Evidence map›Paper›PMID 21497141›Full record

ArticleThe journal of pain2011

Breast cancer-induced bone remodeling, skeletal pain, and sprouting of sensory nerve fibers.

Aaron P Bloom, Juan M Jimenez-Andrade, Reid N Taylor, Gabriela Castañeda-Corral, Magdalena J Kaczmarska, Katie T Freeman, Kathleen A Coughlin, Joseph R Ghilardi, Michael A Kuskowski, Patrick W Mantyh

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The journal of pain, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03908853 (Pain Phenotyping of Patients With Bone Cancer Pain), which is not on this map. Cited by 110 papers.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed
10.6field-weighted citation impact, top 1% 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.

NCT03908853 unknown statusnot on this mapstarted 2019, after this paper: background citation

Pain Phenotyping of Patients With Bone Cancer Pain

TypeobservationalSponsorUniversity of CopenhagenRan2019 to 2023Enrolled70ConditionsPain, Bone Metastases, Metastatic Breast Cancer
3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 183 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Cancer pain.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Neuro-tumor interactions in peripheral tumors.Cancer metastasis reviews · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Not Just Neurons: Pain Is Orchestrated in Partnership with Many Non-neuronal Cells.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. SrHPOMaterials today. Bio · 2024
    Article
  17. Review
  18. Review
  19. Article
  20. Review

50 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

10 authors at 4 institutions in 2 countries.

Aaron P BloomDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, Arizona, USA.
Juan M Jimenez-Andrade
Reid N Taylor
Gabriela Castañeda-Corral
Magdalena J Kaczmarska
Katie T Freeman
Kathleen A Coughlin
Joseph R Ghilardi
Michael A Kuskowski
Patrick W Mantyh
University of Arizona · USMinneapolis VA Medical Center · USCentro de Investigación en Materiales Avanzados · MXGeriatric Research Education and Clinical Center · US

Funding

Peripheral Nociceptors in Persistent PainR01NS023970 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANTYH, PATRICK WILLIAM · 1987 to 2019
$3.7M
PERIPHERAL NOCICEPTORS IN PERSISTENT PAINR37NS023970 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANTYH, PATRICK WILLIAM · 2001 to 2007
$2.9M
NINDS NIH HHS NS23970NINDS NIH HHS R01 NS023970NINDS NIH HHS R37 NS023970
6 · The paper itself

Abstract

unlabelledBreast cancer metastasis to bone is frequently accompanied by pain. What remains unclear is why this pain tends to become more severe and difficult to control with disease progression. Here we test the hypothesis that with disease progression, sensory nerve fibers that innervate the breast cancer bearing bone undergo a pathological sprouting and reorganization, which in other nonmalignant pathologies has been shown to generate and maintain chronic pain. Injection of human breast cancer cells (MDA-MB-231-BO) into the femoral intramedullary space of female athymic nude mice induces sprouting of calcitonin gene-related peptide (CGRP(+)) sensory nerve fibers. Nearly all CGRP(+) nerve fibers that undergo sprouting also coexpress tropomyosin receptor kinase A (TrkA(+)) and growth-associated protein-43 (GAP43(+)). This ectopic sprouting occurs in periosteal sensory nerve fibers that are in close proximity to breast cancer cells, tumor-associated stromal cells, and remodeled cortical bone. Therapeutic treatment with an antibody that sequesters nerve growth factor (NGF), administered when the pain and bone remodeling were first observed, blocks this ectopic sprouting and attenuates cancer pain. The present data suggest that the breast cancer cells and tumor-associated stromal cells express and release NGF, which drives bone pain and the pathological reorganization of nearby CGRP(+)/TrkA(+)/GAP43(+) sensory nerve fibers. PERSPECTIVE: Therapies that block breast cancer pain by reducing the tumor-induced pathological sprouting and reorganization of sensory nerve fibers may provide insight into the evolving mechanisms that drive breast cancer pain and lead to more effective therapies for attenuating this chronic pain state.

Indexed as

AnimalsBone NeoplasmsBone RemodelingBreast NeoplasmsCarcinomaCell Line, TumorDisease Models, AnimalFemaleHumansIntractable PainMiceMice, NudeSensory Receptor Cells

Identifiers

PMID21497141
PMCPMC3111843
OpenAlexW2119717385

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.