Evidence map›Paper›PMID 30501602›Full record

ReviewCurrent clinical pharmacology2019

Role of Muscarinic Acetylcholine Receptors in Breast Cancer: Design of Metronomic Chemotherapy.

María E Sales, Alejandro J Español, Agustina R Salem, Paola M Pulido, Y Sanchez, Francisco Sanchez

Open access · hybridAbstract readReview
In one paragraph

Review in Current clinical pharmacology, 2019. 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, 23 citations in OpenAlex.

  1. Review
  2. Cancer and neurotransmitter receptors.Chinese medical journal · 2025
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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

6 authors at 2 institutions in 1 country.

María E SalesCentro de Estudios Farmacologicos y Botanicos (CEFYBO)-CONICET. 2da Catedra de Farmacologia, Facultad de Medicina, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina.
Alejandro J EspañolCentro de Estudios Farmacologicos y Botanicos (CEFYBO)-CONICET. 2da Catedra de Farmacologia, Facultad de Medicina, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina.
Agustina R SalemCentro de Estudios Farmacologicos y Botanicos (CEFYBO)-CONICET. 2da Catedra de Farmacologia, Facultad de Medicina, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina.
Paola M PulidoCentro de Estudios Farmacologicos y Botanicos (CEFYBO)-CONICET. 2da Catedra de Farmacologia, Facultad de Medicina, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina.
Y SanchezCentro de Estudios Farmacologicos y Botanicos (CEFYBO)-CONICET. 2da Catedra de Farmacologia, Facultad de Medicina, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina.
Francisco SanchezCentro de Estudios Farmacologicos y Botanicos (CEFYBO)-CONICET. 2da Catedra de Farmacologia, Facultad de Medicina, Universidad de Buenos Aires (UBA), Buenos Aires, Argentina.
University of Buenos Aires · ARConsejo Nacional de Investigaciones Científicas y Técnicas · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundmuscarinic acetylcholine receptors (mAChRs) have attracted interest as targets for therapeutic interventions in different illnesses like Alzheimer´s disease, viral infections and different tumors. Regarding the latter, many authors have studied each subtype of mAChRs, which seem to be involved in the progression of distinct types of malignancies.

methodsWe carefully revised research literature focused on mAChRs expression and signaling as well as in their involvement in cancer progression and treatment. The characteristics of screened papers were described using the mentioned conceptual framework.

resultsMuscarinic antagonists and agonists have been assayed for the treatment of tumors established in lung, brain and breast with beneficial effects. We described an up-regulation of mAChRs in mammary tumors and the lack of expression in non-tumorigenic breast cells and normal mammary tissues. We and others demonstrated that muscarinic agonists can trigger anti-tumor actions in a dose-dependent manner on tumors originated in different organs like brain or breast. At pharmacological concentrations, they exert similar effects to traditional chemotherapeutic agents. Metronomic chemotherapy refers to the administration of anti-cancer drugs at low doses with short intervals among them, and it is a different regimen applied in cancer treatment reducing malignant growth and angiogenesis, and very low incidence of adverse effects.

conclusionThe usage of subthreshold concentrations of muscarinic agonists combined with conventional chemotherapeutic agents could be a promising tool for breast cancer therapy.

Indexed as

Antineoplastic AgentsBreast NeoplasmsDrug Therapy, CombinationFemaleHumansMuscarinic AgonistsReceptors, MuscarinicAntineoplastic AgentsMuscarinic AgonistsReceptors, Muscarinicacetylcholine (ACh)breast tumorsmetronomic chemotherapyMuscarinic acetylcholine receptorsrepurposing drugssignal metabolic pathway.

Identifiers

PMID30501602
PMCPMC7011678
OpenAlexW2903287352

What OpenQuestion holds

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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.