Evidence map›Paper›PMID 30173322›Full record

ArticleClinical & experimental metastasis2018

ESR1-promoter-methylation status in primary breast cancer and its corresponding metastases.

Verena Kirn, Leonie Strake, Fabinshy Thangarajah, Lisa Richters, Hannah Eischeid, Ulrike Koitzsch, Margarete Odenthal, Jochen Fries

Abstract read
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In one paragraph

Article in Clinical & experimental metastasis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Harnessing the Role ofInternational journal of molecular sciences · 2025
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  4. Epigenetic Modulation of Estrogen Receptor Signaling in Ovarian Cancer.International journal of molecular sciences · 2024
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  8. International journal of molecular sciences · 2022
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  11. Epigenetic alterations in canine mammary cancer.Genetics and molecular biology · 2022
    Article
  12. Clinical application of circulating tumor DNA in breast cancer.Journal of cancer research and clinical oncology · 2021
    Review
  13. Article
  14. DifferentialInternational journal of molecular sciences · 2020
    Article
  15. Review
  16. Plasma-Based Longitudinal Evaluation ofFrontiers in oncology · 2020
    Article
  17. Article
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

8 authors at 2 institutions in 1 country.

Verena KirnDepartment of Obstetrics and Gynecology/Breast Center, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 34, 50931, Cologne, Germany. verena.kirn@uk-koeln.de.ORCID 0000-0003-1517-0603
Leonie StrakeDepartment of Obstetrics and Gynecology/Breast Center, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 34, 50931, Cologne, Germany.
Fabinshy ThangarajahDepartment of Obstetrics and Gynecology/Breast Center, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 34, 50931, Cologne, Germany.
Lisa RichtersCenter for Hereditary Breast and Ovarian Cancer and Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, 50931, Cologne, Germany.
Hannah EischeidInstitute of Pathology, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 62, 50931, Cologne, Germany.
Ulrike KoitzschInstitute of Pathology, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 62, 50931, Cologne, Germany.
Margarete OdenthalInstitute of Pathology, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 62, 50931, Cologne, Germany.
Jochen FriesInstitute of Pathology, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 62, 50931, Cologne, Germany.
University Hospital Cologne · DEUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of ESR1 methylation in breast cancer and its influence on disease progression is not yet fully understood. Healthy breast tissue usually does not show ESR1 promoter methylation, whereas the frequency of ESR1 methylation appears to increase in primary breast cancer and in metastatic disease. Although women with ER positive breast cancer have a good prognosis, some will relapse. We aimed to evaluate the methylation status of ESR1 in primary breast cancer and its corresponding metastases by a methylation-specific real-time PCR and to correlate the methylation status with clinical outcome. Women who were treated for primary and metastatic breast cancer were included in the study. Tumor DNA was isolated from paraffin embedded tissue sections. After bisulfite treatment ESR1 promoter methylation was analyzed by real time-MSP of each tissue sample. Kaplan-Meier-Curves were drawn for survival. In the group of patients with positive ESR1 promoter methylation in the primary breast carcinoma survival was lower compared to the group of patients without methylation (38.1 months vs. 54.3 months, n.s.). Seven out of 19 (37%) of those patients with positive ESR1 promoter methylation developed loss of ER expression in metastatic disease. None of the patients who had primary tumours that were ESR1 methylation negative developed ER expression negative metastatic disease. The results underline the importance of the ESR1 promoter methylation and its potential application as a predictive marker. To improve the clinical outcome of patients with metastatic disease, those with initially positive ESR1 methylation status should undergo a tissue biopsy already at the beginning of metastatic disease to identify those with loss of ER expression and thus resitance to anti-endocrine therapy.

Indexed as

DNA MethylationBreast NeoplasmsEstrogen Receptor alphaFemaleHumansMiddle AgedNeoplasm MetastasisPromoter Regions, GeneticReceptors, EstrogenSurvival RateESR1 protein, humanEstrogen Receptor alphaReceptors, EstrogenBreast cancerEstrogen receptor promoterMetastasesMethylation

Identifiers

PMID30173322
OpenAlexW2889308363

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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.