Evidence map›Paper›PMID 27569656›Full record

ArticleEBioMedicine2016

SIAH and EGFR, Two RAS Pathway Biomarkers, are Highly Prognostic in Locally Advanced and Metastatic Breast Cancer.

Lauren L Siewertsz van Reesema, Vasilena Zheleva, Janet S Winston, Rick J Jansen, Carolyn F O'Connor, Andrew J Isbell, Minglei Bian, Rui Qin, Patricia T Bassett, Virginia J Hinson and 10 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

21 citing papers in PubMed, 28 citations in OpenAlex.

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  10. Correlation between Ubiquitin E3 Ligases (Iranian journal of public health · 2022
    Article
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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 7 institutions in 1 country.

Lauren L Siewertsz van ReesemaDepartment of Microbiology and Molecular Cell Biology, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States.
Vasilena ZhelevaDepartment of Surgery, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States.
Janet S WinstonSentara Pathology and Pathology Sciences Medical Group, Department of Pathology, Sentara Norfolk General Hospital (SNGH), 600 Gresham Drive, Norfolk, VA 23507, United States.
Rick J JansenDepartment of Public Health, North Dakota State University, Fargo, ND 58102, United States.
Carolyn F O'ConnorDepartment of Microbiology and Molecular Cell Biology, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States.
Andrew J IsbellDepartment of Microbiology and Molecular Cell Biology, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States.
Minglei BianDepartment of Microbiology and Molecular Cell Biology, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States.
Rui QinDepartment of Health Sciences Research, Mayo Clinic Cancer Center, Mayo Clinic, Rochester, MN 55905, United States.
Patricia T BassettSentara Pathology and Pathology Sciences Medical Group, Department of Pathology, Sentara Norfolk General Hospital (SNGH), 600 Gresham Drive, Norfolk, VA 23507, United States.
Virginia J HinsonSentara Pathology and Pathology Sciences Medical Group, Department of Pathology, Sentara Norfolk General Hospital (SNGH), 600 Gresham Drive, Norfolk, VA 23507, United States.
Kimberly A DorschSentara Cancer Network, 11803 Jefferson Avenue, Suite 235, Newport News, Virginia 23606, United States.
Brad W KirbySentara Cancer Network, 11803 Jefferson Avenue, Suite 235, Newport News, Virginia 23606, United States.
Robert E Van SciverDepartment of Microbiology and Molecular Cell Biology, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States.
Angela M Tang-TanPrincess Anne High School, International Baccalaureate (IB) Gifted and Talented Program, 4400 Virginia Beach Boulevard, Virginia Beach, VA 23462, United States.
Elizabeth A HardenDorothy G. Hoefer Comprehensive Breast Center, 11803 Jefferson Avenue, Suite 235, Newport News, Virginia 23606, United States; Virginia Oncology Associates, 1051 Loftis Blvd, Suite 100, Newport News, VA 23606, United States.
David Z ChangVirginia Oncology Associates, 1051 Loftis Blvd, Suite 100, Newport News, VA 23606, United States.
Cynthia A AllenSentara Cancer Network, 11803 Jefferson Avenue, Suite 235, Newport News, Virginia 23606, United States.
Roger R PerryDepartment of Surgery, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States.
Richard A HoeferSentara Cancer Network, 11803 Jefferson Avenue, Suite 235, Newport News, Virginia 23606, United States; Dorothy G. Hoefer Comprehensive Breast Center, 11803 Jefferson Avenue, Suite 235, Newport News, Virginia 23606, United States; Sentara CarePlex Hospital, 11803 Jefferson Avenue, Suite 235, Newport News, Virginia 23606, United States.
Amy H TangDepartment of Microbiology and Molecular Cell Biology, Leroy T. Canoles Jr. Cancer Research Center, Eastern Virginia Medical School, Norfolk, VA 23507, United States. Electronic address: TangAH@evms.edu.
Eastern Virginia Medical School · USNewport (United States) · USSentara Norfolk General Hospital · USThomas Jefferson National Accelerator Facility · USMayo Clinic in Florida · USNorth Dakota State University · USVirginia Oncology Associates · US

Funding

SIAH2-Dependent Proteolysis in Cell Migration, Tumor Growth and Cancer MetastasisR01CA140550 · NCI · EASTERN VIRGINIA MEDICAL SCHOOL · PI TANG, AMY H. · 2010 to 2014
$1.4M
Regulated Proteolysis in RAS Signal TransductionR01GM069922 · NIGMS · MAYO CLINIC ROCHESTER · PI TANG, AMY H. · 2004 to 2009
$1.3M
NCI NIH HHS R01 CA140550NIGMS NIH HHS R01 GM069922
6 · The paper itself

Abstract

backgroundMetastatic breast cancer exhibits diverse and rapidly evolving intra- and inter-tumor heterogeneity. Patients with similar clinical presentations often display distinct tumor responses to standard of care (SOC) therapies. Genome landscape studies indicate that EGFR/HER2/RAS "pathway" activation is highly prevalent in malignant breast cancers. The identification of therapy-responsive and prognostic biomarkers is paramount important to stratify patients and guide therapies in clinical oncology and personalized medicine.

methodsIn this study, we analyzed matched pairs of tumor specimens collected from 182 patients who received neoadjuvant systemic therapies (NST). Statistical analyses were conducted to determine whether EGFR/HER2/RAS pathway biomarkers and clinicopathological predictors, alone and in combination, are prognostic in breast cancer.

findingsSIAH and EGFR outperform ER, PR, HER2 and Ki67 as two logical, sensitive and prognostic biomarkers in metastatic breast cancer. We found that increased SIAH and EGFR expression correlated with advanced pathological stage and aggressive molecular subtypes. Both SIAH expression post-NST and NST-induced changes in EGFR expression in invasive mammary tumors are associated with tumor regression and increased survival, whereas ER, PR, and HER2 were not. These results suggest that SIAH and EGFR are two prognostic biomarkers in breast cancer with lymph node metastases.

interpretationThe discovery of incorporating tumor heterogeneity-independent and growth-sensitive RAS pathway biomarkers, SIAH and EGFR, whose altered expression can be used to estimate therapeutic efficacy, detect emergence of resistant clones, forecast tumor regression, differentiate among partial responders, and predict patient survival in the neoadjuvant setting, has a clear clinical implication in personalizing breast cancer therapy.

fundingThis work was supported by the Dorothy G. Hoefer Foundation for Breast Cancer Research (A.H. Tang); Center for Innovative Technology (CIT)-Commonwealth Research Commercialization Fund (CRCF) (MF14S-009-LS to A.H. Tang), and National Cancer Institute (CA140550 to A.H. Tang).

Indexed as

Signal TransductionBiomarkers, TumorBreast NeoplasmsDisease ProgressionErbB ReceptorsFemaleGene ExpressionHumansImmunohistochemistryKaplan-Meier EstimateModels, BiologicalNeoadjuvant TherapyNeoplasm GradingNeoplasm MetastasisNeoplasm StagingNuclear ProteinsBiomarkers, TumorErbB ReceptorsNuclear Proteinsras ProteinsSeven in Absentia ProteinsUbiquitin-Protein LigasesAnd prognostic biomarkersClinicopathological predictorsLocally advanced and metastatic breast cancerNeedle biopsiesNeoadjuvant systemic therapiesSIAH E3 ligaseThe RAS pathway activation in breast cancer

Identifiers

PMID27569656
PMCPMC5049993
OpenAlexW2518125106

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.