Evidence map›Paper›PMID 25974184›Full record

ArticlePloS one2015

Development and validation of a novel platform-independent metastasis signature in human breast cancer.

Shuang G Zhao, Mark Shilkrut, Corey Speers, Meilan Liu, Kari Wilder-Romans, Theodore S Lawrence, Lori J Pierce, Felix Y Feng

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Shuang G ZhaoDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Mark ShilkrutDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Corey SpeersDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Meilan LiuDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Kari Wilder-RomansDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Theodore S LawrenceDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America; Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Lori J PierceDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America; Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Felix Y FengDepartment of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America; Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, Michigan, United States of America; Michigan Center for Translational Pathology, University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
Michigan United · USUniversity of Michigan–Ann Arbor · USMichigan Center for Translational Pathology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe molecular drivers of metastasis in breast cancer are not well understood. Therefore, we sought to identify the biological processes underlying distant progression and define a prognostic signature for metastatic potential in breast cancer. EXPERIMENTAL

designIn vivo screening for metastases was performed using Chick Chorioallantoic Membrane assays in 21 preclinical breast cancer models. Expressed genes associated with metastatic potential were identified using high-throughput analysis. Correlations with biological function were determined using the Database for Annotation, Visualization and Integrated Discovery.

resultsWe identified a broad range of metastatic potential that was independent of intrinsic breast cancer subtypes. 146 genes were significantly associated with metastasis progression and were linked to cancer-related biological functions, including cell migration/adhesion, Jak-STAT, TGF-beta, and Wnt signaling. These genes were used to develop a platform-independent gene expression signature (M-Sig), which was trained and subsequently validated on 5 independent cohorts totaling nearly 1800 breast cancer patients with all p-values < 0.005 and hazard ratios ranging from approximately 2.5 to 3. On multivariate analysis accounting for standard clinicopathologic prognostic variables, M-Sig remained the strongest prognostic factor for metastatic progression, with p-values < 0.001 and hazard ratios > 2 in three different cohorts.

conclusionM-Sig is strongly prognostic for metastatic progression, and may provide clinical utility in combination with treatment prediction tools to better guide patient care. In addition, the platform-independent nature of the signature makes it an excellent research tool as it can be directly applied onto existing, and future, datasets.

Indexed as

Models, BiologicalTranscriptomeAlu ElementsAnimalsBreast NeoplasmsCell Line, TumorChick EmbryoChickensChorioallantoic MembraneCohort StudiesDNAFemaleHumansKaplan-Meier EstimateLogistic ModelsMultivariate AnalysisDNA

Identifiers

PMID25974184
PMCPMC4431866
OpenAlexW1440606403

What OpenQuestion holds

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LicenceCC BY
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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.