Evidence map›Paper›PMID 26017313›Full record

ArticleNature2015

The hypoxic cancer secretome induces pre-metastatic bone lesions through lysyl oxidase.

Thomas R Cox, Robin M H Rumney, Erwin M Schoof, Lara Perryman, Anette M Høye, Ankita Agrawal, Demelza Bird, Norain Ab Latif, Hamish Forrest, Holly R Evans and 5 more

RetractedOpen access · greenAbstract readRetracted Publication
In one paragraph

Article in Nature, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 286 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
286citing papers in PubMed, 1 pooled it
30.4field-weighted citation impact, top 1% 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

286 citing papers in PubMed, 1 synthesis or guideline pooled it, 469 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review of the premetastatic niche in liver cancer bone metastases.International journal of clinical and experimental pathology · 2026
    Review
  8. 3D Morphometry of Preclinical Bone Disease Models Beyond Osteoporosis.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  9. Immune Microenvironment in Breast Cancer Metastasis.Advances in experimental medicine and biology · 2025
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Mechanisms of Organ-Specific Metastasis of Breast Cancer.Cold Spring Harbor perspectives in medicine · 2023
    Review

226 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Thomas R CoxBiotech Research and Innovation Centre (BRIC), University of Copenhagen (UCPH), Copenhagen, DK-2200, Denmark.
Robin M H RumneyThe Mellanby Centre for Bone Research, The University of Sheffield, Sheffield S10 2RX, UK.
Erwin M SchoofCellular Signal Integration Group (C-SIG), Technical University of Denmark (DTU), Lyngby, DK-2800, Denmark.
Lara PerrymanBiotech Research and Innovation Centre (BRIC), University of Copenhagen (UCPH), Copenhagen, DK-2200, Denmark.
Anette M HøyeBiotech Research and Innovation Centre (BRIC), University of Copenhagen (UCPH), Copenhagen, DK-2200, Denmark.
Ankita AgrawalThe Mellanby Centre for Bone Research, The University of Sheffield, Sheffield S10 2RX, UK.
Demelza BirdHypoxia and Metastasis Team, Cancer Research UK Tumour Cell Signalling Unit, The Institute of Cancer Research, London SW3 6JB, UK.
Norain Ab LatifThe Mellanby Centre for Bone Research, The University of Sheffield, Sheffield S10 2RX, UK.
Hamish ForrestThe Mellanby Centre for Bone Research, The University of Sheffield, Sheffield S10 2RX, UK.
Holly R EvansThe Mellanby Centre for Bone Research, The University of Sheffield, Sheffield S10 2RX, UK.
Iain D HugginsThe Mellanby Centre for Bone Research, The University of Sheffield, Sheffield S10 2RX, UK.
Georgina LangHypoxia and Metastasis Team, Cancer Research UK Tumour Cell Signalling Unit, The Institute of Cancer Research, London SW3 6JB, UK.
Rune LindingBiotech Research and Innovation Centre (BRIC), University of Copenhagen (UCPH), Copenhagen, DK-2200, Denmark.
Alison Gartland *The Mellanby Centre for Bone Research, The University of Sheffield, Sheffield S10 2RX, UK.
Janine T Erler *Biotech Research and Innovation Centre (BRIC), University of Copenhagen (UCPH), Copenhagen, DK-2200, Denmark.
University of Sheffield · GBUniversity of Copenhagen · DKInstitute of Cancer Research · GBTechnical University of Denmark · DK

Funding

Breast Cancer Now 2012MAYPR086Cancer Research UK A11355Cancer Research UK C107/A10433
6 · The paper itself

Abstract

Tumour metastasis is a complex process involving reciprocal interplay between cancer cells and host stroma at both primary and secondary sites, and is strongly influenced by microenvironmental factors such as hypoxia. Tumour-secreted proteins play a crucial role in these interactions and present strategic therapeutic potential. Metastasis of breast cancer to the bone affects approximately 85% of patients with advanced disease and renders them largely untreatable. Specifically, osteolytic bone lesions, where bone is destroyed, lead to debilitating skeletal complications and increased patient morbidity and mortality. The molecular interactions governing the early events of osteolytic lesion formation are currently unclear. Here we show hypoxia to be specifically associated with bone relapse in patients with oestrogen-receptor negative breast cancer. Global quantitative analysis of the hypoxic secretome identified lysyl oxidase (LOX) as significantly associated with bone-tropism and relapse. High expression of LOX in primary breast tumours or systemic delivery of LOX leads to osteolytic lesion formation whereas silencing or inhibition of LOX activity abrogates tumour-driven osteolytic lesion formation. We identify LOX as a novel regulator of NFATc1-driven osteoclastogenesis, independent of RANK ligand, which disrupts normal bone homeostasis leading to the formation of focal pre-metastatic lesions. We show that these lesions subsequently provide a platform for circulating tumour cells to colonize and form bone metastases. Our study identifies a novel mechanism of regulation of bone homeostasis and metastasis, opening up opportunities for novel therapeutic intervention with important clinical implications.

Indexed as

Neoplasm MetastasisAnimalsBone NeoplasmsBreast NeoplasmsCell HypoxiaCell Line, TumorCell MovementFemaleHumansMiceNeoplastic Cells, CirculatingNFATC Transcription FactorsOsteoblastsOsteoclastsProtein-Lysine 6-OxidaseReceptors, EstrogenNFATC Transcription FactorsProtein-Lysine 6-OxidaseReceptors, Estrogen

Identifiers

PMID26017313
PMCPMC4961239
OpenAlexW1593145356

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.