Evidence map›Paper›PMID 29970021›Full record

ArticleBMC cancer2018

FOXA1 and AR in invasive breast cancer: new findings on their co-expression and impact on prognosis in ER-positive patients.

Nelson Rangel, Nicoletta Fortunati, Simona Osella-Abate, Laura Annaratone, Claudio Isella, Maria Graziella Catalano, Letizia Rinella, Jasna Metovic, Renzo Boldorini, Davide Balmativola and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

24 citing papers in PubMed, 58 citations in OpenAlex.

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  13. Time-varying effects of FOXA1 on breast cancer prognosis.Breast cancer research and treatment · 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

15 authors at 5 institutions in 2 countries.

Nelson RangelDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Nicoletta FortunatiOncological Endocrinology Unit, Città della Salute e della Scienza Hospital, Turin, Italy.
Simona Osella-AbateDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Laura AnnaratoneDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Claudio IsellaCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
Maria Graziella CatalanoDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Letizia RinellaDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Jasna MetovicDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Renzo BoldoriniDivision of Pathology, Department of Health Sciences, University of Eastern Piedmont and Maggiore Hospital, Novara, Italy.
Davide BalmativolaCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
Pietro FerrandoDivision of Breast Surgery, Department of General and Specialized Surgery, Città della Salute e della Scienza Hospital, Turin, Italy.
Francesca MaranoDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Paola CassoniDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Anna SapinoDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy.
Isabella CastellanoDepartment of Medical Sciences, University of Turin, Via Santena 7, 10126, Turin, Italy. isabella.castellano@unito.it.ORCID http://orcid.org/0000-0002-9072-1615
University of Turin · ITCandiolo Cancer Institute · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITIstituto Superiore Mario Boella · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of forkhead-box A1 (FOXA1) and Androgen receptor (AR) in breast cancer (BC) has been extensively studied. However, the prognostic role of their co-expression in Estrogen receptor positive (ER+) BC has not been investigated so far. The aim of the present study was thus to assess the co-expression (protein and mRNA) of FOXA1 and AR in BC patients, in order to evaluate their prognostic impact according to ER status.

methodsImmunohistochemical expression of AR and FOXA1 was evaluated on 479 consecutive BC, with complete clinical-pathological and follow up data. Fresh-frozen tissues from 65 cases were available. The expression of AR and FOXA1 with ER was validated using mRNA analyses. Survival and Cox proportional hazard analyses were used to evaluate the relationship between FOXA1, AR and prognosis.

resultsExpression of ER, AR and FOXA1 was observed in 78, 60 and 85% of cases respectively. Most AR+ cases (97%) were also FOXA1+. The level of FOXA1 mRNA positively correlated with level of both AR mRNA (r = 0.8975; P < 0.001) and ER mRNA (r = 0.7326; P < 0.001). In ER+ BC, FOXA1 was associated with a good prognosis independently of AR expression in the three subgroups analyzed (FOXA1+/AR+; FOXA1+/AR-; FOXA1-/AR-). Multivariate analyses confirmed that FOXA1 may provide more information than AR in Disease-Free Interval (DFI) of ER+ BC patients.

conclusionOur results suggest that in BC the expression of FOXA1 is directly related to the expression of AR. Despite that, FOXA1 is found as superior predicting marker of recurrences compared to AR in ER+ BC patients.

Indexed as

AdultAgedBreast NeoplasmsFemaleHepatocyte Nuclear Factor 3-alphaHumansImmunohistochemistryMiddle AgedPrognosisReceptors, AndrogenReceptors, EstrogenAR protein, humanFOXA1 protein, humanHepatocyte Nuclear Factor 3-alphaReceptors, AndrogenReceptors, EstrogenAndrogen receptorBreast cancerFOXA1ImmunohistochemistryPrognosisReal-time PCR

Identifiers

PMID29970021
PMCPMC6029370
OpenAlexW2810789349

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Registered trials

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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.