Evidence map›Paper›PMID 29435103›Full record

ArticleOncotarget2018

Progesterone receptor isoforms, agonists and antagonists differentially reprogram estrogen signaling.

Hari Singhal, Marianne E Greene, Allison L Zarnke, Muriel Laine, Rose Al Abosy, Ya-Fang Chang, Anna G Dembo, Kelly Schoenfelt, Raga Vadhi, Xintao Qiu and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 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

18 authors at 3 institutions in 1 country.

Hari SinghalDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Marianne E GreeneBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Allison L ZarnkeBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Muriel LaineBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Rose Al AbosyBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Ya-Fang ChangBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Anna G DemboBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Kelly SchoenfeltBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Raga VadhiCenter for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Xintao QiuCenter for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Prakash RaoCenter for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Bindu SanthammaEvestra Inc., San Antonio, Texas, USA.
Hareesh B NairEvestra Inc., San Antonio, Texas, USA.
Klaus J NickischEvestra Inc., San Antonio, Texas, USA.
Henry W LongCenter for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Lev BeckerBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
Myles BrownDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Geoffrey L GreeneBen May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA.
University of Chicago · USDana-Farber Cancer Institute · USEvestra (United States) · US

Funding

Multi-Disciplinary Training Grant in Cancer ResearchT32CA009594 · NCI · UNIVERSITY OF CHICAGO · PI KAY F MACLEOD, Scott A. Oakes · 1989 to 2026
$11.5M
'Metabolically Activated' Macrophages in Obesity and Insulin ResistanceR01DK102960 · NIDDK · UNIVERSITY OF CHICAGO · PI BECKER, LEV · 2015 to 2024
$4.4M
NCI NIH HHS T32 CA009594NIDDK NIH HHS R01 DK102960
6 · The paper itself

Abstract

Major roadblocks to developing effective progesterone receptor (PR)-targeted therapies in breast cancer include the lack of highly-specific PR modulators, a poor understanding of the pro- or anti-tumorigenic networks for PR isoforms and ligands, and an incomplete understanding of the cross talk between PR and estrogen receptor (ER) signaling. Through genomic analyses of xenografts treated with various clinically-relevant ER and PR-targeting drugs, we describe how the activation or inhibition of PR differentially reprograms estrogen signaling, resulting in the segregation of transcriptomes into separate PR agonist and antagonist-mediated groups. These findings address an ongoing controversy regarding the clinical utility of PR agonists and antagonists, alone or in combination with tamoxifen, for breast cancer management. Additionally, the two PR isoforms PRA and PRB, bind distinct but overlapping genomic sites and interact with different sets of co-regulators to differentially modulate estrogen signaling to be either pro- or anti-tumorigenic. Of the two isoforms, PRA inhibited gene expression and ER chromatin binding significantly more than PRB. Differential gene expression was observed in PRA and PRB-rich patient tumors and PRA-rich gene signatures had poorer survival outcomes. In support of antiprogestin responsiveness of PRA-rich tumors, gene signatures associated with PR antagonists, but not PR agonists, predicted better survival outcomes. The better patient survival associated with PR antagonists versus PR agonists treatments was further reflected in the higher in vivo anti-tumor activity of therapies that combine tamoxifen with PR antagonists and modulators. This study suggests that distinguishing common effects observed due to concomitant interaction of another receptor with its ligand (agonist or antagonist), from unique isoform and ligand-specific effects will inform the development of biomarkers for patient selection and translation of PR-targeted therapies to the clinic.

Indexed as

cancerestrogenhormonesprogesterone

Identifiers

PMID29435103
PMCPMC5796974
OpenAlexW2760036295

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.