Evidence map›Paper›PMID 22892392›Full record

ArticleBritish journal of cancer2012

BCAR4 induces antioestrogen resistance but sensitises breast cancer to lapatinib.

M F E Godinho, J D Wulfkuhle, M P Look, A M Sieuwerts, S Sleijfer, J A Foekens, E F Petricoin, L C J Dorssers, T van Agthoven

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 22% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  18. MET ectodomain shedding is associated with poor disease-free survival of patients diagnosed with oral squamous cell carcinoma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
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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 2 countries.

M F E GodinhoDepartment of Pathology, Josephine Nefkens Institute, Erasmus MC-University Medical Center Rotterdam, Room Be 432A, PO Box 2040, Rotterdam 3000 CA, The Netherlands.
J D Wulfkuhle
M P Look
A M Sieuwerts
S Sleijfer
J A Foekens
E F Petricoin
L C J Dorssers
T van Agthoven
Erasmus MC · NLGeorge Mason University · USCancer Genomics Centre · NLErasmus MC Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh BCAR4 and ERBB2 mRNA levels in primary breast cancer associate with tamoxifen resistance and poor patient outcome. We determined whether BCAR4 expression sensitises breast cancer cells to lapatinib, and identifies a subgroup of patients who possibly may benefit from ERBB2-targeted therapies despite having tumours with low ERBB2 expression.

methodsProliferation assays were applied to determine the effect of BCAR4 expression on lapatinib treatment. Changes in cell signalling were quantified with reverse-phase protein microarrays. Quantitative reverse-transcriptase polymerase chain reaction (RT-PCR) of ERBB2 and BCAR4 was performed in 1418 primary breast cancers. Combined BCAR4 and ERBB2 mRNA levels were evaluated for association with progression-free survival (PFS) in 293 oestrogen receptor-α (ER)-positive patients receiving tamoxifen as first-line monotherapy for recurrent disease.

resultsBCAR4 expression strongly sensitised ZR-75-1 and MCF7 breast cancer cells to the combination of lapatinib and antioestrogens. Lapatinib interfered with phosphorylation of ERBB2 and its downstream mediators AKT, FAK, SHC, STAT5, and STAT6. Reverse transcriptase-PCR analysis showed that 27.6% of the breast cancers were positive for BCAR4 and 22% expressed also low levels of ERBB2. The clinical significance of combining BCAR4 and ERBB2 mRNA status was underscored by the finding that the group of patients having BCAR4-positive/ERBB2-low-expressing cancers had a shorter PFS on tamoxifen treatment than the BCAR4-negative group.

conclusionThis study shows that BCAR4 expression identifies a subgroup of ER-positive breast cancer patients without overexpression of ERBB2 who have a poor outcome and might benefit from combined ERBB2-targeted and antioestrogen therapy.

Indexed as

AdultAgedAntineoplastic AgentsAntineoplastic Agents, HormonalBiomarkers, TumorBreast NeoplasmsCell ProliferationDisease-Free SurvivalDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesEstrogen Receptor ModulatorsFemaleGene Expression Regulation, NeoplasticHumansLapatinibMiddle AgedAntineoplastic AgentsAntineoplastic Agents, HormonalBCAR4 non-coding RNA, humanBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesEstrogen Receptor ModulatorsLapatinibProtein Kinase InhibitorsQuinazolinesReceptors, EstrogenRNA, Long NoncodingRNA, MessengerRNA, UntranslatedTamoxifen

Identifiers

PMID22892392
PMCPMC3464772
OpenAlexW2084544409

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.