Evidence map›Paper›PMID 27694385›Full record

ArticleCancer discovery2017

Tumor Cell-Independent Estrogen Signaling Drives Disease Progression through Mobilization of Myeloid-Derived Suppressor Cells.

Nikolaos Svoronos, Alfredo Perales-Puchalt, Michael J Allegrezza, Melanie R Rutkowski, Kyle K Payne, Amelia J Tesone, Jenny M Nguyen, Tyler J Curiel, Mark G Cadungog, Sunil Singhal and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Cancer discovery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06225284 (A Randomized Phase II Study of Neoadjuvant Chemotherapy With or Without GnRH Agonist for Premenopausal Triple-negative Early Breast Cancer Patients), which is not on this map. Cited by 150 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 1% 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.

NCT06225284 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Randomized Phase II Study of Neoadjuvant Chemotherapy With or Without GnRH Agonist for Premenopausal Triple-negative Early Breast Cancer Patients: ESCALATE Study

TypeinterventionalSponsorNational Taiwan University HospitalRan2024 to 2030Enrolled124ConditionsTriple Negative Breast Cancer, Premenopausal Breast CancerArmsGoserelin Acetate 3.6mg、Goserelin Acetate 10.8mg、Leuprolide Acetate 3.75mg、Leuprorelin Acetate 22.5mg、Triptorelin pamoate 11.25mg、Triptorelin pamoate 22.5mg
3 · Its place in the literature

Who cites it

150 citing papers in PubMed, 1 synthesis or guideline pooled it, 217 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Sex-Biased Immunity: The Hidden Variable in Immuno-oncology.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Breast Cancer and Metabolic Dysfunction-Associated Steatotic Liver Disease.International journal of molecular sciences · 2026
    Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

90 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Nikolaos SvoronosTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.
Alfredo Perales-PuchaltTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.
Michael J AllegrezzaTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.
Melanie R RutkowskiTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.
Kyle K PayneTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.
Amelia J TesoneTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.
Jenny M NguyenTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania.
Tyler J CurielThe Graduate School of Biomedical Sciences, The University of Texas Health Science Center, San Antonio, Texas.
Mark G CadungogHelen F. Graham Cancer Center, Christiana Care Health System, Newark, Delaware.
Sunil SinghalDivision of Thoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Evgeniy B EruslanovDivision of Thoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Paul ZhangDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Julia TchouDivision of Endocrine and Oncologic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Rugang ZhangGene Expression and Regulation Program, The Wistar Institute, Philadelphia, Pennsylvania.
Jose R Conejo-GarciaTumor Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, Pennsylvania. Jose.Conejo-Garcia@moffitt.org.
The Wistar Institute · USUniversity of Pennsylvania · USChristiana Care Health System · USThe University of Texas Health Science Center at San Antonio · US

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
IMMUNOBIOLOGY OF NORMAL AND NEOPLASTIC LYMPHOCYTEST32CA009140 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Malay Haldar, WARREN S PEAR · 1985 to 2026
$16.1M
TRAINING PROGRAM IN BASIC CANCER RESEARCHT32CA009171 · NCI · WISTAR INSTITUTE · PI Alessandro Gardini · 1985 to 2026
$15.3M
Vascular Leukocytes Influence the Tumor MicroenvironmentR01CA124515 · NCI · WISTAR INSTITUTE · PI Jose R Conejo-Garcia · 2007 to 2026
$7.1M
Mechanistic basis and therapeutic strategies for ARID1A mutation in ovarian cancerR01CA202919 · NCI · WISTAR INSTITUTE · PI Xi Chen, Rugang Zhang · 2016 to 2026
$4.1M
Role of BRCA1 Pathway in Regulating Oncogene-Induced SenescenceR01CA160331 · NCI · WISTAR INSTITUTE · PI ZHANG, RUGANG · 2012 to 2021
$4.0M
Initiation and Evolution of the Ovarian Cancer MicroenvironmentR01CA157664 · NCI · WISTAR INSTITUTE · PI CONEJO-GARCIA, JOSE R · 2011 to 2020
$3.8M
Targeting EZH2 in CARM1-expressing epithelial ovarian cancerR01CA163377 · NCI · WISTAR INSTITUTE · PI ZHANG, RUGANG · 2012 to 2021
$3.7M
Effects of Common Polymorphisms in Immune Sensors in Tumor ImmunosurveillanceR01CA178687 · NCI · WISTAR INSTITUTE · PI CONEJO-GARCIA, JOSE R · 2013 to 2017
$1.9M
Tumor-associated neutrophils in human lung cancerR01CA187392 · NCI · UNIVERSITY OF PENNSYLVANIA · PI ERUSLANOV, EVGENIY · 2016 to 2020
$1.8M
B7-H1 Signaling in Ovarian CancerR01CA164122 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CURIEL, TYLER J. · 2012 to 2016
$1.5M
CXCR4/SDF-1 interactions in ovarian cancer pathogenesisR01CA100425 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CURIEL, TYLER J. · 2004 to 2007
$1.4M
NCI NIH HHS P30 CA010815NCI NIH HHS R01 CA100425NCI NIH HHS R01 CA124515NCI NIH HHS R01 CA157664NCI NIH HHS R01 CA160331NCI NIH HHS R01 CA163377NCI NIH HHS R01 CA164122NCI NIH HHS R01 CA178687NCI NIH HHS R01 CA187392NCI NIH HHS R01 CA202919NCI NIH HHS T32 CA009140NCI NIH HHS T32 CA009171
6 · The paper itself

Abstract

The role of estrogens in antitumor immunity remains poorly understood. Here, we show that estrogen signaling accelerates the progression of different estrogen-insensitive tumor models by contributing to deregulated myelopoiesis by both driving the mobilization of myeloid-derived suppressor cells (MDSC) and enhancing their intrinsic immunosuppressive activity in vivo Differences in tumor growth are dependent on blunted antitumor immunity and, correspondingly, disappear in immunodeficient hosts and upon MDSC depletion. Mechanistically, estrogen receptor alpha activates the STAT3 pathway in human and mouse bone marrow myeloid precursors by enhancing JAK2 and SRC activity. Therefore, estrogen signaling is a crucial mechanism underlying pathologic myelopoiesis in cancer. Our work suggests that new antiestrogen drugs that have no agonistic effects may have benefits in a wide range of cancers, independently of the expression of estrogen receptors in tumor cells, and may synergize with immunotherapies to significantly extend survival. SIGNIFICANCE: Ablating estrogenic activity delays malignant progression independently of the tumor cell responsiveness, owing to a decrease in the mobilization and immunosuppressive activity of MDSCs, which boosts T-cell-dependent antitumor immunity. Our results provide a mechanistic rationale to block estrogen signaling with newer antagonists to boost the effectiveness of anticancer immunotherapies. Cancer Discov; 7(1); 72-85. ©2016 AACR.See related commentary by Welte et al., p. 17This article is highlighted in the In This Issue feature, p. 1.

Indexed as

AnimalsCell Line, TumorDisease ProgressionEstrogen Receptor alphaEstrogensFemaleHumansJanus Kinase 2MCF-7 CellsMiceMice, Inbred C57BLMyeloid-Derived Suppressor CellsNeoplasmsNeoplasm TransplantationSignal Transductionsrc-Family KinasesESR1 protein, humanEstrogen Receptor alphaEstrogensJAK2 protein, humanJanus Kinase 2src-Family KinasesSTAT3 protein, humanSTAT3 Transcription Factor

Identifiers

PMID27694385
PMCPMC5222699
OpenAlexW2524674719

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.