Evidence map›Paper›PMID 27484095›Full record

ArticleBMC cancer2016

Integrated molecular pathway analysis informs a synergistic combination therapy targeting PTEN/PI3K and EGFR pathways for basal-like breast cancer.

Qing-Bai She, Sofia K Gruvberger-Saal, Matthew Maurer, Yilun Chen, Mervi Jumppanen, Tao Su, Meaghan Dendy, Ying-Ka Ingar Lau, Lorenzo Memeo, Hugo M Horlings and 6 more

Abstract read
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

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

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

  1. Pooled it
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  5. Synthesis and Biological Evaluation of (Pharmaceuticals (Basel, Switzerland) · 2021
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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

16 authors.

Qing-Bai SheProgram in Molecular Pharmacology and Chemistry and Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Sofia K Gruvberger-SaalDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Matthew MaurerHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, USA.
Yilun ChenDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Mervi JumppanenDepartment of Pathology, Seinäjoki Central Hospital, Seinäjoki, Finland.
Tao SuHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, USA.
Meaghan DendyInstitute for Cancer Genetics, Columbia University Medical Center, New York, NY, USA.
Ying-Ka Ingar LauHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, USA.
Lorenzo MemeoDepartment of Experimental Oncology, Mediterranean Institute of Oncology, Catania, Italy.
Hugo M HorlingsDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Marc J van de VijverDepartment of Pathology, Academic Medical Center, Amsterdam, The Netherlands.
Jorma IsolaInstitute of Medical Technology, University of Tampere, Tampere, Finland.
Hanina HibshooshHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, USA.
Neal RosenProgram in Molecular Pharmacology and Chemistry and Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Ramon ParsonsInstitute for Cancer Genetics, Columbia University Medical Center, New York, NY, USA.
Lao H SaalDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden. lao.saal@med.lu.se.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
The Role of Id Proteins in Breast TumorigenesisP01CA094060 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI NORTON, LARRY · 2002 to 2018
$39.4M
University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI KATHLEEN L. O'CONNOR · 2013 to 2026
$38.3M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007367 · NIGMS · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI REINER, STEVEN L · 1985 to 2021
$25.1M
The role of PTEN in basal-like breast cancerP01CA097403 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SZABOLCS, MATTHIAS · 2003 to 2013
$18.2M
PTEN TUMOR SUPPRESSOR AND SIGNAL TRANSDUCTIONR01CA082783 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PARSONS, RAMON E · 2001 to 2016
$3.8M
Targeting Translation Dependence in Colorectal Cancer ProgressionR01CA175105 · NCI · UNIVERSITY OF KENTUCKY · PI SHE, QING-BAI · 2013 to 2024
$3.3M
NCI NIH HHS P01 CA094060NCI NIH HHS P01 CA097403NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA177558NCI NIH HHS R01 CA082783NCI NIH HHS R01 CA175105NIGMS NIH HHS T32 GM007367
6 · The paper itself

Abstract

backgroundThe basal-like breast cancer (BLBC) subtype is characterized by positive staining for basal mammary epithelial cytokeratin markers, lack of hormone receptor and HER2 expression, and poor prognosis with currently no approved molecularly-targeted therapies. The oncogenic signaling pathways driving basal-like tumorigenesis are not fully elucidated.

methodsOne hundred sixteen unselected breast tumors were subjected to integrated analysis of phosphoinositide 3-kinase (PI3K) pathway related molecular aberrations by immunohistochemistry, mutation analysis, and gene expression profiling. Incidence and relationships between molecular biomarkers were characterized. Findings for select biomarkers were validated in an independent series. Synergistic cell killing in vitro and in vivo tumor therapy was investigated in breast cancer cell lines and mouse xenograft models, respectively.

resultsSixty-four % of cases had an oncogenic alteration to PIK3CA, PTEN, or INPP4B; when including upstream kinases HER2 and EGFR, 75 % of cases had one or more aberration including 97 % of estrogen receptor (ER)-negative tumors. PTEN-loss was significantly associated to stathmin and EGFR overexpression, positivity for the BLBC markers cytokeratin 5/14, and the BLBC molecular subtype by gene expression profiling, informing a potential therapeutic combination targeting these pathways in BLBC. Combination treatment of BLBC cell lines with the EGFR-inhibitor gefitinib plus the PI3K pathway inhibitor LY294002 was synergistic, and correspondingly, in an in vivo BLBC xenograft mouse model, gefitinib plus PI3K-inhibitor PWT-458 was more effective than either monotherapy and caused tumor regression.

conclusionsOur study emphasizes the importance of PI3K/PTEN pathway activity in ER-negative and basal-like breast cancer and supports the future clinical evaluation of combining EGFR and PI3K pathway inhibitors for the treatment of BLBC.

Indexed as

Gene Regulatory NetworksMutationAdultAgedAged, 80 and overAndrostadienesAnimalsBreast NeoplasmsChromonesClass I Phosphatidylinositol 3-KinasesDrug SynergismErbB ReceptorsFemaleGefitinibGene Expression ProfilingGene Expression Regulation, Neoplastic2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-oneAndrostadienesChromonesClass I Phosphatidylinositol 3-KinasesEGFR protein, humanErbB ReceptorsGefitinibMorpholinespegylated 17-hydroxywortmanninphosphatidylinositol-3,4-bisphosphate 4-phosphatasePhosphoric Monoester HydrolasesPIK3CA protein, humanPolyethylene GlycolsProtein Kinase InhibitorsPTEN PhosphohydrolasePTEN protein, humanQuinazolinesBasal-likeBreast cancerCombination therapyEGFRPTEN

Identifiers

PMID27484095
PMCPMC4971667

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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.