Evidence map›Paper›PMID 22896036›Full record

ArticleCancer discovery2012

Identification of luminal breast cancers that establish a tumor-supportive macroenvironment defined by proangiogenic platelets and bone marrow-derived cells.

Hanna S Kuznetsov, Timothy Marsh, Beth A Markens, Zafira Castaño, April Greene-Colozzi, Samantha A Hay, Victoria E Brown, Andrea L Richardson, Sabina Signoretti, Elisabeth M Battinelli and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

97 citing papers in PubMed, 167 citations in OpenAlex.

  1. Review
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  9. Fibrin as the mediator of tumor cell interaction with platelets.Journal of molecular medicine (Berlin, Germany) · 2025
    Article
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  12. Review
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  15. TEP RNA: a new frontier for early diagnosis of NSCLC.Journal of cancer research and clinical oncology · 2024
    Review
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Hanna S KuznetsovHematology Division, Brigham & Women's Hospital, Cambridge, Massachusetts 02115, USA.
Timothy Marsh
Beth A Markens
Zafira Castaño
April Greene-Colozzi
Samantha A Hay
Victoria E Brown
Andrea L Richardson
Sabina Signoretti
Elisabeth M Battinelli
Sandra S McAllister
Brigham and Women's Hospital · USHarvard Stem Cell Institute · USDana-Farber Cancer Institute · USBroad Institute · USHarvard University · US

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI JENNIFER W MACK · 1985 to 2026
$330.6M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI David McDermott · 2003 to 2026
$53.4M
Variation in Receptor Tyrosine Kinases and Breast Cancer RiskP50CA089393 · NCI · DANA-FARBER CANCER INSTITUTE · PI WINER, ERIC P · 2000 to 2009
$28.8M
Understanding How Breast Cancers Activate and Respond to the Systemic EnvironmentR01CA166284 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI MCALLISTER, SANDRA S · 2012 to 2018
$2.2M
Defining the Mechanisms by Which Plateletes Regulate AngiogenesisK08HL097070 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BATTINELLI, ELISABETH M · 2009 to 2013
$689k
NCI NIH HHS 2 P50 CA89393-06NCI NIH HHS P30 CA006516NCI NIH HHS P30 CA006516-46-2010-01-NN-02NCI NIH HHS P50 CA089393NCI NIH HHS P50 CA101942NCI NIH HHS R01 CA166284NCI NIH HHS SPORE P50 CA101942NHLBI NIH HHS K08 HL097070PHS HHS NIH NHLBI K08HL097070
6 · The paper itself

Abstract

unlabelledBreast cancer recurrence rates vary following treatment, suggesting that tumor cells disseminate early from primary sites but remain indolent indefinitely before progressing to symptomatic disease. The reasons why some indolent disseminated tumors erupt into overt disease are unknown. We discovered a novel process by which certain luminal breast cancer (LBC) cells and patient tumor specimens (LBC "instigators") establish a systemic macroenvironment that supports outgrowth of otherwise-indolent disseminated tumors ("responders"). Instigating LBCs secrete cytokines that are absorbed by platelets, which are recruited to responding tumor sites where they aid vessel formation. Instigator-activated bone marrow cells enrich responding tumor cell expression of CD24, an adhesion molecule for platelets, and provide a source of VEGF receptor 2(+) tumor vessel cells. This cascade results in growth of responder adenocarcinomas and is abolished when platelet activation is inhibited by aspirin. These findings highlight the macroenvironment as an important component of disease progression that can be exploited therapeutically. SIGNIFICANCE: Currently, processes that mediate progression of otherwise indolent tumors are not well understood, making it difficult to accurately predict which cancer patients are likely to relapse. Our findings highlight the macroenvironment as an important component of disease progression that can be exploited to more accurately identify patients who would benefit from adjuvant therapy.

Indexed as

AnimalsBlood PlateletsBone Marrow CellsBreast NeoplasmsCD24 AntigenCell CommunicationDisease ProgressionFemaleHumansMiceMice, NudeNeovascularization, PathologicPrognosisTransplantation, HeterologousVascular Endothelial Growth Factor Receptor-2CD24 AntigenCD24 protein, humanVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID22896036
PMCPMC3517696
OpenAlexW2028232346

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.