Evidence map›Paper›PMID 24526731›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2014

Inhibition of RET increases the efficacy of antiestrogen and is a novel treatment strategy for luminal breast cancer.

Philip M Spanheimer, Jung-Min Park, Ryan W Askeland, Mikhail V Kulak, George W Woodfield, James P De Andrade, Anthony R Cyr, Sonia L Sugg, Alexandra Thomas, Ronald J Weigel

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT02562118 phase1 / phase2active not recruitingnot on this mapstarted 2015, after this paper: background citation

Phase Ib Followed by Phase II Study of Pre-operative Treatment With Lenvatinib Combined With Letrozole in Post-menopausal Women With Newly Diagnosed Hormone Receptor Positive Breast Cancer With Measurable Primary Breast Tumor

TypeinterventionalSponsorNational University Hospital, SingaporeRan2015 to 2027Enrolled40ConditionsBreast CancerArmsLenvatinib + Letrozole
NCT05181033 phase2recruitingnot on this mapstarted 2021, after this paper: background citation

A Phase II Randomized Trial of Lenvatinib Combined With Letrozole Versus Fulvestrant in Metastatic Estrogen Receptor (ER) Positive, HER2 Negative Breast Cancer, Who Have Progressed on First-line Aromatase Inhibitor + a CDK4/6 Inhibitor.

TypeinterventionalSponsorNational University Hospital, SingaporeRan2021 to 2027Enrolled120ConditionsBreast CancerArmsLenvatinib + Letrozole, Fulvestrant
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Tamoxifen Response at Single-Cell Resolution in Estrogen Receptor-Positive Primary Human Breast Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Atropisomerism in the Pharmaceutically Relevant Realm.Accounts of chemical research · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. [Research Progress of Fusion Genes RET in Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2021
    Review
  17. Article
  18. Ret Receptor Has Distinct Alterations and Functions in Breast Cancer.Journal of mammary gland biology and neoplasia · 2020
    Review
  19. Review
  20. Article
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

10 authors at 1 institution in 1 country.

Philip M SpanheimerAuthors' Affiliations: Departments of Surgery, Pathology, Internal Medicine, and Biochemistry, University of Iowa, Iowa City, Iowa.
Jung-Min Park
Ryan W Askeland
Mikhail V Kulak
George W Woodfield
James P De Andrade
Anthony R Cyr
Sonia L Sugg
Alexandra Thomas
Ronald J Weigel
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007337 · NIGMS · UNIVERSITY OF IOWA · PI GEYER, PAMELA K., LENTZ, STEVEN R · 1985 to 2020
$15.9M
TRAINING PROGRAM IN FREE RADICAL AND RADIATION BIOLOGYT32CA078586 · NCI · UNIVERSITY OF IOWA · PI SPITZ, DOUGLAS ROBERT · 1999 to 2024
$5.7M
University of Iowa Surgical Oncology Training GrantT32CA148062 · NCI · UNIVERSITY OF IOWA · PI WEIGEL, RONALD J · 2010 to 2020
$3.8M
MECHANISMS OF ESTROGEN RECEPTOR REGULATIONR01CA109294 · NCI · UNIVERSITY OF IOWA · PI WEIGEL, RONALD J · 2006 to 2010
$1.2M
NCI NIH HHS R01 CA109294NCI NIH HHS R01CA109294NCI NIH HHS T32 CA078586NCI NIH HHS T32 CA148062NCI NIH HHS T32CA148062NIGMS NIH HHS T32 GM007337
6 · The paper itself

Abstract

purposeRecent findings suggest that combination treatment with antiestrogen and anti-RET may offer a novel treatment strategy in a subset of patients with breast cancer. We investigated the role of RET in potentiating the effects of antiestrogen response and examined whether RET expression predicted the ability for tyrosine kinase inhibitor (TKI) to affect extracellular signal-regulated kinase 1/2 (ERK1/2) activation in primary breast cancer. EXPERIMENTAL

designGrowth response, ERK1/2 activation, Ki-67, and terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling were assessed in breast cancer cell lines in vitro and in xenografts with vandetanib and/or tamoxifen. Thirty tumors with matched normal breast tissue were evaluated for RET expression and response to TKI treatment.

resultsVandetanib potentiated the inhibitory effect of tamoxifen in hormone responsive (P = 0.01) and hormone insensitive (P < 0.001) estrogen receptor α (ERα)-positive breast cancer cells. Vandetanib significantly repressed tumorigenesis of MCF-7 xenografts (P < 0.001), which displayed decreased activation of ERK1/2 and AKT. Vandetanib and tamoxifen reduced the growth of established tumors with a greater effect of dual therapy compared with single agent (P = 0.003), with tamoxifen-reducing proliferative index and vandetanib-inducing apoptosis. In primary breast cancers, RET expression correlated with the ERα-positive subtype. Relative decrease in ERK1/2 phosphorylation with TKI treatment was 42% (P < 0.001) in RET-positive tumors versus 14% (P = ns) in RET-negative tumors.

conclusionsVandetanib potentiated the antigrowth effects of tamoxifen in breast cancer, which was mediated through RET activation. RET predicted response to TKI therapy with minimal effects on ERK1/2 activation in RET-negative tumors. The preclinical data support evaluation of antiestrogen in combination with TKI as a potential treatment strategy for RET-positive luminal breast cancer.

Indexed as

AnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisBlotting, WesternBreast NeoplasmsCell Line, TumorCell ProliferationDrug SynergismEstrogen Receptor alphaEstrogen Receptor ModulatorsFemaleHumansMCF-7 CellsMice, NudeMitogen-Activated Protein Kinase 1Mitogen-Activated Protein Kinase 3Estrogen Receptor alphaEstrogen Receptor ModulatorsMAPK1 protein, humanMitogen-Activated Protein Kinase 1Mitogen-Activated Protein Kinase 3PiperidinesProto-Oncogene Proteins c-aktProto-Oncogene Proteins c-retQuinazolinesRET protein, humanTamoxifenvandetanib

Identifiers

PMID24526731
PMCPMC3989441
OpenAlexW2031013232

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.