Evidence map›Paper›PMID 22879364›Full record

ArticleMolecular cancer therapeutics2012

Discordant cellular response to presurgical letrozole in bilateral synchronous ER+ breast cancers with a KRAS mutation or FGFR1 gene amplification.

Justin M Balko, Ingrid A Mayer, Melinda E Sanders, Todd W Miller, Maria G Kuba, Ingrid M Meszoely, Nikhil Wagle, Levi A Garraway, Carlos L Arteaga

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Molecular cancer therapeutics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Therapeutic advances in medical oncology · 2020
    Article
  3. Article
  4. Article
  5. Association of FGFR1 with ERα Maintains Ligand-Independent ER Transcription and Mediates Resistance to Estrogen Deprivation in ERClinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  6. Genomic profiling of ERScience translational medicine · 2017
    Article
  7. Article
  8. Review
  9. FGFR-1 amplification in metastatic lymph-nodal and haematogenous lobular breast carcinoma.Journal of experimental & clinical cancer research : CR · 2012
    Article
  10. 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

9 authors at 4 institutions in 1 country.

Justin M BalkoVanderbilt University Medical Center, 2200 Pierce Ave, 777 PRB, Nashville, TN 37232-6307, USA.
Ingrid A Mayer
Melinda E Sanders
Todd W Miller
Maria G Kuba
Ingrid M Meszoely
Nikhil Wagle
Levi A Garraway
Carlos L Arteaga
Vanderbilt University · USBrigham and Women's Hospital · USBroad Institute · USDana-Farber Cancer Institute · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
Targeted Therapies in Breast CancerK23CA127469 · NCI · VANDERBILT UNIVERSITY · PI MAYER, INGRID A · 2009 to 2013
$820k
The effects of PTEN on tyrosine kinase signaling in Breast CancerR00CA142899 · NCI · DARTMOUTH COLLEGE · PI MILLER, TODD W. · 2012 to 2014
$706k
High-throughput oncogene mutation detection in human cancerR33CA126674 · NCI · DANA-FARBER CANCER INST · PI GARRAWAY, LEVI A. · 2010 to 2011
$608k
The effects of PTEN on tyrosine kinase signaling in breast cancerK99CA142899 · NCI · VANDERBILT UNIVERSITY · PI MILLER, TODD W. · 2010 to 2011
$282k
NCI NIH HHS K23 CA127469NCI NIH HHS K99 CA142899NCI NIH HHS P30 CA068485NCI NIH HHS P30CA68485NCI NIH HHS P50 CA098131NCI NIH HHS R00 CA142899NCI NIH HHS R33 CA126674NCI NIH HHS R33CA126674NCI NIH HHS T32 CA009172
6 · The paper itself

Abstract

We describe herein a patient presenting with bilateral estrogen-receptor-positive (ER+) breast tumors who was enrolled in a clinical trial exploring molecular aberrations associated with hormone-refractory tumor cell proliferation. Short-term (two week) hormonal therapy with the aromatase inhibitor letrozole substantially reduced proliferation as measured by Ki67 immunohistochemistry in one tumor, whereas the second was essentially unchanged. Extensive molecular and genetic work-up of the two tumors yielded divergent lesions in the two tumors: an activating KRAS mutation in the responsive tumor and an amplification of the fibroblast growth factor receptor-1 (FGFR1) locus in the treatment-refractory tumor. These findings provide an insight to possible mechanisms of resistance to antiestrogen therapy in ER+ breast cancers. First, they illustrate the necessity of clinically approved assays to identify FGFR1 gene amplification, which occur in approximately 5% of breast tumors and have been linked to antiestrogen resistance. It is quite possible that the addition of FGFR inhibitors to ER-targeted therapy will yield a superior antitumor effect and improved patient outcome. Second, they suggest that the role of activating mutations in RAS, although rare in breast cancer, may need to be explored in the context of ER+ breast tumors.

Indexed as

Aromatase InhibitorsBase SequenceBreast NeoplasmsDrug Resistance, NeoplasmFemaleGene AmplificationHumansLetrozoleMiddle AgedMolecular Sequence DataMutationNitrilesProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)ras ProteinsReceptor, Fibroblast Growth Factor, Type 1Aromatase InhibitorsFGFR1 protein, humanKRAS protein, humanLetrozoleNitrilesProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)ras ProteinsReceptor, Fibroblast Growth Factor, Type 1Receptors, EstrogenTriazoles

Identifiers

PMID22879364
PMCPMC3682668
OpenAlexW2172054337

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.