Evidence map›Paper›PMID 28228706›Full record

ReviewBreast care (Basel, Switzerland)2016

The PI3K Pathway: Background and Treatment Approaches.

Michael P Lux, Peter A Fasching, Michael G Schrauder, Alexander Hein, Sebastian M Jud, Claudia Rauh, Matthias W Beckmann

Open access · bronzeAbstract readReview
In one paragraph

Review in Breast care (Basel, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Observational
  2. Review
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  8. CD63Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2020
    Article
  9. Article
  10. Capivasertib, an AKT Kinase Inhibitor, as Monotherapy or in Combination with Fulvestrant in Patients withClinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  11. 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

7 authors at 1 institution in 1 country.

Michael P LuxUniversity Breast Center for Franconia, Department of Gynecology, Erlangen University Hospital, CCC Erlangen-EMN, Erlangen, Germany.
Peter A FaschingUniversity Breast Center for Franconia, Department of Gynecology, Erlangen University Hospital, CCC Erlangen-EMN, Erlangen, Germany.
Michael G SchrauderUniversity Breast Center for Franconia, Department of Gynecology, Erlangen University Hospital, CCC Erlangen-EMN, Erlangen, Germany.
Alexander HeinUniversity Breast Center for Franconia, Department of Gynecology, Erlangen University Hospital, CCC Erlangen-EMN, Erlangen, Germany.
Sebastian M JudUniversity Breast Center for Franconia, Department of Gynecology, Erlangen University Hospital, CCC Erlangen-EMN, Erlangen, Germany.
Claudia RauhUniversity Breast Center for Franconia, Department of Gynecology, Erlangen University Hospital, CCC Erlangen-EMN, Erlangen, Germany.
Matthias W BeckmannUniversity Breast Center for Franconia, Department of Gynecology, Erlangen University Hospital, CCC Erlangen-EMN, Erlangen, Germany.
Comprehensive Cancer Center Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Two-thirds of all breast cancer patients with metastases have a hormone receptor (HR)-positive/human epidermal growth factor receptor 2 (HER2)-negative subtype. Endocrine therapy is the treatment of choice in these patients since in addition to its effectiveness it can also maintain the patients' quality of life over a longer term. However, 44-62% of postmenopausal patients with metastatic breast carcinoma have primary tamoxifen resistance. After 3-5 years, 30-40% of the patients receiving tamoxifen treatment develop secondary resistance. Understanding the way in which resistance develops is therefore essential for developing treatment approaches that can prevent or reverse endocrine resistance. The phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) signaling pathway plays a central role here. As a result of the numerous interactions involved, complex issues arise that need to be taken into account in the development and use of therapeutic agents. In addition, this signaling pathway is the one that most frequently undergoes mutations in breast cancer. The prognostic and predictive significance of individual mutations has not yet been fully explained, but it might provide a basis for patient selection in clinical studies. Initial research results on the use of PI3K inhibitors suggest that this may be a highly promising therapeutic approach, with an acceptable side effect profile.

Indexed as

Breast cancerEndocrine resistanceEstrogen receptorPhosphatidylinositol 3-kinasePhosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alphaPI3KPIK3CA

Identifiers

PMID28228706
PMCPMC5290430
OpenAlexW2560613821

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.