Evidence map›Paper›PMID 27225183›Full record

ArticleScience translational medicine2016

Dormant breast cancer micrometastases reside in specific bone marrow niches that regulate their transit to and from bone.

Trevor T Price, Monika L Burness, Ayelet Sivan, Matthew J Warner, Renee Cheng, Clara H Lee, Lindsey Olivere, Karrie Comatas, John Magnani, H Kim Lyerly and 3 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 1 pooled it
12.1field-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

151 citing papers in PubMed, 1 synthesis or guideline pooled it, 234 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
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  6. Review
  7. Mechanisms of breast cancer dormancy in bone metastasis.Clinical & experimental metastasis · 2026
    Review
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  9. Article
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  17. Article
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  19. Breast cancer: pathogenesis and treatments.Signal transduction and targeted therapy · 2025
    Review
  20. Article

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

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

13 authors at 3 institutions in 1 country.

Trevor T PriceDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University, Durham, NC 27707, USA.
Monika L BurnessDivision of Hematology/Oncology, Department of Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Ayelet SivanBiological Sciences Division, University of Chicago, Chicago, IL 60637, USA.
Matthew J WarnerDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University, Durham, NC 27707, USA.
Renee ChengDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University, Durham, NC 27707, USA.
Clara H LeeDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University, Durham, NC 27707, USA.
Lindsey OlivereDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University, Durham, NC 27707, USA.
Karrie ComatasDepartment of Surgery, Duke University, Durham, NC 27707, USA.
John MagnaniGlycoMimetics Inc., Rockville, MD 20850, USA.
H Kim LyerlyDepartment of Surgery, Duke University, Durham, NC 27707, USA.
Qing ChengDepartment of Surgery, Duke University, Durham, NC 27707, USA.
Chad M McCallDepartment of Pathology, Duke University, Durham, NC 27707, USA.
Dorothy A SipkinsDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University, Durham, NC 27707, USA. dorothy.sipkins@dm.duke.edu.
Duke University · USUniversity of Chicago · USUniversity of Michigan–Ann Arbor · US

Funding

Defining the Rules of Breast Cancer Cell Traffic Through BoneR01CA197848 · NCI · DUKE UNIVERSITY · PI SIPKINS, DOROTHY A · 2017 to 2022
$1.9M
NCI NIH HHS R01 CA197848
6 · The paper itself

Abstract

Breast cancer metastatic relapse can occur years after therapy, indicating that disseminated breast cancer cells (BCCs) have a prolonged dormant phase before becoming proliferative. A major site of disease dissemination and relapse is bone, although the critical signals that allow circulating BCCs to identify bone microvasculature, enter tissue, and tether to the microenvironment are poorly understood. Using real-time in vivo microscopy of bone marrow (BM) in a breast cancer xenograft model, we show that dormant and proliferating BCCs occupy distinct areas, with dormant BCCs predominantly found in E-selectin- and stromal cell-derived factor 1 (SDF-1)-rich perisinusoidal vascular regions. We use highly specific inhibitors of E-selectin and C-X-C chemokine receptor type 4 (CXCR4) (SDF-1 receptor) to demonstrate that E-selectin and SDF-1 orchestrate opposing roles in BCC trafficking. Whereas E-selectin interactions are critical for allowing BCC entry into the BM, the SDF-1/CXCR4 interaction anchors BCCs to the microenvironment, and its inhibition induces mobilization of dormant micrometastases into circulation. Homing studies with primary BCCs also demonstrate that E-selectin regulates their entry into bone through the sinusoidal niche, and immunohistochemical staining of patient BMs shows dormant micrometastatic disease adjacent to SDF-1(+) vasculature. These findings shed light on how BCCs traffic within the host, and suggest that simultaneous blockade of CXCR4 and E-selectin in patients could molecularly excise dormant micrometastases from the protective BM environment, preventing their emergence as relapsed disease.

Indexed as

AnimalsBenzylaminesBone MarrowBreast NeoplasmsCell Line, TumorChemokine CXCL12CyclamsE-SelectinFemaleFlow CytometryHeterocyclic CompoundsHumansImmunohistochemistryMCF-7 CellsMiceMice, SCIDBenzylaminesChemokine CXCL12CXCL12 protein, humanCXCR4 protein, humanCyclamsE-SelectinHeterocyclic CompoundsplerixaforReceptors, CXCR4

Identifiers

PMID27225183
PMCPMC8722465
OpenAlexW2406096576

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.