Evidence map›Paper›PMID 23036105›Full record

ArticleBreast cancer research : BCR2012

Low levels of Stat5a protein in breast cancer are associated with tumor progression and unfavorable clinical outcomes.

Amy R Peck, Agnieszka K Witkiewicz, Chengbao Liu, Alexander C Klimowicz, Ginger A Stringer, Edward Pequignot, Boris Freydin, Ning Yang, Adam Ertel, Thai H Tran and 9 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  12. Prolactin: The Third Hormone in Breast Cancer.Frontiers in endocrinology · 2022
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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

19 authors at 7 institutions in 2 countries.

Amy R Peck
Agnieszka K Witkiewicz
Chengbao Liu
Alexander C Klimowicz
Ginger A Stringer
Edward Pequignot
Boris Freydin
Ning Yang
Adam Ertel
Thai H Tran
Melanie A Girondo
Anne L Rosenberg
Jeffrey A Hooke
Albert J Kovatich
Craig D Shriver
David L Rimm
Anthony M Magliocco
Terry Hyslop
Hallgeir Rui
Thomas Jefferson University · USSidney Kimmel Cancer Center · USWalter Reed National Military Medical Center · USMoffitt Cancer Center · USUniversity of Calgary · CAWindber Research Institute · USYale University · US

Funding

X-Ray Crystallography and Macromolecular CharacterizationP30CA056036 · NCI · THOMAS JEFFERSON UNIVERSITY · PI DANIEL P SILVER · 1995 to 2026
$94.8M
Experimental Modeling of Human Breast Cancer in MiceR01CA118740 · NCI · THOMAS JEFFERSON UNIVERSITY · PI RUI, HALLGEIR · 2008 to 2012
$1.8M
Stat5 as a gatekeeper in human breast cancer metastasisR01CA101841 · NCI · THOMAS JEFFERSON UNIVERSITY · PI RUI, HALLGEIR · 2004 to 2008
$1.2M
NCI NIH HHS 1P30CA56036NCI NIH HHS R01-CA101841NCI NIH HHS R01-CA118740
6 · The paper itself

Abstract

introductionSignal transducer and activator of transcripton-5a (Stat5a) and its close homologue, Stat5b, mediate key physiological effects of prolactin and growth hormone in mammary glands. In breast cancer, loss of nuclear localized and tyrosine phosphorylated Stat5a/b is associated with poor prognosis and increased risk of antiestrogen therapy failure. Here we quantify for the first time levels of Stat5a and Stat5b over breast cancer progression, and explore their potential association with clinical outcome.

methodsStat5a and Stat5b protein levels were quantified in situ in breast-cancer progression material. Stat5a and Stat5b transcript levels in breast cancer were correlated with clinical outcome in 936 patients. Stat5a protein was further quantified in four archival cohorts totaling 686 patients with clinical outcome data by using multivariate models.

resultsProtein levels of Stat5a but not Stat5b were reduced in primary breast cancer and lymph node metastases compared with normal epithelia. Low tumor levels of Stat5a but not Stat5b mRNA were associated with poor prognosis. Experimentally, only limited overlap between Stat5a- and Stat5b-modulated genes was found. In two cohorts of therapy-naïve, node-negative breast cancer patients, low nuclear Stat5a protein levels were an independent marker of poor prognosis. Multivariate analysis of two cohorts treated with antiestrogen monotherapy revealed that low nuclear Stat5a levels were associated with a more than fourfold risk of unfavorable outcome.

conclusionsLoss of Stat5a represents a new independent marker of poor prognosis in node-negative breast cancer and may be a predictor of response to antiestrogen therapy if validated in randomized clinical trials.

Indexed as

AdultAgedBreast NeoplasmsCell NucleusCombined Modality TherapyDisease ProgressionFemaleHumansMiddle AgedNeoplasm GradingNeoplasm Recurrence, LocalNeoplasm StagingPatient Outcome AssessmentPhosphorylationPrognosisProtein TransportSTAT5 Transcription Factor

Identifiers

PMID23036105
PMCPMC4053108
OpenAlexW2074981026

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.