Evidence map›Paper›PMID 32393766›Full record

ArticleNature communications2020

Acquired resistance to combined BET and CDK4/6 inhibition in triple-negative breast cancer.

Jennifer Y Ge, Shaokun Shu, Mijung Kwon, Bojana Jovanović, Katherine Murphy, Anushree Gulvady, Anne Fassl, Anne Trinh, Yanan Kuang, Grace A Heavey and 11 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. 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
4.2field-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

59 citing papers in PubMed, 88 citations in OpenAlex.

  1. Review
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  10. Review
  11. Review
  12. BET Bromodomain Inhibition Reverses CDK4/6 Inhibitor Resistance in Estrogen Receptor-Positive Breast Cancer via Induction of miR-34a-5p.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
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  15. Review
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  19. Targeting CDK4/6 in breast cancer.Experimental & molecular medicine · 2025
    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

21 authors at 3 institutions in 3 countries.

Jennifer Y GeDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.ORCID http://orcid.org/0000-0003-2933-5261
Shaokun ShuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Mijung KwonDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Bojana JovanovićDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Katherine MurphyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Anushree GulvadyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.ORCID http://orcid.org/0000-0002-5451-9380
Anne FasslDepartment of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Anne TrinhDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Yanan KuangBelfer Center for Applied Cancer Science, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Grace A HeaveyBelfer Center for Applied Cancer Science, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Adrienne LuomaDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Cloud PaweletzBelfer Center for Applied Cancer Science, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Aaron R ThornerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Kai W WucherpfennigDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Jun QiDepartment of Medicine, Harvard Medical School, Boston, MA, 02115, USA.
Myles BrownDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Piotr SicinskiDepartment of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.ORCID http://orcid.org/0000-0002-8859-5234
Thomas O McDonaldDepartment of Data Sciences, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
David PellmanDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Franziska MichorDepartment of Data Sciences, Dana-Farber Cancer Institute, Boston, MA, 02215, USA. michor@jimmy.harvard.edu.ORCID http://orcid.org/0000-0003-4869-8842
Kornelia PolyakDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA. kornelia_polyak@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-5964-0382
Harvard University · USDana-Farber Cancer Institute · USBroad Institute · US

Funding

Use of Organotypic and Mammary Gland Models to Investigate the Outcomes of ClonalP01CA080111 · NCI · WHITEHEAD INSTITUTE FOR BIOMEDICAL RES · PI WEINBERG, ROBERT A · 1999 to 2018
$36.0M
Tissue and Pathology CoreP50CA168504 · NCI · DANA-FARBER CANCER INST · PI Nabihah Tayob · 2013 to 2026
$30.1M
Targeting intratumor heterogeneity in breast cancerR35CA197623 · NCI · DANA-FARBER CANCER INST · PI KORNELIA POLYAK · 2015 to 2026
$12.4M
Project 3: Single Cell Measures of Intratumor Diversity for Optimal Breast Cancer TherapyU54CA193461 · NCI · DANA-FARBER CANCER INST · PI MICHOR, FRANZISKA · 2015 to 2020
$11.2M
Polyploidy, Aneuploidy and Genome StabilityR01CA213404 · NCI · DANA-FARBER CANCER INST · PI PELLMAN, DAVID S · 2017 to 2024
$3.5M
Novel functions of D-type and E-type cyclins in normal and in cancer cellsR01CA202634 · NCI · DANA-FARBER CANCER INST · PI SICINSKI, PETER · 2016 to 2020
$2.1M
Optimal BET inhibitor combination therapies in triple negative breast cancerF30CA228208 · NCI · HARVARD MEDICAL SCHOOL · PI GE, JENNIFER YAWEI · 2018 to 2021
$163k
NCI NIH HHS F30 CA228208NCI NIH HHS P01 CA080111NCI NIH HHS P50 CA168504NCI NIH HHS R01 CA202634NCI NIH HHS R01 CA213404NCI NIH HHS R35 CA197623NCI NIH HHS U54 CA193461
6 · The paper itself

Abstract

BET inhibitors are promising therapeutic agents for the treatment of triple-negative breast cancer (TNBC), but the rapid emergence of resistance necessitates investigation of combination therapies and their effects on tumor evolution. Here, we show that palbociclib, a CDK4/6 inhibitor, and paclitaxel, a microtubule inhibitor, synergize with the BET inhibitor JQ1 in TNBC lines. High-complexity DNA barcoding and mathematical modeling indicate a high rate of de novo acquired resistance to these drugs relative to pre-existing resistance. We demonstrate that the combination of JQ1 and palbociclib induces cell division errors, which can increase the chance of developing aneuploidy. Characterizing acquired resistance to combination treatment at a single cell level shows heterogeneous mechanisms including activation of G1-S and senescence pathways. Our results establish a rationale for further investigation of combined BET and CDK4/6 inhibition in TNBC and suggest novel mechanisms of action for these drugs and new vulnerabilities in cells after emergence of resistance.

Indexed as

Drug Resistance, NeoplasmAnimalsAzepinesBromodomain Containing ProteinsCell Cycle CheckpointsCell ProliferationClone CellsCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6DNA, NeoplasmDrug SynergismFemaleGene Expression Regulation, NeoplasticMiceModels, BiologicalMutationAzepinesbromodomain and extra-terminal domain protein, humanBromodomain Containing ProteinsCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6DNA, Neoplasm(+)-JQ1 compoundPaclitaxelpalbociclibPiperazinesProteinsPyridinesRetinoblastoma ProteinTriazoles

Identifiers

PMID32393766
PMCPMC7214447
OpenAlexW3022464154

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.