Evidence map›Paper›PMID 25296970›Full record

ArticleOncotarget2014

Mutational profiles in triple-negative breast cancer defined by ultradeep multigene sequencing show high rates of PI3K pathway alterations and clinically relevant entity subgroup specific differences.

Mark Kriegsmann, Volker Endris, Thomas Wolf, Nicole Pfarr, Albrecht Stenzinger, Sibylle Loibl, Carsten Denkert, Andreas Schneeweiss, Jan Budczies, Peter Sinn and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Oncotarget, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05660083 (Phase II Trial of Alpelisib With iNOS Inhibitor and Nab-paclitaxel in Patients With HER2 Negative Metastatic or Locally Advanced Metaplastic Breast Cancer), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05660083 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Phase II Trial of Alpelisib With iNOS Inhibitor and Nab-paclitaxel in Patients With HER2 Negative Metastatic or Locally Advanced Metaplastic Breast Cancer (MpBC)

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2023 to 2028Enrolled36ConditionsHER2-negative Breast Cancer, Metastatic Breast Cancer, Metaplastic Breast Carcinoma, TNBC - Triple-Negative Breast CancerArmsL-NMMA
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Novel classes of immunotherapy for breast cancer.Breast cancer research and treatment · 2022
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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

11 authors.

Mark KriegsmannInstitute of Pathology, University of Heidelberg, Germany.
Volker EndrisInstitute of Pathology, University of Heidelberg, Germany. German Cancer Research Center, Heidelberg, Germany.
Thomas WolfInstitute of Pathology, University of Heidelberg, Germany.
Nicole PfarrInstitute of Pathology, University of Heidelberg, Germany.
Albrecht StenzingerInstitute of Pathology, University of Heidelberg, Germany.
Sibylle LoiblGerman Breast Group, Neu-Isenburg, Germany.
Carsten DenkertInstitute of Pathology, University Hospital Charité Berlin, Germany. German Cancer Consortium (DKTK), Germany.
Andreas SchneeweissNational Center for Tumor Diseases, Heidelberg, Germany. German Cancer Consortium (DKTK), Germany.
Jan BudcziesInstitute of Pathology, University Hospital Charité Berlin, Germany. German Cancer Consortium (DKTK), Germany.
Peter SinnInstitute of Pathology, University of Heidelberg, Germany.
Wilko WeichertInstitute of Pathology, University of Heidelberg, Germany. National Center for Tumor Diseases, Heidelberg, Germany. German Cancer Consortium (DKTK), Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutational profiling of triple-negative breast cancer (TNBC) by whole exome sequencing (WES) yielded a landscape of genomic alterations in this tumor entity. However, the clinical significance of these findings remains enigmatic. Further, integration of WES in routine diagnostics using formalin-fixed paraffin-embedded (FFPE) material is currently not feasible. Therefore, we designed and validated a breast cancer specific gene panel for semiconductor-based sequencing comprising 137 amplicons covering mutational hotspots in 44 genes and applied this panel on a cohort of 104 well-characterized FFPE TNBC with complete clinical follow-up. TP53 mutations were present in more than 80% of cases. PI3K pathway alterations (29.8%) comprising mainly PIK3CA mutations (22.1%) but also mutations and/or amplifications/deletions in other PI3K-associated genes (7.7%) were far more frequently observed, when compared to WES data. Alterations in MAPK signaling genes (8.7%) and cell-cycle regulators (14.4%) were also frequent. Mutational profiles were linked to TNBC subgroups defined by morphology and immunohistochemistry. Alterations in cell-cycle pathway regulators were linked with better overall (p=0.053) but not disease free survival. Taken together, we could demonstrate that breast cancer targeted hotspot sequencing is feasible in a routine setting and yields reliable and clinically meaningful results. Mutational spectra were linked to clinical and immunohistochemically defined parameters.

Indexed as

MutationCohort StudiesDNA Mutational AnalysisFemaleGenes, p53High-Throughput Nucleotide SequencingHumansImmunohistochemistryMultigene FamilyPhosphatidylinositol 3-KinasesSignal TransductionTriple Negative Breast NeoplasmsPhosphatidylinositol 3-Kinases

Identifiers

PMID25296970
PMCPMC4259450

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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.