Evidence map›Paper›PMID 23770012›Full record

ArticleCancer cell2013

Par-4 downregulation promotes breast cancer recurrence by preventing multinucleation following targeted therapy.

James V Alvarez, Tien-Chi Pan, Jason Ruth, Yi Feng, Alice Zhou, Dhruv Pant, Joshua S Grimley, Thomas J Wandless, Angela Demichele, I-SPY 1 TRIAL Investigators and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer cell, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

62 citing papers in PubMed, 120 citations in OpenAlex.

  1. Trial
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  4. Review
  5. Article
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  7. Recurrent Breast Cancer Cells Depend onbioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. Cell Death: Mechanisms and Potential Targets in Breast Cancer Therapy.International journal of molecular sciences · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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  20. Article

2 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 3 institutions in 1 country.

James V AlvarezDepartment of Cancer Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Tien-Chi Pan
Jason Ruth
Yi Feng
Alice Zhou
Dhruv Pant
Joshua S Grimley
Thomas J Wandless
Angela Demichele
I-SPY 1 TRIAL Investigators
Lewis A Chodosh
Cancer Research Institute · USStanford University · USUniversity of Pennsylvania · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SHELLEY L BERGER · 1985 to 2026
$222.3M
In Vivo Ras-induced Senescence and TumorigenesisR01CA098371 · NCI · UNIVERSITY OF PENNSYLVANIA · PI LEWIS A CHODOSH · 2003 to 2026
$7.4M
Mechanisms of breast cancer progressionU01CA105490 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CHODOSH, LEWIS A · 2004 to 2013
$6.7M
Minimal Residual Disease and Mechanisms of Breast Cancer RecurrenceR01CA143296 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CHODOSH, LEWIS A · 2010 to 2022
$3.5M
Survival and Recurrence of Dormant Cancer CellsR01CA148774 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CHODOSH, LEWIS A · 2010 to 2022
$3.4M
NCI NIH HHS P30 CA016520NCI NIH HHS R01 CA098371NCI NIH HHS R01 CA143296NCI NIH HHS R01 CA148774NCI NIH HHS U01 CA105490
6 · The paper itself

Abstract

Most deaths from breast cancer result from tumor recurrence, but mechanisms underlying tumor relapse are largely unknown. We now report that Par-4 is downregulated during tumor recurrence and that Par-4 downregulation is necessary and sufficient to promote recurrence. Tumor cells with low Par-4 expression survive therapy by evading a program of Par-4-dependent multinucleation and apoptosis that is otherwise engaged following treatment. Low Par-4 expression is associated with poor response to neoadjuvant chemotherapy and an increased risk of relapse in patients with breast cancer, and Par-4 is downregulated in residual tumor cells that survive neoadjuvant chemotherapy. Our findings identify Par-4-induced multinucleation as a mechanism of cell death in oncogene-addicted cells and establish Par-4 as a negative regulator of breast cancer recurrence.

Indexed as

AnimalsApoptosis Regulatory ProteinsBreast NeoplasmsCalcium-Calmodulin-Dependent Protein KinasesCardiac MyosinsDeath-Associated Protein KinasesDown-RegulationErb-b2 Receptor Tyrosine KinasesFemaleHumansMiceMyosin Light ChainsNeoplasm Recurrence, LocalPhosphorylationTumor Suppressor Protein p53Apoptosis Regulatory ProteinsCalcium-Calmodulin-Dependent Protein KinasesCardiac MyosinsDeath-Associated Protein KinasesERBB2 protein, humanErb-b2 Receptor Tyrosine Kinasesmyosin light chain 2Myosin Light Chainsprostate apoptosis response-4 proteinTumor Suppressor Protein p53

Identifiers

PMID23770012
PMCPMC3808871
OpenAlexW2161334764

What OpenQuestion holds

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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.