Evidence map›Paper›PMID 30819233›Full record

ArticleBreast cancer research : BCR2019

The long-term prognostic and predictive capacity of cyclin D1 gene amplification in 2305 breast tumours.

Arian Lundberg, Linda S Lindström, Jingmei Li, J Chuck Harrell, Eva Darai-Ramqvist, Emmanouil G Sifakis, Theodoros Foukakis, Charles M Perou, Kamila Czene, Jonas Bergh and 1 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Prognostic and Predictive Value ofFrontiers in endocrinology · 2022
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  17. Frontiers in oncology · 2023
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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

11 authors at 4 institutions in 4 countries.

Arian LundbergDepartment of Oncology and Pathology, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Linda S LindströmDepartment of Biosciences and Nutrition, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Jingmei LiDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
J Chuck HarrellDepartment of Pathology, Virginia Commonwealth University, Richmond, VA, USA.
Eva Darai-RamqvistDepartment of Pathology and Cytology, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Emmanouil G SifakisDepartment of Oncology and Pathology, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Theodoros FoukakisDepartment of Oncology and Pathology, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Charles M PerouDepartment of Genetics, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kamila CzeneDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Jonas BerghDepartment of Oncology and Pathology, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Nicholas P TobinDepartment of Oncology and Pathology, Karolinska Institutet and University Hospital, Stockholm, Sweden. nick.tobin@ki.se.ORCID 0000-0003-2343-9772
Karolinska University Hospital · SEKarolinska Institutet · SEUniversity of North Carolina at Chapel Hill · USVirginia Commonwealth University · US

Funding

Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KATHERINE A. HOADLEY · 1992 to 2026
$59.3M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Mouse Models of Metastatic Triple-Negative Breast Cancer for Therapeutic TestingR01CA195754 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEROU, CHARLES M, ROSEN, JEFFREY MARK · 2015 to 2017
$1.7M
Cancer Research UKNCI Breast SPORE program P50-CA58223-09A1NCI Breast SPORE program R01- CA195754-01NCI NIH HHS P50 CA058223NCI NIH HHS R01 CA195754NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

backgroundUse of cyclin D1 (CCND1) gene amplification as a breast cancer biomarker has been hampered by conflicting assessments of the relationship between cyclin D1 protein levels and patient survival. Here, we aimed to clarify its prognostic and treatment predictive potential through comprehensive long-term survival analyses.

methodsCCND1 amplification was assessed using SNP arrays from two cohorts of 1965 and 340 patients with matching gene expression array and clinical follow-up data of over 15 years. Kaplan-Meier and multivariable Cox regression analyses were used to determine survival differences between CCND1 amplified vs. non-amplified tumours in clinically relevant patient sets, within PAM50 subtypes and within treatment-specific subgroups. Boxplots and differential gene expression analyses were performed to assess differences between amplified vs. non-amplified tumours within PAM50 subtypes.

resultsWhen combining both cohorts, worse survival was found for patients with CCND1-amplified tumours in luminal A (HR = 1.68; 95% CI, 1.15-2.46), luminal B (1.37; 1.01-1.86) and ER+/LN-/HER2- (1.66; 1.14-2.41) subgroups. In gene expression analysis, CCND1-amplified luminal A tumours showed increased proliferation (P < 0.001) and decreased progesterone (P = 0.002) levels along with a large overlap in differentially expressed genes when comparing luminal A and B-amplified vs. non-amplified tumours.

conclusionsOur results indicate that CCND1 amplification is associated with worse 15-year survival in ER+/LN-/HER2-, luminal A and luminal B patients. Moreover, luminal A CCND1-amplified tumours display gene expression changes consistent with a more aggressive phenotype. These novel findings highlight the potential of CCND1 to identify patients that could benefit from long-term treatment strategies.

Indexed as

AdultBiomarkers, TumorBreast NeoplasmsCyclin D1Erb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesGene AmplificationGenetic TestingHumansLymph NodesMiddle AgedPredictive Value of TestsPrognosisReceptors, EstrogenRetrospective StudiesBiomarkers, TumorCCND1 protein, humanCyclin D1ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenBCSSBreast cancerCCND1 gene amplificationCDK4/6Gene expressionLuminal APAM50

Identifiers

PMID30819233
PMCPMC6394106
OpenAlexW2924412259

What OpenQuestion holds

Textmetadata
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.