Evidence map›Paper›PMID 27611952›Full record

ArticleOncotarget2016

Role of TP53 mutations in triple negative and HER2-positive breast cancer treated with neoadjuvant anthracycline/taxane-based chemotherapy.

Silvia Darb-Esfahani, Carsten Denkert, Albrecht Stenzinger, Christoph Salat, Bruno Sinn, Christian Schem, Volker Endris, Peter Klare, Wolfgang Schmitt, Jens-Uwe Blohmer and 13 more

Abstract 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 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–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

48 citing papers in PubMed.

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  12. Clinical Relevance ofCancers · 2024
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  16. Breast care (Basel, Switzerland) · 2024
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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

23 authors.

Silvia Darb-EsfahaniInstitute of Pathology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Carsten DenkertInstitute of Pathology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Albrecht StenzingerInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Christoph SalatHämatoonkologische Schwerpunktpraxis, Munich, Germany.
Bruno SinnInstitute of Pathology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Christian SchemDepartment of Gynecology and Obstetrics, University Hospital Schleswig-Hostein, Kiel, Germany.
Volker EndrisInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Peter KlarePraxisklinik Krebsheilkunde für Frauen/Brustzentrum, Berlin, Germany.
Wolfgang SchmittInstitute of Pathology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Jens-Uwe BlohmerDepartment of Gynecology and Obstetrics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Wilko WeichertGerman Cancer Consortium, (DKTK), Berlin, Germany.
Markus MöbsInstitute of Pathology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Hans TeschCenter for Hematology and Oncology Bethanien, Frankfurt/Main, Germany.
Sherko KümmelBreast Unit, Kliniken Essen Mitte, Essen, Germany.
Peter SinnInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Christian JackischDepartment of Gynecology and Obstetrics, Sana Klinikum Offenbach, Offenbach, Germany.
Manfred DietelInstitute of Pathology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Toralf ReimerDepartment of Gynecology, Klinikum Südstadt Rostock, Rostock, Germany.
Sherene LoiPeter MacCallum Cancer Centre, East Melbourne, Victoria, Australia.
Michael UntchDepartment of Gynecology and Obstetrics, Helios Klinikum Berlin-Buch, Berlin, Germany.
Gunter von MinckwitzGerman Breast Group c/o (GBG Forschungs GmbH), Neu-Isenburg, Germany.
Valentina NekljudovaGerman Breast Group c/o (GBG Forschungs GmbH), Neu-Isenburg, Germany.
Sibylle LoiblGerman Breast Group c/o (GBG Forschungs GmbH), Neu-Isenburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTP53 mutations are frequent in breast cancer, however their clinical relevance in terms of response to chemotherapy is controversial.

methods450 pre-therapeutic, formalin-fixed, paraffin-embedded core biopsies from the phase II neoadjuvant GeparSixto trial that included HER2-positive and triple negative breast cancer (TNBC) were subjected to Sanger sequencing of exons 5-8 of the TP53 gene. TP53 status was correlated to response to neoadjuvant anthracycline/taxane-based chemotherapy with or without carboplatin and trastuzumab/lapatinib in HER2-positive and bevacizumab in TNBC. p53 protein expression was evaluated by immunohistochemistry in the TNBC subgroup.

resultsOf 450 breast cancer samples 297 (66.0%) were TP53 mutant. Mutations were significantly more frequent in TNBC (74.8%) compared to HER2-positive cancers (55.4%, P < 0.0001). Neither mutations nor different mutation types and effects were associated with pCR neither in the whole study group nor in molecular subtypes (P > 0.05 each). Missense mutations tended to be associated with a better survival compared to all other types of mutations in TNBC (P = 0.093) and in HER2-positive cancers (P = 0.071). In TNBC, missense mutations were also linked to higher numbers of tumor-infiltrating lymphocytes (TILs, P = 0.028). p53 protein overexpression was also linked with imporved survival (P = 0.019).

conclusionsOur study confirms high TP53 mutation rates in TNBC and HER2-positive breast cancer. Mutations did not predict the response to an intense neoadjuvant chemotherapy in these two molecular breast cancer subtypes.

Indexed as

MutationAnthracyclinesAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBreast NeoplasmsBridged-Ring CompoundsCarboplatinChemotherapy, AdjuvantDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansLapatinibMiddle AgedNeoadjuvant TherapyQuinazolinesAnthracyclinesBevacizumabBridged-Ring CompoundsCarboplatinErb-b2 Receptor Tyrosine KinasesLapatinibQuinazolinestaxaneTaxoidsTrastuzumabTumor Suppressor Protein p53HER2mutationpathological complete responseTP53triple negative breast cancer

Identifiers

PMID27611952
PMCPMC5356512

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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.