Evidence map›Paper›PMID 25609068›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2015

Pharmacodynamic imaging guides dosing of a selective estrogen receptor degrader.

Pedram Heidari, Francis Deng, Shadi A Esfahani, Alicia K Leece, Timothy M Shoup, Neil Vasdev, Umar Mahmood

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.7field-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

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Utility ofEuropean journal of nuclear medicine and molecular imaging · 2017
    Trial
  2. Article
  3. Hyperpolarized [1-Molecular imaging and biology · 2022
    Article
  4. PET Imaging of Estrogen Receptors UsingMethods in molecular biology (Clifton, N.J.) · 2022
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Recent Advances in Imaging Steroid Hormone Receptors in Breast Cancer.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Review
  11. Review
  12. Heterogeneity in Metastatic Breast CancerJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2018
    Article
  13. Review
  14. Radiology · 2018
    Article
  15. Article
  16. Article
  17. Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  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

7 authors at 1 institution in 1 country.

Pedram HeidariAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Francis DengAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts. Washington University School of Medicine, St. Louis, Missouri.
Shadi A EsfahaniAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Alicia K LeeceAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Timothy M ShoupDivision of Nuclear Medicine and Molecular Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Neil VasdevDivision of Nuclear Medicine and Molecular Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Umar MahmoodAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts. umahmood@mgh.harvard.edu.
Washington University in St. Louis · US

Funding

Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI EL-BARDEESY, NABEEL, SELLERS, WILLIAM R · 2007 to 2023
$33.2M
MOUSE MODELS FOR HUMAN CANCERU01CA084301 · NCI · YESHIVA UNIVERSITY · PI KUCHERLAPATI, RAJU S. · 1999 to 2013
$12.8M
PET imaging of carcinoid tumors to guide individualized chemotherapyR01CA166582 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI MAHMOOD, UMAR · 2013 to 2017
$1.8M
NCI NIH HHS P50 CA127003NCI NIH HHS P50CA127003NCI NIH HHS R01 CA166582NCI NIH HHS U01 CA084301NCI NIH HHS U01CA084301
6 · The paper itself

Abstract

purposeEstrogen receptor (ER) targeting is key in management of receptor-positive breast cancer. Currently, there are no methods to optimize anti-ER therapy dosing. This study assesses the use of 16α-(18)F-fluoroestradiol ((18)F-FES) PET for fulvestrant dose optimization in a preclinical ER(+) breast cancer model. EXPERIMENTAL

designIn vitro, (18)F-FES retention was compared with ERα protein expression (ELISA) and ESR1 mRNA transcription (qPCR) in MCF7 cells (ER(+)) after treatment with different fulvestrant doses. MCF7 xenografts were grown in ovariectomized nude mice and assigned to vehicle, low- (0.05 mg), medium- (0.5 mg), or high-dose (5 mg) fulvestrant treatment groups (5-7 per group). Two and 3 days after fulvestrant treatment, PET/CT was performed using (18)F-FES and (18)F-FDG, respectively. ER expression was assessed by immunohistochemistry, ELISA, and qPCR on xenografts. Tumor proliferation was assessed using Ki67 immunohistochemistry.

resultsIn vitro, we observed a parallel graded reduction in (18)F-FES uptake and ER expression with increased fulvestrant doses, despite enhancement of ER mRNA transcription. In xenografts, ER expression significantly decreased with increased fulvestrant dose, despite similar mRNA expression and Ki67 staining among the treatment groups. We observed a significant dose-dependent reduction of (18)F-FES PET mean standardized uptake value (SUV(mean)) with fulvestrant treatment but no significant difference among the treatment groups in (18)F-FDG PET SUV(mean).

conclusionsWe demonstrated that (18)F-FES uptake mirrors the dose-dependent changes in functional ER expression with fulvestrant resulting in ER degradation and/or blockade; these precede changes in tumor metabolism and proliferation. Quantitative (18)F-FES PET may be useful for tracking early efficacy of ER blockade/degradation and guiding ER-targeted therapy dosing in patients with breast cancer.

Indexed as

AnimalsAntineoplastic Agents, HormonalBreast NeoplasmsCell Line, TumorEstradiolEstrogen Receptor AntagonistsFemaleFulvestrantHumansMCF-7 CellsMiceMice, NudePositron-Emission TomographyReceptors, EstrogenXenograft Model Antitumor AssaysAntineoplastic Agents, HormonalEstradiolEstrogen Receptor AntagonistsFulvestrantReceptors, Estrogen

Identifiers

PMID25609068
PMCPMC4359957
OpenAlexW2102542135

What OpenQuestion holds

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Registered trials

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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.