Evidence map›Paper›PMID 28062977›Full record

ArticleBreast cancer research and treatment2017

Angiopoietin pathway gene expression associated with poor breast cancer survival.

Rajesh Ramanathan, Amy L Olex, Mikhail Dozmorov, Harry D Bear, Leopoldo Jose Fernandez, Kazuaki Takabe

Open access · greenAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
3.5field-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

52 citing papers in PubMed, 56 citations in OpenAlex.

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  6. World journal of oncology · 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

6 authors at 3 institutions in 1 country.

Rajesh Ramanathan *Division of Surgical Oncology, Massey Cancer Center, Virginia Commonwealth University Medical Center, 1200 E. Broad St, Richmond VA 23298.
Amy L Olex *Virginia Commonwealth University C. Kenneth and Diane Wright Center for Clinical and Translational Research, 1200 E. Clay St, Richmond VA 23298.
Mikhail DozmorovVirginia Commonwealth University C. Kenneth and Diane Wright Center for Clinical and Translational Research, 1200 E. Clay St, Richmond VA 23298.
Harry D BearDivision of Surgical Oncology, Massey Cancer Center, Virginia Commonwealth University Medical Center, 1200 E. Broad St, Richmond VA 23298.
Leopoldo Jose FernandezDivision of Surgical Oncology, Massey Cancer Center, Virginia Commonwealth University Medical Center, 1200 E. Broad St, Richmond VA 23298.
Kazuaki TakabeBreast Surgery Service, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo NY 14263.
Virginia Commonwealth University Medical Center · USVirginia Commonwealth University · USRoswell Park Comprehensive Cancer Center · US

Funding

Center for Clinical and Translational ResearchUL1TR000058 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2012 to 2015
$12.5M
Sphingosine-1 Phosphate in Breast Cancer Progression and LymphangiogenesisR01CA160688 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI TAKABE, KAZUAKI · 2012 to 2016
$1.5M
NCATS NIH HHS UL1 TR000058NCI NIH HHS R01 CA160688
6 · The paper itself

Abstract

purposeAngiogenesis is one of the hallmarks of cancer and is essential for cancer progression and metastasis. However, clinical trials with vascular endothelial growth factor (VEGF) pathway inhibitors have failed to show overall survival benefit in breast cancer. Targeted therapy against the angiopoietin pathway, a downstream angiogenesis cascade, could be effective in breast cancer. This study investigates the association of angiopoietin pathway gene expression with breast cancer survival using a "big data" approach employing RNA sequencing data from The Cancer Genome Atlas (TCGA).

methodsA total of 888 patients with adequate gene expression, disease-free survival (DFS), and overall survival (OS) data were selected for analysis. DFS and OS were calculated for patients with high and low expression of angiopoietin and VEGF pathway genes using TCGA data. Gene-specific thresholds to dichotomize patients into high and low expression were determined and survival plots were generated.

resultsThe TCGA cohort was representative of national breast cancer patients with respect to stage, pathology, and survival. High Ang2 gene expression was associated with not only decreased DFS (p = 0.05), but also decreased OS (p < 0.05). High co-expression of Ang2 and its receptor Tie2 was associated with both decreased DFS and OS (p < 0.05). There was strong correlation between angiopoietin and VEGF pathway genes. While high expression of VEGFA alone was not associated with survival, high co-expression with Ang2 was associated with decreased OS.

conclusionsThis study validates TCGA as a representative database providing genomic data and survival outcomes in breast cancer. Our TCGA data support the angiopoietin pathway as a key mediator in the pathologic angiogenic switch in breast cancer.

Indexed as

Gene Expression Regulation, NeoplasticAdultAgedAngiopoietin-2AngiopoietinsBreast NeoplasmsComputational BiologyDatabases, GeneticFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm StagingNeovascularization, PathologicPrognosisReceptor, TIE-2Angiopoietin-2AngiopoietinsReceptor, TIE-2Vascular Endothelial Growth FactorsAngiogenesisANGPTGenomicOutcomesTCGATEKThe Cancer Genome Atlas

Identifiers

PMID28062977
PMCPMC5290093
OpenAlexW2570418488

What OpenQuestion holds

Textmetadata
LicenceTDM
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.