Evidence map›Paper›PMID 24634376›Full record

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

PI3K pathway activation in high-grade ductal carcinoma in situ--implications for progression to invasive breast carcinoma.

Rita A Sakr, Britta Weigelt, Sarat Chandarlapaty, Victor P Andrade, Elena Guerini-Rocco, Dilip Giri, Charlotte K Y Ng, Catherine F Cowell, Neal Rosen, Jorge S Reis-Filho and 1 more

Registry-linked trialOpen 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 trial NCT07387861 (Immunohistochemical Evaluation of p-AKT and p-S6 as Surrogate Markers of PI3K/AKT/mTOR Pathway Activation in ER-Positive, HER2-Negative Breast Carcinoma), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT07387861 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Immunohistochemical Evaluation of p-AKT and p-S6 as Surrogate Markers of PI3K/AKT/mTOR Pathway Activation in ER-Positive, HER2-Negative Breast Carcinoma

TypeobservationalSponsorAssiut UniversityRan2026 to 2028Enrolled70ConditionsBreast Cancer - ER+, HER2-, PIK3CA Gene MutationArmsNot applicable- observational study
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Genomic Alterations during theMolecular cancer research : MCR · 2021
    Article
  9. Article
  10. Whole-Exome Sequencing Analysis of the Progression from Non-Low-Grade Ductal CarcinomaClinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Observational
  11. Article
  12. Immune Escape during Breast Tumor Progression.Cancer immunology research · 2020
    Review
  13. Review
  14. Everolimus Inhibits the Progression of Ductal CarcinomaClinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  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

11 authors at 1 institution in 1 country.

Rita A SakrAuthors' Affiliations: Breast Service, Department of Surgery; Departments of Pathology; and Medicine; and the Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York.
Britta Weigelt
Sarat Chandarlapaty
Victor P Andrade
Elena Guerini-Rocco
Dilip Giri
Charlotte K Y Ng
Catherine F Cowell
Neal Rosen
Jorge S Reis-Filho
Tari A King
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Biologic and therapeutic implications of Akt activation in Her2+ breast cancerK08CA134833 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CHANDARLAPATY, SARAT · 2009 to 2013
$726k
NCI NIH HHS K08 CA134833NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

purposeTo assess the prevalence of phosphoinositide 3-kinase (PI3K) pathway alterations in pure high-grade ductal carcinoma in situ (DCIS) and DCIS associated with invasive breast cancer (IBC), and to determine whether DCIS and adjacent IBCs harbor distinct PI3K pathway aberrations. EXPERIMENTAL

designEighty-nine cases of pure high-grade DCIS and 119 cases of high-grade DCIS associated with IBC were characterized according to estrogen receptor (ER) and HER2 status, subjected to immunohistochemical analysis of PTEN, INPP4B, phosphorylated (p)AKT and pS6 expression, and to microdissection followed by Sequenom genotyping of PIK3CA and AKT1 hotspot mutations.

resultsAlterations affecting the PI3K pathway were found in a subset of pure DCIS and DCIS adjacent to IBC. A subtype-matched comparison of pure DCIS and DCIS adjacent to IBC revealed that PIK3CA hotspot mutations and pAKT expression were significantly more prevalent in ER-positive/HER2-negative DCIS adjacent to IBC (P values, 0.005 and 0.043, respectively), and that in ER-negative/HER2-positive cases INPP4B loss of expression was more frequently observed in pure DCIS (a P value of 0.013). No differences in the parameters analyzed were observed in a pairwise comparison of the in situ and invasive components of cases of DCIS and adjacent IBC. Analysis of the PIK3CA-mutant allelic frequencies in DCIS and synchronous IBC revealed cases in which PIK3CA mutations were either restricted to the DCIS or to the invasive components.

conclusionMolecular aberrations affecting the PI3K pathway may play a role in the progression from high-grade DCIS to IBC in a subset of cases (e.g., a subgroup of ER-positive/HER2-negative lesions).

Indexed as

Signal TransductionAllelesBiomarkers, TumorBiopsyBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingDisease ProgressionDNA Mutational AnalysisFemaleGene FrequencyHumansImmunohistochemistryNeoplasm GradingNeoplasm InvasivenessPhosphatidylinositol 3-KinasesBiomarkers, TumorPhosphatidylinositol 3-Kinases

Identifiers

PMID24634376
PMCPMC4015460
OpenAlexW2104479370

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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.