Evidence map›Paper›PMID 31444334›Full record

ArticleNature communications2019

Single-cell profiling guided combinatorial immunotherapy for fast-evolving CDK4/6 inhibitor-resistant HER2-positive breast cancer.

Qingfei Wang, Ian H Guldner, Samantha M Golomb, Longhua Sun, Jack A Harris, Xin Lu, Siyuan Zhang

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
–field-weighted citation impact
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

59 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. CDK4/6 Inhibitor Resistance in ER+ Breast Cancer.Advances in experimental medicine and biology · 2025
    Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Breast Cancer Immunity: It is TIME for the Next Chapter.Cold Spring Harbor perspectives in medicine · 2024
    Review
  18. Article
  19. Review
  20. Article
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

7 authors.

Qingfei WangDepartment of Biological Sciences, College of Science, University of Notre Dame, Notre Dame, IN, 46556, USA. qwang9@nd.edu.
Ian H GuldnerDepartment of Biological Sciences, College of Science, University of Notre Dame, Notre Dame, IN, 46556, USA.
Samantha M GolombDepartment of Biological Sciences, College of Science, University of Notre Dame, Notre Dame, IN, 46556, USA.
Longhua SunDepartment of Biological Sciences, College of Science, University of Notre Dame, Notre Dame, IN, 46556, USA.
Jack A HarrisDepartment of Biological Sciences, College of Science, University of Notre Dame, Notre Dame, IN, 46556, USA.
Xin LuDepartment of Biological Sciences, College of Science, University of Notre Dame, Notre Dame, IN, 46556, USA.
Siyuan ZhangDepartment of Biological Sciences, College of Science, University of Notre Dame, Notre Dame, IN, 46556, USA. szhang8@nd.edu.ORCID http://orcid.org/0000-0003-0910-3666

Funding

Project 2: Targeting Cooperative Phenotypes Common in Spatial HeterogeneityU54CA209978 · NCI · UNIVERSITY OF UTAH · PI BILD, ANDREA HOPE · 2017 to 2021
$10.5M
Mechanisms of neuroinflammation in brain metastasis progressionR01CA222405 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI ZHANG, SIYUAN · 2018 to 2022
$2.2M
(PQD-3) Spatiotemporal Molecular Interrogation of Early Metastatic Evolution In SituR01CA194697 · NCI · UNIVERSITY OF NOTRE DAME · PI ZHANG, SIYUAN · 2015 to 2018
$1.4M
NCI NIH HHS R01 CA194697NCI NIH HHS R01 CA222405NCI NIH HHS U54 CA209978
6 · The paper itself

Abstract

Acquired resistance to targeted cancer therapy is a significant clinical challenge. In parallel with clinical trials combining CDK4/6 inhibitors to treat HER2+ breast cancer, we sought to prospectively model tumor evolution in response to this regimen in vivo and identify a clinically actionable strategy to combat drug resistance. Despite a promising initial response, acquired resistance emerges rapidly to the combination of anti-HER2/neu antibody and CDK4/6 inhibitor Palbociclib. Using high-throughput single-cell profiling over the course of treatments, we reveal a distinct immunosuppressive immature myeloid cell (IMC) population to infiltrate the resistant tumors. Guided by single-cell transcriptome analysis, we demonstrate that combination of IMC-targeting tyrosine kinase inhibitor cabozantinib and immune checkpoint blockade enhances anti-tumor immunity, and overcomes the resistance. Furthermore, sequential combinatorial immunotherapy enables a sustained control of the fast-evolving CDK4/6 inhibitor-resistant tumors. Our study demonstrates a translational framework for treating rapidly evolving tumors through preclinical modeling and single-cell analyses.

Indexed as

AnimalsAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Drug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticMammary Neoplasms, ExperimentalMiceMice, TransgenicModels, BiologicalMyeloid Progenitor CellsAntineoplastic Agents, ImmunologicalCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Erbb2 protein, ratErb-b2 Receptor Tyrosine KinasesProtein Kinase Inhibitors

Identifiers

PMID31444334
PMCPMC6707314

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.