expression signature of RB-dysfunction is associated with luminal B breast cancer, which exhibits a relatively poor response to endocrine therapy. These collective findings suggest that suppression of cyclin D-supported kinase activity and restoration of RB-mediated transcriptional repression could represent a viable therapeutic option in tumors that fail to respond to hormone-based therapies. Consistent with this hypothesis, a highly selective CDK4/6 inhibitor, PD-0332991, was effective at suppressing the proliferation of all hormone refractory models analyzed. Importantly, PD-0332991 led to a stable cell cycle arrest that was fundamentally distinct from those elicited by ER antagonists, and was capable of inducing aspects of cellular senescence in hormone therapy refractory cell populations. These findings underscore the clinical utility of downstream cytostatic therapies in treating tumors that have experienced failure of endocrine therapy.

Indexed as

Breast NeoplasmsCell CycleCell Line, TumorCyclin D1FemaleGene Expression ProfilingHumansMolecular Targeted TherapyNeoplasms, Hormone-DependentPiperazinesProtein Kinase InhibitorsPyridinesReceptors, EstrogenRetinoblastoma ProteinReverse Transcriptase Polymerase Chain ReactionRNA, MessengerCyclin D1palbociclibPiperazinesProtein Kinase InhibitorsPyridinesReceptors, EstrogenRetinoblastoma ProteinRNA, Messenger

Identifiers

PMID21367843
PMCPMC3624623
OpenAlexW2137177885

What OpenQuestion holds

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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.