Evidence map›Paper›PMID 27487140›Full record

ArticleOncotarget2016

High expression of intratumoral stromal proteins is associated with chemotherapy resistance in breast cancer.

Tingting Wang, Supriya Srivastava, Mikael Hartman, Shaik Ahmad Buhari, Ching-Wan Chan, Philip Iau, Lay Wai Khin, Andrea Wong, Sing-Huang Tan, Boon-Cher Goh and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 31 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

11 authors at 3 institutions in 1 country.

Tingting WangCancer Science Institute, National University of Singapore, Singapore.
Supriya SrivastavaCancer Science Institute, National University of Singapore, Singapore.
Mikael HartmanDepartment of Surgery, National University Cancer Institute, National University Health System, Singapore.
Shaik Ahmad BuhariDepartment of Surgery, National University Cancer Institute, National University Health System, Singapore.
Ching-Wan ChanDepartment of Surgery, National University Cancer Institute, National University Health System, Singapore.
Philip IauDepartment of Surgery, National University Cancer Institute, National University Health System, Singapore.
Lay Wai KhinSaw Swee Hock School of Public Health, National University of Singapore, Singapore.
Andrea WongDepartment of Haematology and Oncology, National University Cancer Institute, National University Health System, Singapore.
Sing-Huang TanDepartment of Haematology and Oncology, National University Cancer Institute, National University Health System, Singapore.
Boon-Cher GohCancer Science Institute, National University of Singapore, Singapore.
Soo-Chin LeeCancer Science Institute, National University of Singapore, Singapore.
National University Cancer Institute, Singapore · SGNational University Health System · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We studied the changes of intratumoral stromal proteins including THBS1, TNC, FN, SPARC and α-SMA, following neoadjuvant chemotherapy. The underlying mechanisms by which THBS1 and TNC regulated resistance to docetaxel were further studied using functional studies. 100 patients with newly diagnosed breast cancer were treated with alternating sequential doxorubicin and docetaxel. Immunohistochemistry (IHC) staining for stromal proteins was performed on pre- and post-treatment core biopsies respectively. THBS1 and TNC were further validated with IHC in an independent cohort of 31 patients. A high baseline combined expression score of the 5 stromal proteins predicted independently for poor progression-free (HRadjusted 2.22, 95% CI 1.06-4.64) and overall survival (HRadjusted 5.94, 95% CI 2.25-15.71). After 1-2 cycles of chemotherapy, increased expression of THBS1, TNC, FN, SPARC and α-SMA was seen in patients with subsequent pathological lymph node involvement at surgery. Increased expression of THBS1 and TNC compared to baseline was also seen in intrinsically resistant tumors, but not in sensitive ones. Both THBS1 and TNC-associated chemoresistance were confirmed in an independent validation cohort. Exogenous THBS1 and TNC protected MCF-7 cells against proliferation inhibition induced by docetaxel through activating integrin β1/mTOR pathway. Thus, up-regulation of THBS1, TNC, FN, SPARC and α-SMA following neoadjuvant chemotherapy was associated with chemotherapy resistance in breast cancer patients. Functional studies showed THBS1 and TNC to mediate chemoresistance through the integrin β1/mTOR pathway, suggesting that therapies targeting integrin β1/mTOR pathway may be a promising strategy to overcome chemotherapy resistance.

Indexed as

AdultAgedBreast NeoplasmsCell Line, TumorDrug Resistance, NeoplasmFemaleHumansIntegrin beta1Middle AgedSignal TransductionTenascinThrombospondin 1TOR Serine-Threonine KinasesIntegrin beta1MTOR protein, humanTenascinThrombospondin 1thrombospondin-1, humanTOR Serine-Threonine Kinasesbreast cancercancer-associated stromal proteinchemotherapy resistanceintegrin βmTOR pathway

Identifiers

PMID27487140
PMCPMC5342408
OpenAlexW2491327399

What OpenQuestion holds

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LicenceCC BY
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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.