Evidence map›Paper›PMID 27502118›Full record

ArticleNature communications2016

Aromatase inhibition remodels the clonal architecture of estrogen-receptor-positive breast cancers.

Christopher A Miller, Yevgeniy Gindin, Charles Lu, Obi L Griffith, Malachi Griffith, Dong Shen, Jeremy Hoog, Tiandao Li, David E Larson, Mark Watson and 10 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

47 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
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  4. A Phase II Trial of Neoadjuvant MK-2206, an AKT Inhibitor, with Anastrozole in Clinical Stage II or IIIClinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
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  6. Racial variation in the advanced prostate cancer genome.Prostate cancer and prostatic diseases · 2025
    Article
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  10. p27Cells · 2025
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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

20 authors at 4 institutions in 1 country.

Christopher A MillerMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.ORCID 0000-0003-4266-6700
Yevgeniy GindinMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Charles LuMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Obi L GriffithMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.ORCID 0000-0002-0843-4271
Malachi GriffithMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.ORCID 0000-0002-6388-446X
Dong ShenMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Jeremy HoogDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Tiandao LiMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.ORCID 0000-0003-1650-0555
David E LarsonMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.ORCID 0000-0001-7934-5906
Mark WatsonDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Sherri R DaviesDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Kelly HuntDepartment of Breast Surgery, MD Anderson Cancer Center, Houston, Texas 77030, USA.
Vera J SumanAlliance Statistics and Data Center, Mayo Clinic, Rochester, Minnesota 55905, USA.
Jacqueline SniderDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Thomas WalshDepartment of Surgery, Division of Public Health, St Louis Breast Tissue Registry, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Graham A ColditzSiteman Cancer Center, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Katherine DeSchryverDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Richard K WilsonMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Elaine R MardisMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.
Matthew J EllisMcDonnell Genome Institute, Washington University School of Medicine, St Louis, Missouri 63108, USA.
James S. McDonnell Foundation · USWashington University in St. Louis · USMayo Clinic · USThe University of Texas MD Anderson Cancer Center · US

Funding

Large Scale Genome SequencingU54HG003079 · NHGRI · WASHINGTON UNIVERSITY · PI DUTCHER, SUSAN K · 2004 to 2016
$445.7M
Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
AMERICAN COLLEGE OF SURGEONS ONCOLOGY TRIALS GROUPU10CA076001 · NCI · DUKE UNIVERSITY · PI BERTAGNOLLI, MONICA M · 1998 to 2013
$62.1M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
UT MD Anderson Cancer Center Network Lead Academic Participating Site (LAP) UG1UG1CA233329 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KELLY K HUNT, CHELSEA Camille PINNIX · 2019 to 2026
$11.1M
Biological Breast Cancer Classification by qRT-PCRU01CA114722 · NCI · WASHINGTON UNIVERSITY · PI ELLIS, MATTHEW J · 2005 to 2009
$8.7M
Washington University/ Siteman Cancer Center Lead Academic SiteU10CA180833 · NCI · WASHINGTON UNIVERSITY · PI BARTLETT, NANCY L, KOZOWER, BENJAMIN D · 2014 to 2018
$7.6M
Support for Specimen Banking in ACOSOGU24CA114736 · NCI · DUKE UNIVERSITY · PI BERTAGNOLLI, MONICA M · 2005 to 2014
$7.3M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareU10CA180867 · NCI · DANA-FARBER CANCER INST · PI BURSTEIN, HAROLD JOHN, KIBEL, ADAM S · 2014 to 2018
$6.2M
UT MD Anderson Cancer Center Network Lead Academic Participating Site (LAP)U10CA180858 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HUNT, KELLY K, PINNIX, CHELSEA CAMILLE · 2014 to 2018
$5.6M
NOVEL BIOMARKERS FOR AROMATASE INHIBITOR THERAPYR01CA095614 · NCI · WASHINGTON UNIVERSITY · PI ELLIS, MATTHEW J, LUO, JINGQIN · 2003 to 2013
$5.6M
NCI NIH HHS K22 CA188163NCI NIH HHS R01 CA095614NCI NIH HHS U01 CA114722NCI NIH HHS U10 CA076001NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180833NCI NIH HHS U10 CA180858NCI NIH HHS U10 CA180867NCI NIH HHS U10 CA180882NCI NIH HHS U24 CA114736NCI NIH HHS U24 CA196171NCI NIH HHS UG1 CA233329NHGRI NIH HHS U54 HG003079
6 · The paper itself

Abstract

Resistance to oestrogen-deprivation therapy is common in oestrogen-receptor-positive (ER+) breast cancer. To better understand the contributions of tumour heterogeneity and evolution to resistance, here we perform comprehensive genomic characterization of 22 primary tumours sampled before and after 4 months of neoadjuvant aromatase inhibitor (NAI) treatment. Comparing whole-genome sequencing of tumour/normal pairs from the two time points, with coincident tumour RNA sequencing, reveals widespread spatial and temporal heterogeneity, with marked remodelling of the clonal landscape in response to NAI. Two cases have genomic evidence of two independent tumours, most obviously an ER- 'collision tumour', which was only detected after NAI treatment of baseline ER+ disease. Many mutations are newly detected or enriched post treatment, including two ligand-binding domain mutations in ESR1. The observed clonal complexity of the ER+ breast cancer genome suggests that precision medicine approaches based on genomic analysis of a single specimen are likely insufficient to capture all clinically significant information.

Indexed as

AllelesAromataseAromatase InhibitorsBiomarkers, TumorBreast NeoplasmsCell Line, TumorClone CellsFemaleGenome, HumanHumansMutationReceptors, EstrogenAromataseAromatase InhibitorsBiomarkers, TumorReceptors, Estrogen

Identifiers

PMID27502118
PMCPMC4980485
OpenAlexW2493364589

What OpenQuestion holds

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LicenceCC BY
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.