Evidence map›Paper›PMID 29343814›Full record

ArticleCell death & disease2018

Intrinsic apoptotic pathway activation increases response to anti-estrogens in luminal breast cancers.

Michelle M Williams, Linus Lee, Thomas Werfel, Meghan M Morrison Joly, Donna J Hicks, Bushra Rahman, David Elion, Courtney McKernan, Violeta Sanchez, Monica V Estrada and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

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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

14 authors at 4 institutions in 1 country.

Michelle M WilliamsDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Linus LeeDepartment of Biomedical Engineering, Vanderbilt University School of Engineering, Nashville, TN, USA.
Thomas WerfelDepartment of Biomedical Engineering, Vanderbilt University School of Engineering, Nashville, TN, USA.
Meghan M Morrison JolyDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Donna J HicksDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Bushra RahmanDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN, USA.
David ElionDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Courtney McKernanDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Violeta SanchezDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Monica V EstradaDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Suleiman MassarwehDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Richard ElledgeCancer Therapy and Research Center, University of Texas Health Science Center, San Antonio, TX, USA.
Craig DuvallDepartment of Biomedical Engineering, Vanderbilt University School of Engineering, Nashville, TN, USA.
Rebecca S CookDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN, USA. Rebecca.cook@vanderbilt.edu.
Vanderbilt University · USVanderbilt University Medical Center · USStanford University · USThe University of Texas Health Science Center at San Antonio · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KATHERINE A. HOADLEY · 1992 to 2026
$59.3M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Vanderbilt/Meharry Initiative for Minority Student DvptR25GM062459 · NIGMS · VANDERBILT UNIVERSITY · PI VELEZ EDWARDS, DIGNA R · 2002 to 2020
$10.4M
Mcl-1 drives resistance of luminal breast cancers to targeted therapiesF31CA195989 · NCI · VANDERBILT UNIVERSITY · PI WILLIAMS, MICHELLE M · 2015 to 2016
$57k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NCI NIH HHS F31 CA195989NCI NIH HHS P30 CA016086NCI NIH HHS P30 CA068485NCI NIH HHS P50 CA058223NCI NIH HHS P50 CA098131NIGMS NIH HHS R25 GM062459
6 · The paper itself

Abstract

Estrogen receptor-α positive (ERα+) breast cancer accounts for approximately 70-80% of the nearly 25,0000 new cases of breast cancer diagnosed in the US each year. Endocrine-targeted therapies (those that block ERα activity) serve as the first line of treatment in most cases. Despite the proven benefit of endocrine therapies, however, ERα+ breast tumors can develop resistance to endocrine therapy, causing disease progression or relapse, particularly in the metastatic setting. Anti-apoptotic Bcl-2 family proteins enhance breast tumor cell survival, often promoting resistance to targeted therapies, including endocrine therapies. Herein, we investigated whether blockade of anti-apoptotic Bcl-2 family proteins could sensitize luminal breast cancers to anti-estrogen treatment. We used long-term estrogen deprivation (LTED) of human ERα+ breast cancer cell lines, an established model of sustained treatment with and acquired resistance to aromatase inhibitors (AIs), in combination with Bcl-2/Bcl-xL inhibition (ABT-263), finding that ABT-263 induced only limited tumor cell killing in LTED-selected cells in culture and in vivo. Interestingly, expression and activity of the Bcl-2-related factor Mcl-1 was increased in LTED cells. Genetic Mcl-1 ablation induced apoptosis in LTED-selected cells, and potently increased their sensitivity to ABT-263. Increased expression and activity of Mcl-1 was similarly seen in clinical breast tumor specimens treated with AI + the selective estrogen receptor downregulator fulvestrant. Delivery of Mcl-1 siRNA loaded into polymeric nanoparticles (MCL1 si-NPs) decreased Mcl-1 expression in LTED-selected and fulvestrant-treated cells, increasing tumor cell death and blocking tumor cell growth. These findings suggest that Mcl-1 upregulation in response to anti-estrogen treatment enhances tumor cell survival, decreasing response to therapeutic treatments. Therefore, strategies blocking Mcl-1 expression or activity used in combination with endocrine therapies would enhance tumor cell death.

Indexed as

Aniline CompoundsAnimalsApoptosisbcl-X ProteinBreast NeoplasmsCell Line, TumorDown-RegulationEstrogen AntagonistsFemaleFulvestrantGene TargetingHumansMiceMyeloid Cell Leukemia Sequence 1 ProteinReceptors, EstrogenSignal TransductionAniline Compoundsbcl-X ProteinEstrogen AntagonistsFulvestrantMCL1 protein, humanMyeloid Cell Leukemia Sequence 1 ProteinnavitoclaxReceptors, EstrogenSulfonamides

Identifiers

PMID29343814
PMCPMC5833697
OpenAlexW2784726529

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.