Evidence map›Paper›PMID 30046001›Full record

ArticleJCI insight2018

FGFR1 underlies obesity-associated progression of estrogen receptor-positive breast cancer after estrogen deprivation.

Elizabeth A Wellberg, Peter Kabos, Austin E Gillen, Britta M Jacobsen, Heather M Brechbuhl, Stevi J Johnson, Michael C Rudolph, Susan M Edgerton, Ann D Thor, Steven M Anderson and 9 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

37 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Review
  3. Breast Cancer Progression by the FGF/FGFR Axis: A Metabolic Perspective.Journal of mammary gland biology and neoplasia · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. A novel intronic circular RNA circFGFR1Journal of translational medicine · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
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  20. Review
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

19 authors at 3 institutions in 1 country.

Elizabeth A WellbergDepartment of Pathology and.
Peter KabosDivision of Medical Oncology, Department of Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Austin E GillenUniversity of Colorado School of Medicine, RNA Bioscience Initiative, Aurora, Colorado, USA.
Britta M JacobsenDepartment of Pathology and.
Heather M BrechbuhlDivision of Medical Oncology, Department of Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Stevi J JohnsonDepartment of Pathology and.
Michael C RudolphDivision of Endocrinology, Metabolism, & Diabetes, Department of Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Susan M EdgertonDepartment of Pathology and.
Ann D ThorDepartment of Pathology and.
Steven M AndersonDepartment of Pathology and.
Anthony EliasDivision of Medical Oncology, Department of Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Xi Kathy ZhouDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York, USA.
Neil M IyengarDepartment of Medicine, Memorial Sloan Kettering Cancer Center (MSKCC), New York, New York, USA.
Monica MorrowDepartment of Surgery, MSKCC, New York, New York, USA.
Domenick J FalconeDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical Center, New York, New York, USA.
Omar El-HelyDepartment of Medicine, Weill Cornell Medical College, New York, New York, USA.
Andrew J DannenbergDepartment of Medicine, Weill Cornell Medical College, New York, New York, USA.
Carol A SartoriusDepartment of Pathology and.
Paul S MacLeanDivision of Endocrinology, Metabolism, & Diabetes, Department of Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Cornell University · USUniversity of Colorado Denver · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Wendy M Kohrt · 1995 to 2026
$32.6M
Project 3: Physical and Metabolic Constraints of Cancer Cell InvasionU54CA210184 · NCI · CORNELL UNIVERSITY · PI SCHAFFER, CHRIS B · 2016 to 2020
$10.2M
Sex Hormones Differentially Regulate Production of Distinct Adipocyte PopulationP50HD073063 · NICHD · UNIVERSITY OF COLORADO DENVER · PI KOHRT, WENDY M · 2012 to 2017
$5.7M
Institutional Career Development CoreKL2TR002534 · NCATS · UNIVERSITY OF COLORADO DENVER · PI BURNHAM, ELLEN L · 2018 to 2022
$4.6M
Hormones and Tumor Initiating Cells in Human Breast CancersR01CA140985 · NCI · UNIVERSITY OF COLORADO DENVER · PI SARTORIUS, CAROL ANN · 2011 to 2020
$3.0M
Obesity Increases Breast Cancer Penetrance in BRCA Mutation Carriers: A Role for Local and Systemic FactorsR01CA215797 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI BROWN, KRISTY A. · 2017 to 2021
$2.6M
Cancer-associated fibroblasts in estrogen receptor positive breast cancer.R01CA205044 · NCI · UNIVERSITY OF COLORADO DENVER · PI KABOS, PETER · 2016 to 2020
$1.8M
A Narrowed Window for Targeting Metabolic Flexibility in Breast Cancer PreventionR01CA164166 · NCI · UNIVERSITY OF COLORADO DENVER · PI MACLEAN, PAUL S., SCHEDIN, PEPPER J · 2013 to 2017
$1.6M
Early Life Fatty Acid Exposures Dictate Obesity PredispositionK01DK109079 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI RUDOLPH, MICHAEL C. · 2017 to 2021
$686k
NCATS NIH HHS KL2 TR002534NCATS NIH HHS UL1 TR001082NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA046934NCI NIH HHS R01 CA140985NCI NIH HHS R01 CA164166NCI NIH HHS R01 CA205044NCI NIH HHS R01 CA215797NCI NIH HHS U54 CA210184NICHD NIH HHS P50 HD073063NIDDK NIH HHS K01 DK109079NIDDK NIH HHS P30 DK048520
6 · The paper itself

Abstract

Obesity increases breast cancer mortality by promoting resistance to therapy. Here, we identified regulatory pathways in estrogen receptor-positive (ER-positive) tumors that were shared between patients with obesity and those with resistance to neoadjuvant aromatase inhibition. Among these was fibroblast growth factor receptor 1 (FGFR1), a known mediator of endocrine therapy resistance. In a preclinical model with patient-derived ER-positive tumors, diet-induced obesity promoted a similar gene expression signature and sustained the growth of FGFR1-overexpressing tumors after estrogen deprivation. Tumor FGFR1 phosphorylation was elevated with obesity and predicted a shorter disease-free and disease-specific survival for patients treated with tamoxifen. In both human and mouse mammary adipose tissue, FGF1 ligand expression was associated with metabolic dysfunction, weight gain, and adipocyte hypertrophy, implicating the impaired response to a positive energy balance in growth factor production within the tumor niche. In conjunction with these studies, we describe a potentially novel graft-competent model that can be used with patient-derived tissue to elucidate factors specific to extrinsic (host) and intrinsic (tumor) tissue that are critical for obesity-associated tumor promotion. Taken together, we demonstrate that obesity and excess energy establish a tumor environment with features of endocrine therapy resistance and identify a role for ligand-dependent FGFR1 signaling in obesity-associated breast cancer progression.

Indexed as

Adipose TissueAnimalsBreast NeoplasmsDietDisease ProgressionEstrogensFemaleGene Expression Regulation, NeoplasticHomeodomain ProteinsHumansLoss of Function MutationMiceObesityReceptor, Fibroblast Growth Factor, Type 1Receptors, EstrogenSignal TransductionEstrogensFGFR1 protein, humanHomeodomain ProteinsRAG-1 proteinReceptor, Fibroblast Growth Factor, Type 1Receptors, EstrogenTamoxifenBreast cancerEndocrinologygrowth factorsObesityOncology

Identifiers

PMID30046001
PMCPMC6124402
OpenAlexW2883652949

What OpenQuestion holds

Textmetadata
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.