Evidence map›Paper›PMID 21756866›Full record

ArticleThe American journal of pathology2011

Association of RB/p16-pathway perturbations with DCIS recurrence: dependence on tumor versus tissue microenvironment.

Agnieszka K Witkiewicz, Dayana B Rivadeneira, Adam Ertel, Jessica Kline, Terry Hyslop, Gordon F Schwartz, Paolo Fortina, Erik S Knudsen

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.7field-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

36 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Two-Step Senescence-Focused Cancer Therapies.Trends in cell biology · 2018
    Review
  12. p16Nature communications · 2017
    Article
  13. Article
  14. Article
  15. Ductal CarcinomaFrontiers in oncology · 2017
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Co-Expression of p16, Ki67 and COX-2 Is Associated with Basal Phenotype in High-Grade Ductal Carcinoma In Situ of the Breast.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2015
    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

8 authors at 1 institution in 3 countries.

Agnieszka K WitkiewiczDepartment of Pathology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Dayana B Rivadeneira
Adam Ertel
Jessica Kline
Terry Hyslop
Gordon F Schwartz
Paolo Fortina
Erik S Knudsen
Thomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of ductal carcinoma in situ (DCIS) diagnoses has significantly increased as a result of active radiographic screening. Surgical resection and hormone and radiation therapies are effective treatments, but not all DCIS will progress to invasive breast cancer. Therefore, markers are needed to define tumors at low risk of recurrence and progression that can be treated by surgery alone rather than by adjuvant therapies. Initial analyses indicate that retinoblastoma (RB)-pathway perturbations occur at high frequency in DCIS and mirror the molecular alterations observed in invasive breast cancer. Particularly, the elevated expression of p16ink4a in DCIS was associated with loss of RB function and estrogen receptor-negative biology. Furthermore, high expression of p16ink4a in conjunction with Ki-67 was associated with increased risk of DCIS recurrence and progression to invasive disease in multivariate analyses. These data are consistent with a functional role for RB in modulating the invasive behavior of mammary epithelial cells. The tissue microenvironment is particularly relevant to the behavior of DCIS, and, surprisingly, elevated expression of p16ink4a in nonproliferative stroma was observed in a substantial fraction of cases. In this tissue compartment, p16ink4a expression was strongly associated with disease recurrence, independent of standard histopathologic features. Together, the data herein describe dual aspects of RB-pathway biology that are associated with disease recurrence through the epithelial or stromal compartment of DCIS.

Indexed as

AdultAgedBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingCyclin-Dependent Kinase Inhibitor p16FemaleGenes, RetinoblastomaHumansKaplan-Meier EstimateKi-67 AntigenMicroarray AnalysisMiddle AgedNeoplasm Recurrence, LocalTumor Cells, CulturedTumor MicroenvironmentCyclin-Dependent Kinase Inhibitor p16Ki-67 Antigen

Identifiers

PMID21756866
PMCPMC3157259
OpenAlexW116358459

What OpenQuestion holds

Textmetadata
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.