Evidence map›Paper›PMID 28247034›Full record

ArticleJournal of cancer research and clinical oncology2017

Genomic characteristics of trastuzumab-resistant Her2-positive metastatic breast cancer.

Mateus de Oliveira Taveira, Sheida Nabavi, Yuker Wang, Peter Tonellato, Francisco J Esteva, Lewis C Cantley, Gerburg M Wulf

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Clinical target sequencing for precision medicine of breast cancer.International journal of clinical oncology · 2019
    Review
  9. Article
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 5 institutions in 1 country.

Mateus de Oliveira TaveiraDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Sheida NabaviHarvard Medical School, Boston, MA, USA.
Yuker WangAffymetrix, San Francisco, CA, USA.
Peter TonellatoHarvard Medical School, Boston, MA, USA.
Francisco J EstevaMD Anderson, Houston, TX, USA.
Lewis C CantleyWeill Cornell Medical College, New York, NY, USA.
Gerburg M WulfDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA. gwulf@bidmc.harvard.edu.ORCID http://orcid.org/0000-0001-7868-6231
Beth Israel Deaconess Medical Center · USHarvard University · USCornell University · USPacific Research Institute · USThe University of Texas MD Anderson Cancer Center · US

Funding

Role of Phosphoinositides and Protein Kinases in the control of Cancer MetabolismR35CA197588 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEWIS C. CANTLEY · 2016 to 2026
$10.2M
Novel integrative method to detect biomakers of breast cancer resistanceR00LM011595 · NLM · UNIVERSITY OF CONNECTICUT STORRS · PI NABAVI, SHEIDA · 2015 to 2017
$597k
Novel integrative method to detect biomakers of breast cancer resistanceK99LM011595 · NLM · HARVARD MEDICAL SCHOOL · PI NABAVI, SHEIDA · 2013 to 2014
$172k
NCI NIH HHS R35 CA197588NLM NIH HHS K99 LM011595NLM NIH HHS R00 LM011595
6 · The paper itself

Abstract

purposeResistance to trastuzumab therapy is linked to phosphoinositol 3-kinase (PI3K) pathway activation. One key downstream effector and regulator of this pathway is the mechanistic target of rapamycin (mTOR). In 2011, a phase I/II study evaluated the combination of trastuzumab and everolimus (a mTOR inhibitor) for treatment of Her2-positive metastatic breast cancer (MBC) for patients who had progressed on trastuzumab-based therapy.

methodsWe retrospectively analyzed GeneChip microarray data from 22 of 47 patients included in the study.

resultsUsing an unbiased approach, we found that mutations in BRAF, EGFR and KIT are significantly more common in this heavily treated population when compared with the cohort of invasive breast carcinoma patients in The Cancer Genome Atlas (TCGA). Furthermore, 10 out of 22 patients had PIK3CA mutations (45.4%) but PI3KCA status was not predictive of PFS in our cohort. Finally, the use of OncoScan

conclusionMutational burden in heavily treated trastuzumab-resistant Her2-positive metastatic breast cancer is highly variable and not directly correlated with outcome. Activation of the MAPK/ERK pathway through mutations in EGFR, BRAF or KIT may mediate resistance to trastuzumab.

Indexed as

DNA Mutational AnalysisAntineoplastic AgentsBreast NeoplasmsDisease-Free SurvivalDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesFemaleHumansOligonucleotide Array Sequence AnalysisRetrospective StudiesTrastuzumabAntineoplastic AgentsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumabEverolimusHer2Metastatic breast cancermTORPhosphoinositol 3-kinaseTrastuzumab

Identifiers

PMID28247034
PMCPMC5486569
OpenAlexW2591971327

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.