Evidence map›Paper›PMID 30683851›Full record

ArticleCell death & disease2019

Exosomes from differentially activated macrophages influence dormancy or resurgence of breast cancer cells within bone marrow stroma.

Nykia D Walker, Michael Elias, Khadidiatou Guiro, Ranvir Bhatia, Steven J Greco, Margarette Bryan, Marina Gergues, Oleta A Sandiford, Nicholas M Ponzio, Samuel J Leibovich and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

75 citing papers in PubMed, 107 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Exosomes in bridging macrophage-fibroblast polarity and cancer stemness.Medical oncology (Northwood, London, England) · 2025
    Review
  8. Review
  9. Review
  10. Immune Microenvironment in Breast Cancer Metastasis.Advances in experimental medicine and biology · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Immune mediated support of metastasis: Implication for bone invasion.Cancer communications (London, England) · 2024
    Review
  17. Article
  18. Article
  19. Macrophage heterogeneity in bone metastasis.Journal of bone oncology · 2024
    Article
  20. Unveiling the mechanisms and challenges of cancer drug resistance.Cell communication and signaling : CCS · 2024
    Review

15 more citing papers are in PubMed but not listed here.

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

11 authors at 3 institutions in 1 country.

Nykia D WalkerRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Michael EliasRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Khadidiatou GuiroRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Ranvir BhatiaRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Steven J GrecoRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Margarette BryanRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Marina GerguesRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Oleta A SandifordRutgers New Jersey Medical School (NJMS), Newark, NJ, USA.
Nicholas M PonzioDept of Pathology and Laboratory Medicine, Philadelphia, PA, USA.
Samuel J LeibovichNJMS, Department of Cell Biology and Molecular Medicine, Newark, NJ, USA.
Pranela RameshwarRutgers New Jersey Medical School (NJMS), Newark, NJ, USA. rameshwa@njms.rutgers.edu.
Rutgers, The State University of New Jersey · USRutgers New Jersey Medical SchoolPhiladelphia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer (BC) cells (BCCs) can retain cellular quiescence for decades, a phenomenon referred to as dormancy. BCCs show preference for the bone marrow (BM) where they can remain dormant for decades. Targeting BCCs within the BM is a challenge since the dormant BCCs reside within BM stroma, also residence for hematopoietic stem cells (HSCs). Dormant BCCs could behave as cancer stem cells (CSCs). The CSCs and HSCs are similar by function and also, by commonly expressed genes. The method by which dormant BCCs transition into clinically metastatic cells remains unclear. This study tested the hypothesis that macrophages (MΦs) within BM stroma, facilitates dormancy or reverse this state into metastatic cells. MΦs exhibiting an M2 phenotype constitute ~10% of cultured BM stroma. The M2 MΦs form gap junctional intercellular communication (GJIC) with CSCs, resulting in cycling quiescence, reduced proliferation and carboplatin resistance. In contrast, MΦs expressing the M1 phenotype reversed BC dormancy. Activation of M2a MΦs via the toll-like receptor 4 (TLR4) switched to M1 phenotype. The switch can occur by direct activation of M2a MΦs, or indirectly through activation of mesenchymal stem cells. M1 MΦ-derived exosomes activated NFкB to reverse quiescent BCCs to cycling cells. Using an in vivo model of BC dormancy, injected Mi MOs sensitized BCCs to carboplatin and increased host survival. In summary, we have shown how BM stromal MΦs, through exosomes, regulate the behavior of BCCs, by either inducing or reversing dormancy.

Indexed as

Cell CommunicationAdolescentAdultAnimalsBone MarrowBreast NeoplasmsCarboplatinCells, CulturedCoculture TechniquesDrug Resistance, NeoplasmExosomesFemaleGap JunctionsHeterograftsHumansMacrophagesCarboplatinTLR4 protein, humanToll-Like Receptor 4

Identifiers

PMID30683851
PMCPMC6347644
OpenAlexW2915026730

What OpenQuestion holds

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LicenceCC BY
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.