Evidence map›Paper›PMID 29743588›Full record

ArticleOncogene2018

Notch-1-PTEN-ERK1/2 signaling axis promotes HER2+ breast cancer cell proliferation and stem cell survival.

Andrew Baker, Debra Wyatt, Maurizio Bocchetta, Jun Li, Aleksandra Filipovic, Andrew Green, Daniel S Peiffer, Suzanne Fuqua, Lucio Miele, Kathy S Albain and 1 more

Open access · greenAbstract read
In one paragraph

Article in Oncogene, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
5.5field-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

74 citing papers in PubMed, 108 citations in OpenAlex.

  1. Integrated Transcriptomic Analysis ofInternational journal of molecular sciences · 2026
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  8. Cell signaling inFrontiers in cellular and infection microbiology · 2025
    Review
  9. Navigating the Molecular Signaling: Deciphering Cancer Stem Cell Self-Renewal Pathways.International journal of molecular and cellular medicine · 2025
    Review
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14 more citing papers are in PubMed but not listed here.

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

11 authors at 6 institutions in 2 countries.

Andrew BakerIntegrated Cell Biology Program, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, 60153, USA.
Debra WyattOncology Research Institute, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, 60153, USA.
Maurizio BocchettaOncology Research Institute, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, 60153, USA.
Jun LiDepartment of Applied and Computational Mathematics and Statistics, University of Notre Dame, Notre Dame, IN, USA.
Aleksandra FilipovicImperial College of London, Kensington, London, UK.
Andrew GreenUniversity of Nottingham, Nottingham, UK.
Daniel S PeifferIntegrated Cell Biology Program, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, 60153, USA.
Suzanne FuquaDan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX, USA.
Lucio MieleDepartment of Genetics and Stanley S. Scott Cancer Center, Louisiana State University New Orleans, New Orleans, LA, USA.ORCID http://orcid.org/0000-0002-5853-7287
Kathy S AlbainDepartment of Medicine: Division of Hematology/Oncology, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, 60153, USA.
Clodia OsipoOncology Research Institute, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, 60153, USA. cosipo@luc.edu.
Loyola University Chicago · USBaylor College of Medicine · USImperial College London · GBLouisiana State University · USUniversity of Notre Dame · USUniversity of Nottingham · GB

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

Trastuzumab targets the HER2 receptor on breast cancer cells to attenuate HER2-driven tumor growth. However, resistance to trastuzumab-based therapy remains a major clinical problem for women with HER2+ breast cancer. Breast cancer stem cells (BCSCs) are suggested to be responsible for drug resistance and tumor recurrence. Notch signaling has been shown to promote BCSC survival and self-renewal. Trastuzumab-resistant cells have increased Notch-1 expression. Notch signaling drives cell proliferation in vitro and is required for tumor recurrence in vivo. We demonstrate herein a mechanism by which Notch-1 is required for trastuzumab resistance by repressing PTEN expression to contribute to activation of ERK1/2 signaling. Furthermore, Notch-1-mediated inhibition of PTEN is necessary for BCSC survival in vitro and in vivo. Inhibition of MEK1/2-ERK1/2 signaling in trastuzumab-resistant breast cancer cells mimics effects of Notch-1 knockdown on bulk cell proliferation and BCSC survival. These findings suggest that Notch-1 contributes to trastuzumab resistance by repressing PTEN and this may lead to hyperactivation of ERK1/2 signaling. Furthermore, high Notch-1 and low PTEN mRNA expression may predict poorer overall survival in women with breast cancer. Notch-1 protein expression predicts poorer survival in women with HER2+ breast cancer. These results support a potential future clinical trial combining anti-Notch-1 and anti-MEK/ERK therapy for trastuzumab-resistant breast cancer.

Indexed as

Breast NeoplasmsCell Line, TumorCell ProliferationCell SurvivalDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesFemaleGene Expression Regulation, NeoplasticHumansMAP Kinase Signaling SystemNeoplasm Recurrence, LocalNeoplastic Stem CellsPTEN PhosphohydrolaseReceptor, Notch1RNA, MessengerSignal TransductionERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesNOTCH1 protein, humanPTEN PhosphohydrolasePTEN protein, humanReceptor, Notch1RNA, MessengerTrastuzumab

Identifiers

PMID29743588
PMCPMC9115842
OpenAlexW2801900149

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.