Evidence map›Paper›PMID 28894989›Full record

ArticleClinical & experimental metastasis2017

Collective invasion in ductal and lobular breast cancer associates with distant metastasis.

Antoine A Khalil, Olga Ilina, Pavlo G Gritsenko, Peter Bult, Paul N Span, Peter Friedl

Open access · hybridAbstract read
In one paragraph

Article in Clinical & experimental metastasis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

51 citing papers in PubMed, 82 citations in OpenAlex.

  1. Collective migration modes in development, tissue repair and cancer.Nature reviews. Molecular cell biology · 2025
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  17. Collective metastasis: coordinating the multicellular voyage.Clinical & experimental metastasis · 2021
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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 2 countries.

Antoine A KhalilDepartment of Dermatology and Graduate School of Life Sciences, University of Würzburg, Würzburg, Germany.
Olga IlinaDepartment of Cell Biology, Radboud University Medical Center, 6500 HB, Nijmegen, The Netherlands.
Pavlo G GritsenkoDepartment of Cell Biology, Radboud University Medical Center, 6500 HB, Nijmegen, The Netherlands.
Peter BultDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Paul N SpanDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Peter FriedlDepartment of Dermatology and Graduate School of Life Sciences, University of Würzburg, Würzburg, Germany. Peter.Friedl@radboudumc.nl.
Radboud University Medical Center · NLRadboud University Nijmegen · NLUniversity of Würzburg · DE

Funding

Graduate School for Life Sciences, University of Würzburg FellowshipNWO 918.11.626-ViciThe European Research Council 617430-DEEPINSIGHT
6 · The paper itself

Abstract

Breast cancer undergoes collective tissue invasion and, in experimental models, can collectively metastasize. The prevalence of collective invasion and its contribution to distant metastasis in clinical disease, however, remains poorly defined. We here scored the adipose tissue invasion of primary invasive ductal carcinoma (IDC), expressing E-cadherin, and E-cadherin negative invasive lobular carcinoma (ILC) and identified predominantly collective invasion patterns (86/86 samples) in both carcinoma types. Whereas collective invasion in IDC lesions retained adherens junctions, multicellular clusters and "Indian files" in ILC, despite the absence of adherens junctions (AJ) proteins E-cadherin and β-catenin, retained CD44 at cell-cell contacts. By histomorphological scoring and semi-automated image analysis, we show that the extent of collective invasion into the adipose tissue correlated with decreased distant metastasis-free survival (5-year follow-up; hazard ratio: 2.32 and 2.29, respectively). Thus, collective invasion represents the predominant invasion mode in breast cancer, develops distinct junctional subtypes in IDC and ILC, and associates with distant metastasis, suggesting a critical role in systemic dissemination.

Indexed as

AdultAgedBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm InvasivenessAdipose tissueBreast cancerCD44Cell–cell junctionsCollective invasionDistant metastasisE-cadherinEpithelial-to-mesenchymal transition

Identifiers

PMID28894989
PMCPMC5711975
OpenAlexW2755239853

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.