Evidence map›Paper›PMID 23114846›Full record

ReviewCancer metastasis reviews2013

Stromal cells in tumor microenvironment and breast cancer.

Yan Mao, Evan T Keller, David H Garfield, Kunwei Shen, Jianhua Wang

Registry-linked trialAbstract readReview
In one paragraph

Review in Cancer metastasis reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04328194 (Autotaxin), which is not on this map. Cited by 380 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
380citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04328194 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Autotaxin (ATX) as a Marker for Breast Cancer

TypeinterventionalSponsorAssiut UniversityRan2021 to 2022Enrolled100ConditionsBreast CancerArmsSerum Autotaxin, chest x-ray, Breast ultrasound or mammography, Histopathological examination of breast mass specimens, Magnetic Resonance Imaging ( MRI) and Bone scan
3 · Its place in the literature

Who cites it

380 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  16. Macrophage TBK1 signaling drives the development and outgrowth of breast cancer brain metastasis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. SOX9: an important factor in regulating breast cancer.European journal of medical research · 2025
    Review
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320 more citing papers are in PubMed but not listed here.

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

5 authors.

Yan MaoShanghai Ruijin Hospital, Comprehensive Breast Health Center, Shanghai, China.
Evan T Keller
David H Garfield
Kunwei Shen
Jianhua Wang

Funding

Tumor microvesicle-mediated modulation of the bone microenvironmentP01CA093900 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PIENTA, KENNETH J. · 2004 to 2024
$29.6M
NCI NIH HHS P01 CA093900
6 · The paper itself

Abstract

Cancer is a systemic disease encompassing multiple components of both tumor cells themselves and host stromal cells. It is now clear that stromal cells in the tumor microenvironment play an important role in cancer development. Molecular events through which reactive stromal cells affect cancer cells can be defined so that biomarkers and therapeutic targets can be identified. Cancer-associated fibroblasts (CAFs) make up the bulk of cancer stroma and affect the tumor microenvironment such that they promote cancer initiation, angiogenesis, invasion, and metastasis. In breast cancer, CAFs not only promote tumor progression but also induce therapeutic resistance. Accordingly, targeting CAFs provides a novel way to control tumors with therapeutic resistance. This review summarizes the current understandings of tumor stroma in breast cancer with a particular emphasis on the role of CAFs and the therapeutic implications of CAFs. In addition, the effects of other stromal components such as endothelial cells, macrophages, and adipocytes in breast cancer are also discussed. Finally, we describe the biologic markers to categorize patients into a specific and confirmed subtype for personalized treatment.

Indexed as

Tumor MicroenvironmentBreast NeoplasmsDrug Resistance, NeoplasmEpigenesis, GeneticFemaleFibroblastsHumansNeoplasm StagingPrognosisStromal Cells

Identifiers

PMID23114846
PMCPMC4432936

What OpenQuestion holds

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Registered trials

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.