Evidence map›Paper›PMID 31318440›Full record

ReviewCancer2019

ESR1 mutations in breast cancer.

Derek Dustin, Guowei Gu, Suzanne A W Fuqua

Open access · greenAbstract readReview
In one paragraph

Review in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 175 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 4 pooled it
15.3field-weighted citation impact, top 1% 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

175 citing papers in PubMed, 4 syntheses or guidelines pooled it, 289 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Liquid biopsy in modern medicine: advancing diagnostics from molecular insights to clinical practice.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  18. Investigating Vitamin DMolecular diversity · 2026
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115 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

3 authors at 1 institution in 1 country.

Derek DustinLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas.
Guowei GuLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas.
Suzanne A W FuquaLester and Sue Smith Breast Center, Baylor College of Medicine, Houston, Texas.
Baylor College of Medicine · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Suzanne AW Fuqua · 2007 to 2026
$73.9M
Replication Stress and DNA Damage Response Drives ESR1 Mutant MetastasisR01CA072038 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI Suzanne AW Fuqua · 1996 to 2026
$6.7M
MECHANISMS OF AR-ER COLLABORATION IN HORMONE RESISTANCE AND METASTASIS OF BREAST CANCERR01CA207270 · NCI · BAYLOR COLLEGE OF MEDICINE · PI FUQUA, SUZANNE AW · 2017 to 2021
$1.8M
Dissection of the Modular Structure of Cancer Signaling SystemsR33CA120732 · NCI · STANFORD UNIVERSITY · PI MEYER, TOBIAS · 2008 to 2010
$935k
Dissection of the Modular Structure of Cancer Signaling SystemsR21CA120732 · NCI · STANFORD UNIVERSITY · PI MEYER, TOBIAS · 2006 to 2006
$359k
Breast Cancer Research Foundation 18-055Cancer Prevention and Research Institute of Texas RP120732NCI NIH HHS 5P30 CA125123NCI NIH HHS P30 CA125123NCI NIH HHS R01 CA072038NCI NIH HHS R01 CA207270NCI NIH HHS R01-CA207270NCI NIH HHS R01-CA72038
6 · The paper itself

Abstract

The acquisition of ligand-independent ESR1 mutations during aromatase inhibitor therapy in metastatic estrogen receptor (ER)-positive breast cancer is a common mechanism of hormonal therapy resistance. Preclinical and clinical studies have demonstrated that ESR1 mutations can preexist in primary tumors and can be enriched during metastasis. Furthermore, ESR1 mutations express a unique transcriptional profile that favors tumor progression, suggesting that selected ESR1 mutations may influence metastasis. Several groups have used sensitive detection methods using patient liquid biopsies to track ESR1 or truncal somatic mutations to predict treatment outcome and tumor progression, and some of these techniques may eventually be used to guide sequential treatment options in patients. Further development and standardization of mutation tracking in circulating tumor DNA is ongoing. Clinically, patients with ESR1 mutations derive clinical benefit when treated with fulvestrant and CDK4/6-targeted therapies, but the development of more potent selective ER degraders and/or new targeted biotherapies are needed to overcome the endocrine-resistant phenotype of ESR1 mutant-bearing tumors. In this review, we discuss the mechanisms of resistance and dissemination of ESR1 mutations as well as the detection methods for ESR1 mutation tracking, newly discovered potential therapeutic targets, and the clinical implications and treatment options for treating patients with ESR1 mutant-bearing tumors.

Indexed as

MutationAntineoplastic Agents, HormonalBreast NeoplasmsDrug Resistance, NeoplasmEstrogen Receptor alphaFemaleFulvestrantGene Expression ProfilingHumansLiquid BiopsyProtein Kinase InhibitorsAntineoplastic Agents, HormonalESR1 protein, humanEstrogen Receptor alphaFulvestrantProtein Kinase Inhibitorsbreast cancerestrogen receptormetastasismutation

Identifiers

PMID31318440
PMCPMC6788940
OpenAlexW2958196506

What OpenQuestion holds

Textmetadata
LicenceTDM
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.