Evidence map›Paper›PMID 30076657›Full record

ArticleCancer science2018

STAT3 activation confers trastuzumab-emtansine (T-DM1) resistance in HER2-positive breast cancer.

Lei Wang, Quanren Wang, Mingzhao Gao, Li Fu, Yun Li, Haitian Quan, Liguang Lou

Abstract read
In one paragraph

Article in Cancer science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Role of STAT3 signaling pathway in breast cancer.Cell communication and signaling : CCS · 2020
    Pooled it
  2. Review
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  5. EGFR-targeted tyrosine kinase inhibitors: advancements in cancer therapy.Naunyn-Schmiedeberg's archives of pharmacology · 2026
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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

7 authors.

Lei WangShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Quanren WangShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Mingzhao GaoShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Li FuShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Yun LiShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Haitian QuanShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Liguang LouShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.ORCID http://orcid.org/0000-0001-7396-7122

Funding

National Natural Science Foundation of China 81502636Science and Technology Commission of Shanghai Municipality 14DZ2294100
6 · The paper itself

Abstract

Trastuzumab-emtansine (T-DM1) is an antibody-drug conjugate that has been approved for the treatment of human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer. Despite the remarkable efficacy of T-DM1 in many patients, resistance to this therapeutic has emerged as a significant clinical problem. In the current study, we used BT-474/KR cells, a T-DM1-resistant cell line established from HER2-positive BT-474 breast cancer cells, as a model to investigate mechanisms of T-DM1 resistance and explore effective therapeutic regimens. We show here for the first time that activation of signal transducer and activator of transcription 3 (STAT3) mediated by leukemia inhibitory factor receptor (LIFR) overexpression confers resistance to T-DM1. Moreover, secreted factors induced by activated STAT3 in resistant cells limit the responsiveness of cells that were originally sensitive to T-DM1. Importantly, STAT3 inhibition sensitizes resistant cells to T-DM1, both in vitro and in vivo, suggesting that the combination T-DM1 with STAT3-targeted therapy is a potential treatment for T-DM1-refractory patients.

Indexed as

Ado-Trastuzumab EmtansineAnimalsAntineoplastic Agents, ImmunologicalBreast NeoplasmsCell Line, TumorDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesFemaleHumansLeukemia Inhibitory Factor Receptor alpha SubunitMaytansineMiceMice, Inbred BALB CMice, NudeRNA, Small InterferingSTAT3 Transcription FactorAdo-Trastuzumab EmtansineAntineoplastic Agents, ImmunologicalERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesLeukemia Inhibitory Factor Receptor alpha SubunitLIFR protein, humanMaytansineRNA, Small InterferingSTAT3 protein, humanSTAT3 Transcription FactorTrastuzumabdrug resistanceleukemia inhibitory factor receptorsecreted factorSTAT3trastuzumab-emtansine

Identifiers

PMID30076657
PMCPMC6172075

What OpenQuestion holds

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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.