Evidence map›Paper›PMID 23555992›Full record

ArticlePloS one2013

Prognostic and predictive significance of MYC and KRAS alterations in breast cancer from women treated with neoadjuvant chemotherapy.

Cynthia Brito Lins Pereira, Mariana Ferreira Leal, Carolina Rosal Teixeira de Souza, Raquel Carvalho Montenegro, Juan Antonio Rey, Antônio Alberto Carvalho, Paulo Pimentel Assumpção, André Salim Khayat, Giovanny Rebouças Pinto, Sâmia Demachki and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.5field-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

29 citing papers in PubMed, 58 citations in OpenAlex.

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  12. Tuning Parameter Selection in Cox Proportional Hazards Model with a Diverging Number of Parameters.Scandinavian journal of statistics, theory and applications · 2018
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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

12 authors at 4 institutions in 2 countries.

Cynthia Brito Lins PereiraMastology Unit, Ophir Loyola Hospital, Belém, PA, Brazil.
Mariana Ferreira Leal
Carolina Rosal Teixeira de Souza
Raquel Carvalho Montenegro
Juan Antonio Rey
Antônio Alberto Carvalho
Paulo Pimentel Assumpção
André Salim Khayat
Giovanny Rebouças Pinto
Sâmia Demachki
Marília de Arruda Cardoso Smith
Rommel Rodríguez Burbano
Universidade Federal do Pará · BRUniversidade Federal de São Paulo · BRHospital Universitario La Paz · ESUniversidade Federal do Piauí · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer is a complex disease, with heterogeneous clinical evolution. Several analyses have been performed to identify the risk factors for breast cancer progression and the patients who respond best to a specific treatment. We aimed to evaluate whether the hormone receptor expression, HER2 and MYC genes and their protein status, and KRAS codon 12 mutations may be prognostic or predictive biomarkers of breast cancer. Protein, gene and mutation status were concomitantly evaluated in 116 breast tumors from women who underwent neoadjuvant chemotherapy with doxorubicin plus cyclophosphamide. We observed that MYC expression was associated with luminal B and HER2 overexpression phenotypes compared to luminal A (p<0.05). The presence of MYC duplication or polysomy 8, as well as KRAS mutation, were also associated with the HER2 overexpression subtype (p<0.05). MYC expression and MYC gain were more frequently observed in early-onset compared to late-onset tumors (p<0.05). KRAS mutation was a risk factor of grade 3 tumors (p<0.05). A multivariate logistic regression demonstrated that MYC amplification defined as MYC/nucleus ratio of ≥2.5 was a protective factor for chemotherapy resistance. On the other hand, age and grade 2 tumors were a risk factor. Additionally, luminal B, HER2 overexpression, and triple-negative tumors presented increased odds of being resistant to chemotherapy relative to luminal A tumors. Thus, breast tumors with KRAS codon 12 mutations seem to present a worse prognosis. Additionally, MYC amplification may help in the identification of tumors that are sensitive to doxorubicin plus cyclophosphamide treatment. If confirmed in a large set of samples, these markers may be useful for clinical stratification and prognosis.

Indexed as

Gene Expression Regulation, NeoplasticProto-Oncogene ProteinsProto-Oncogene Proteins c-mycras ProteinsAdultAgedAged, 80 and overBreastBreast NeoplasmsCohort StudiesErb-b2 Receptor Tyrosine KinasesFemaleGenes, mycHumansMiddle AgedMutationErb-b2 Receptor Tyrosine KinasesKRAS protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins c-mycProto-Oncogene Proteins p21(ras)ras Proteins

Identifiers

PMID23555992
PMCPMC3608596
OpenAlexW1981605516

What OpenQuestion holds

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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.