Evidence map›Paper›PMID 24449868›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2014

Differential expression of estrogen receptor α, β1, and β2 in lobular and ductal breast cancer.

Bo Huang, Yoko Omoto, Hirotaka Iwase, Hiroko Yamashita, Tatsuya Toyama, Raoul Charles Coombes, Aleksandra Filipovic, Margaret Warner, Jan-Åke Gustafsson

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 1 pooled it
11.2field-weighted citation impact, top 1% 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

101 citing papers in PubMed, 1 synthesis or guideline pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Relative Effectiveness of Letrozole Compared With Tamoxifen for Patients With Lobular Carcinoma in the BIG 1-98 Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. The Role of Heavy Metals in the Biology of Female Cancers.International journal of molecular sciences · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Integrating Network Pharmacology andCombinatorial chemistry & high throughput screening · 2025
    Article
  17. Review
  18. Review
  19. Review
  20. Genes Co-Expressed withInternational journal of molecular sciences · 2024
    Article

41 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

9 authors at 5 institutions in 4 countries.

Bo HuangCenter for Nuclear Receptors and Cell Signaling, University of Houston, Houston, TX 77204.
Yoko Omoto
Hirotaka Iwase
Hiroko Yamashita
Tatsuya Toyama
Raoul Charles Coombes
Aleksandra Filipovic
Margaret Warner
Jan-Åke Gustafsson
University of Houston · USImperial College London · GBMizuho (Japan) · JPKarolinska Institutet · SEKumamoto University · JP

Funding

Cancer Research UK 12011
6 · The paper itself

Abstract

The role of estrogen receptor (ER) α as a target in treatment of breast cancer is clear, but those of ERβ1 and ERβ2 in the breast remain unclear. We have examined expression of all three receptors in surgically excised breast samples from two archives: (i): 187 invasive ductal breast cancer from a Japanese study; and (ii) 20 lobular and 24 ductal cancers from the Imperial College. Samples contained normal areas, areas of hyperplasia, and in situ and invasive cancer. In the normal areas, ERα was expressed in not more than 10% of epithelium, whereas approximately 80% of epithelial cells expressed ERβ. We found that whereas ductal cancer is a highly proliferative, ERα-positive, ERβ-negative disease, lobular cancer expresses both ERα and ERβ but with very few Ki67-positive cells. ERβ2 was expressed in 32% of the ductal cancers, of which 83% were postmenopausal. In all ERβ2-positive cancers the interductal space was filled with dense collagen, and cell nuclei expressed hypoxia-inducible factor 1α. ERβ2 expression was not confined to malignant cells but was strong in stromal, immune, and endothelial cells. In most of the high-grade invasive ductal cancers neither ERα nor ERβ was expressed, but in the high-grade lobular cancer ERβ was lost and ERα and Ki67 expression were abundant. The data show a clear difference in ER expression between lobular and ductal breast cancer and suggest (i) that tamoxifen may be more effective in late than in early lobular cancer and (ii) a potential role for ERβ agonists in preventing in situ ductal cancers from becoming invasive.

Indexed as

AdultAgedAged, 80 and overBreastBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularEpitheliumEstrogen Receptor alphaEstrogen Receptor betaFemaleHumansKi-67 AntigenMiddle AgedNeoplasm InvasivenessNeoplasm StagingESR1 protein, humanEstrogen Receptor alphaEstrogen Receptor betaKi-67 Antigenductal carcinoma in situinvasive ductal carcinomainvasive lobular carcinoma

Identifiers

PMID24449868
PMCPMC3918808
OpenAlexW2072339938

What OpenQuestion holds

Textmetadata
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.