Evidence map›Paper›PMID 31115881›Full record

ArticleCellular oncology (Dordrecht, Netherlands)2019

Clinical and biological impact of miR-18a expression in breast cancer after neoadjuvant chemotherapy.

Ginés Luengo-Gil, Elena García-Martínez, Asunción Chaves-Benito, Pablo Conesa-Zamora, Esther Navarro-Manzano, Enrique González-Billalabeitia, Elisa García-Garre, Alberto Martínez-Carrasco, Vicente Vicente, Francisco Ayala de la Peña

Abstract read
In one paragraph

Article in Cellular oncology (Dordrecht, Netherlands), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

23 citing papers in PubMed, 37 citations in OpenAlex.

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  9. Frontiers in genetics · 2023
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  19. miRNA-based biomarkers, therapies, and resistance in Cancer.International journal of biological sciences · 2020
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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

10 authors at 2 institutions in 1 country.

Ginés Luengo-GilServicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer y Centro Regional de Hemodonación, IMIB-Arrixaca, Avda. Marqués de los Vélez, s/n, 30008, Murcia, Spain.
Elena García-MartínezServicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer y Centro Regional de Hemodonación, IMIB-Arrixaca, Avda. Marqués de los Vélez, s/n, 30008, Murcia, Spain.
Asunción Chaves-BenitoServicio de Anatomía Patológica, Hospital General Universitario Morales Meseguer, Murcia, Spain.
Pablo Conesa-ZamoraUniversidad Católica San Antonio, Murcia, Spain.
Esther Navarro-ManzanoServicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer y Centro Regional de Hemodonación, IMIB-Arrixaca, Avda. Marqués de los Vélez, s/n, 30008, Murcia, Spain.
Enrique González-BillalabeitiaServicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer y Centro Regional de Hemodonación, IMIB-Arrixaca, Avda. Marqués de los Vélez, s/n, 30008, Murcia, Spain.
Elisa García-GarreServicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer y Centro Regional de Hemodonación, IMIB-Arrixaca, Avda. Marqués de los Vélez, s/n, 30008, Murcia, Spain.
Alberto Martínez-CarrascoBiobancMur-Nodo 3, IMIB-Arrixaca, Murcia, Spain.
Vicente VicenteServicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer y Centro Regional de Hemodonación, IMIB-Arrixaca, Avda. Marqués de los Vélez, s/n, 30008, Murcia, Spain.
Francisco Ayala de la PeñaServicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer y Centro Regional de Hemodonación, IMIB-Arrixaca, Avda. Marqués de los Vélez, s/n, 30008, Murcia, Spain. frayala@um.es.ORCID http://orcid.org/0000-0001-6311-920X
Hospital General Universitario Morales Meseguer · ESSanta Lucía University General Hospital · ES

Funding

Fundación Salud 2000 Ayuda Merck Serono de Investigación en Oncología 2012Instituto de Salud Carlos III PI12/02877 and PI15/1499Ministerio de Educación, Cultura y Deporte FPU16/06537
6 · The paper itself

Abstract

purposeThe analysis of breast cancer residual tumors after neoadjuvant chemotherapy (nCT) may be useful for identifying new biomarkers. MicroRNAs are known to be involved in oncogenic pathways and treatment resistance of breast cancer. Our aim was to determine the role of miR-18a, a member of the miR-17-92a cluster, in breast cancer behavior and outcome after nCT.

methodsPre- and post-nCT tumor miR-18a expression was retrospectively assessed by qRT-PCR in 121 patients treated with nCT and was correlated with survival outcomes and with clinical and pathological characteristics. Breast cancer-derived MCF-7 and MDA-MB-231 cell lines were transfected with miR-18a and anti-miR-18a to evaluate the biological effects of this molecule. In addition, whole-transcriptome expression analysis was performed.

resultsHigh miR-18a expression in post-nCT residual tumors was found to be associated with a significantly worse overall survival [hazard ratio (HR): 2.80, 95% confidence interval (CI): 1.01-7.76] and a strong trend towards a poorer disease-free survival (HR: 2.44, 95% CI: 0.99-5.02) compared to low miR-18a expressing post-nCT residual tumors. Clinical and experimental data were found to be in conformity with the proliferative effects of miR-18a, which showed a significant correlation with Ki67 and MYBL2 expression, both in pre- and post-nCT tumors and in public databases. In vitro analysis of the role of miR-18a in breast cancer-derived cell lines showed that a high expression of miR-18a was associated with a low expression of the estrogen receptor (ER), a decreased sensitivity to tamoxifen and an enrichment in luminal B and endocrine resistance gene expression signatures.

conclusionsFrom our data we conclude that post-nCT miR-18a expression in breast cancer serves as a negative prognostic marker, especially in luminal tumors. Clinical, in vitro and in silico data support the role of miR-18a in breast cancer cell proliferation and endocrine resistance and suggest its potential utility as a biomarker for additional adjuvant treatment in patients without a pathologic complete response to neoadjuvant therapy.

Indexed as

AdultAgedBiomarkers, TumorBreast NeoplasmsCell Cycle ProteinsChemotherapy, AdjuvantDisease-Free SurvivalFemaleGene Expression Regulation, NeoplasticHumansKi-67 AntigenMCF-7 CellsMicroRNAsMiddle AgedNeoadjuvant TherapyPrognosisBiomarkers, TumorCell Cycle ProteinsKi-67 AntigenMicroRNAsMIRN18A microRNA, humanMKI67 protein, humanMYBL2 protein, humanReceptors, EstrogenTamoxifenTrans-ActivatorsBreast cancerEndocrine resistancemiR-17-92amiR-18aNeoadjuvant chemotherapyPrognostic markers

Identifiers

PMID31115881
PMCPMC12994329
OpenAlexW2946310416

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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.