Evidence map›Paper›PMID 29345357›Full record

SynthesisJournal of cellular biochemistry2018

The prognostic value of PI3K mutational status in breast cancer: A meta-analysis.

Navid Sobhani, Giandomenico Roviello, Silvia P Corona, Maurizio Scaltriti, Anna Ianza, Marina Bortul, Fabrizio Zanconati, Daniele Generali

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of cellular biochemistry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Analysis ofFrontiers in oncology · 2026
    Article
  6. Leveraging chromatin packing domains to target chemoevasion in vivo.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Review
  8. International journal of molecular sciences · 2025
    Review
  9. Review
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  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Precision diagnosis and treatment of PI3K/AKT/PTEN signaling pathway in HR-positive advanced breast cancer: perspectives from Chinese experts.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  17. Review
  18. Can neoadjuvant systemic therapy provide additional benefits for T1 HER2+ breast cancer patients: a subgroup analysis based on different high-risk signatures.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
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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

8 authors at 3 institutions in 3 countries.

Navid SobhaniDepartment of Medical, Surgical and Health Sciences, Teaching Hospital of Cattinara, University of Trieste, Trieste, Italy.ORCID 0000-0003-1381-0283
Giandomenico RovielloDepartment of Medical, Surgical and Health Sciences, Teaching Hospital of Cattinara, University of Trieste, Trieste, Italy.
Silvia P CoronaDepartment of Radiation Oncology, Peter MacCallum Cancer Center, Moorabbin Campus, Bentleigh East, Victoria, Australia.
Maurizio ScaltritiHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York.
Anna IanzaDepartment of Medical, Surgical and Health Sciences, Teaching Hospital of Cattinara, University of Trieste, Trieste, Italy.
Marina BortulDepartment of Medical, Surgical and Health Sciences, University of Trieste, Cattinara Academic Hospital, Trieste, Italy.
Fabrizio ZanconatiDepartment of Medical, Surgical and Health Sciences, University of Trieste, Cattinara Academic Hospital, Trieste, Italy.
Daniele GeneraliDepartment of Medical, Surgical and Health Sciences, Teaching Hospital of Cattinara, University of Trieste, Trieste, Italy.
University of Trieste · ITMemorial Sloan Kettering Cancer Center · USPeter MacCallum Cancer Centre · AU

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Breast cancer (BC) is the second most common cause of cancer-related deaths in women worldwide. The availability of reliable biomarkers of response/resistance to cancer treatments would benefit patients and clinicians allowing for a better selection of BC patients most likely to respond to a specific treatment. Phosphatidylinositol 3-kinase (PI3K) enzymes are involved in numerous cellular- functions and processes. The gene encoding for PI3K catalytic subunit p110α is mutated in 20-40% of BC. We performed a meta-analysis of the current literature on randomized clinical trials, investigating the role of PIK3CA mutational status as prognostic factor, and predictor of response to anti-cancer treatments. Overall 1929 cases were included. The pooled analysis confirmed that the presence of a PIK3CA mutation represents an independent negative prognostic factor (HR = 1.67, 95%CI: 1.15-2.43; P = 0.007) in BC, as previously reported. As PI3K signaling is also a result of other pathways' hyperactivation, further investigation of potential biomarkers able to predict likelihood of response to anti-PI3K/mTOR, anti-HER2, and other TKRs is warranted in future randomized clinical trials.

Indexed as

Signal TransductionBreast NeoplasmsClass I Phosphatidylinositol 3-KinasesFemaleHumansNeoplasm ProteinsPrognosisClass I Phosphatidylinositol 3-KinasesNeoplasm ProteinsPIK3CA protein, humananti-cancer treatment responsebreast cancermeta-analysisPIK3CAprognostic factor

Identifiers

PMID29345357
PMCPMC5995110
OpenAlexW2792991313

What OpenQuestion holds

Textmetadata
LicenceTDM
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.