Evidence map›Paper›PMID 28376176›Full record

ArticleJournal of the National Cancer Institute2017

Tumor Sequencing and Patient-Derived Xenografts in the Neoadjuvant Treatment of Breast Cancer.

Matthew P Goetz, Krishna R Kalari, Vera J Suman, Ann M Moyer, Jia Yu, Daniel W Visscher, Travis J Dockter, Peter T Vedell, Jason P Sinnwell, Xiaojia Tang and 18 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing 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

59 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
  2. Article
  3. Resistance to neoadjuvant chemotherapy in breast cancers: a metabolic perspective.Journal of experimental & clinical cancer research : CR · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Breast cancer patient-derived whole-tumor cell culture model for efficient drug profiling and treatment response prediction.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 4 institutions in 1 country.

Matthew P GoetzMedical Oncology, Mayo Clinic, Rochester, MN, USA.
Krishna R KalariDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Vera J SumanDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Ann M MoyerDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Jia YuDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Daniel W VisscherDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Travis J DockterDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Peter T VedellDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Jason P SinnwellDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Xiaojia TangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Kevin J ThompsonDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Sarah A McLaughlinDepartment of Surgery, Mayo Clinic, Jacksonville, FL, USA.
Alvaro Moreno-AspitiaHematology/Oncology, Mayo Clinic, Jacksonville, FL, USA.
John A CoplandDepartment of Cancer Biology, Mayo Clinic, Jacksonville, FL, USA.
Donald W NorthfeltHematology/Oncology, Mayo Clinic, Scottsdale, AZ, USA.
Richard J GrayDepartment of Surgery, Mayo Clinic, Scottsdale, AZ, USA.
Katie HuntDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Amy ConnersCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Hugues SicotteDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Jeanette E Eckel-PassowDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Jean-Pierre KocherDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
James N IngleMedical Oncology, Mayo Clinic, Rochester, MN, USA.
Marissa S EllingsonDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Michelle McDonoughDepartment of Surgery, Mayo Clinic, Scottsdale, AZ, USA.
Eric D WiebenDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Richard WeinshilboumDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Liewei WangDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Judy C BougheyDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Florida · USJacksonville College · USMayo Clinic · USMayo Clinic in Arizona · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI PETER C LUCAS · 2005 to 2026
$49.9M
Pharmacogenetics of Phase II Drug Metabolizing EnzymesU19GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WANG, LIEWEI, WEINSHILBOUM, RICHARD M. · 2010 to 2014
$15.8M
PHARMACOGENETICS OF PHASE II DRUG METABOLIZING ENZYMESU01GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2000 to 2009
$15.7M
INHERITED VARIATIONS IN DRUG-METABOLIZING ENZYMESR01GM028157 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 1985 to 2019
$6.9M
NCI NIH HHS N01 CA015083NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA116201NIGMS NIH HHS R01 GM028157NIGMS NIH HHS U01 GM061388NIGMS NIH HHS U19 GM061388
6 · The paper itself

Abstract

Background: Breast cancer patients with residual disease after neoadjuvant chemotherapy (NAC) have increased recurrence risk. Molecular characterization, knowledge of NAC response, and simultaneous generation of patient-derived xenografts (PDXs) may accelerate drug development. However, the feasibility of this approach is unknown. Methods: We conducted a prospective study of 140 breast cancer patients treated with NAC and performed tumor and germline sequencing and generated patient-derived xenografts (PDXs) using core needle biopsies. Chemotherapy response was assessed at surgery. Results: Recurrent "targetable" alterations were not enriched in patients without pathologic complete response (pCR); however, upregulation of steroid receptor signaling and lower pCR rates (16.7%, 1/6) were observed in triple-negative breast cancer (TNBC) patients with luminal androgen receptor (LAR) vs basal subtypes (60.0%, 21/35). Within TNBC, TP53 mutation frequency (75.6%, 31/41) did not differ comparing basal (74.3%, 26/35) and LAR (83.3%, 5/6); however, TP53 stop-gain mutations were more common in basal (22.9%, 8/35) vs LAR (0.0%, 0/6), which was confirmed in The Cancer Genome Atlas and British Columbia data sets. In luminal B tumors, Ki-67 responses were observed in tumors that harbored mutations conferring endocrine resistance ( p53, AKT, and IKBKE ). PDX take rate (27.4%, 31/113) varied according to tumor subtype, and in a patient with progression on NAC, sequencing data informed drug selection (olaparib) with in vivo antitumor activity observed in the primary and resistant (postchemotherapy) PDXs. Conclusions: In this study, we demonstrate the feasibility of tumor sequencing and PDX generation in the NAC setting. "Targetable" alterations were not enriched in chemotherapy-resistant tumors; however, prioritization of drug testing based on sequence data may accelerate drug development.

Indexed as

AdultAgedAnimalsAntineoplastic AgentsBreast NeoplasmsChemotherapy, AdjuvantExomeFemaleHumansMice, Inbred NODMice, KnockoutMice, SCIDMiddle AgedMutationNeoadjuvant TherapyProspective StudiesAntineoplastic AgentsTumor Suppressor Protein p53

Identifiers

PMID28376176
PMCPMC5408989
OpenAlexW2593920943

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.