Evidence map›Paper›PMID 27609189›Full record

ArticleJournal of the National Cancer Institute2017

Effects of In Utero Exposure to Ethinyl Estradiol on Tamoxifen Resistance and Breast Cancer Recurrence in a Preclinical Model.

Leena Hilakivi-Clarke, Anni Wärri, Kerrie B Bouker, Xiyuan Zhang, Katherine L Cook, Lu Jin, Alan Zwart, Nguyen Nguyen, Rong Hu, M Idalia Cruz and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2017. 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
3.9field-weighted citation impact, top 7% 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, 34 citations in OpenAlex.

  1. Article
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  3. A Review on Cyclodextrins/Estrogens Inclusion Complexes.International journal of molecular sciences · 2023
    Review
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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 at 4 institutions in 2 countries.

Leena Hilakivi-ClarkeDepartment of Oncology, Georgetown University, Washington, DC.
Anni WärriDepartment of Oncology, Georgetown University, Washington, DC.
Kerrie B BoukerDepartment of Oncology, Georgetown University, Washington, DC.
Xiyuan ZhangDepartment of Oncology, Georgetown University, Washington, DC.
Katherine L CookDepartment of Oncology, Georgetown University, Washington, DC.
Lu JinDepartment of Oncology, Georgetown University, Washington, DC.
Alan ZwartDepartment of Oncology, Georgetown University, Washington, DC.
Nguyen NguyenDepartment of Oncology, Georgetown University, Washington, DC.
Rong HuDepartment of Oncology, Georgetown University, Washington, DC.
M Idalia CruzDepartment of Oncology, Georgetown University, Washington, DC.
Sonia de AssisDepartment of Oncology, Georgetown University, Washington, DC.
Xiao WangDepartment of Electrical and Computer Engineering, Virginia Tech, Arlington, VA.
Jason XuanDepartment of Electrical and Computer Engineering, Virginia Tech, Arlington, VA.
Yue WangDepartment of Electrical and Computer Engineering, Virginia Tech, Arlington, VA.
Bryan WehrenbergUniversity of Texas Health Science Center, Houston, TX.
Robert ClarkeDepartment of Oncology, Georgetown University, Washington, DC.
Georgetown University · USVirginia Tech · USThe University of Texas Health Science Center at Houston · USWake Forest University · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
TRAINING GRANT IN TUMOR BIOLOGYT32CA009686 · NCI · GEORGETOWN UNIVERSITY · PI ANNA Tate RIEGEL, DAVID J ROBBINS · 1996 to 2026
$10.8M
Novel Targets in Endocrine ResponsivenessU54CA149147 · NCI · GEORGETOWN UNIVERSITY · PI MADHAVAN, SUBHA · 2010 to 2014
$6.9M
Collaborative Research in Integrative Cancer BiologyU01CA184902 · NCI · GEORGETOWN UNIVERSITY · PI CLARKE, ROBERT R., WANG, YUE · 2014 to 2018
$2.7M
Transgenerational effects of maternal high fat diet during pregnancy on breast caR01CA164384 · NCI · GEORGETOWN UNIVERSITY · PI HILAKIVI-CLARKE, LEENA A. · 2012 to 2015
$2.0M
NCI NIH HHS P30 CA051008NCI NIH HHS R01 CA164384NCI NIH HHS T32 CA009686NCI NIH HHS U01 CA184902NCI NIH HHS U54 CA149147
6 · The paper itself

Abstract

Background: Responses to endocrine therapies vary among patients with estrogen receptor (ER+) breast cancer. We studied whether in utero exposure to endocrine-disrupting compounds might explain these variations. Methods: We describe a novel ER+ breast cancer model to study de novo and acquired tamoxifen (TAM) resistance. Pregnant Sprague Dawley rats were exposed to 0 or 0.1 ppm ethinyl estradiol (EE2), and the response of 9,12-dimethylbenz[a]anthracene (DMBA)-induced mammary tumors to 15 mg/kg TAM, with (n = 17 tumors in the controls and n = 20 tumors in EE2 offspring) or without 1.2 g/kg valproic acid and 5 mg/kg hydralazine (n = 24 tumors in the controls and n = 32 tumors in EE2 offspring) in the female offspring, was assessed. One-sided Chi2 tests were used to calculate P values. Comparisons of differentially expressed genes between mammary tumors in in utero EE2-exposed and control rats, and between anti-estrogen-resistant LCC9 and -sensitive LCC1 human breast cancer cells, were also performed. Results: In our preclinical model, 54.2% of mammary tumors in the control rats exhibited a complete response to TAM, of which 23.1% acquired resistance with continued anti-estrogen treatment and recurred. Mammary tumors in the EE2 offspring were statistically significantly less likely to respond to TAM (P = .047) and recur (P = .007). In the EE2 offspring, but not in controls, adding valproic acid and hydralazine to TAM prevented recurrence (P < .001). Three downregulated and hypermethylated genes (KLF4, LGALS3, MICB) and one upregulated gene (ETV4) were identified in EE2 tumors and LCC9 breast cancer cells, and valproic acid and hydralazine normalized the altered expression of all four genes. Conclusions: Resistance to TAM may be preprogrammed by in utero exposure to high estrogen levels and mediated through reversible epigenetic alterations in genes associated with epithelial-mesenchymal transition and tumor immune responses.

Indexed as

9,10-Dimethyl-1,2-benzanthraceneAdenovirus E1A ProteinsAnimalsAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCell Line, TumorDNA MethylationDrug Resistance, NeoplasmEthinyl EstradiolFemaleGalectin 3Gene ExpressionGene SilencingHistocompatibility Antigens Class IHumansHydralazine9,10-Dimethyl-1,2-benzanthraceneAdenovirus E1A ProteinsEthinyl EstradiolETV4 protein, humanETV4 protein, ratGalectin 3Histocompatibility Antigens Class IHydralazineKLF4 protein, humanKlf4 protein, ratKruppel-Like Factor 4Kruppel-Like Transcription FactorsMICB antigenProto-Oncogene ProteinsProto-Oncogene Proteins c-etsReceptors, EstrogenTamoxifenTrans-ActivatorsValproic Acid

Identifiers

PMID27609189
PMCPMC6255695
OpenAlexW2513155451

What OpenQuestion holds

Textmetadata
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.