Evidence map›Paper›PMID 32528057›Full record

ArticleCell death & disease2020

BIK drives an aggressive breast cancer phenotype through sublethal apoptosis and predicts poor prognosis of ER-positive breast cancer.

Vrajesh Pandya, John Maringa Githaka, Namrata Patel, Richard Veldhoen, Judith Hugh, Sambasivarao Damaraju, Todd McMullen, John Mackey, Ing Swie Goping

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Anastasis: an unwelcome guest in cancer therapy.Apoptosis : an international journal on programmed cell death · 2026
    Review
  2. Article
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  7. Genes Associated with Apoptosis in an Experimental Breast Cancer Model.International journal of molecular sciences · 2025
    Article
  8. A new era in cancer therapy: targeting the Proteasome-Bcl-2 axis.Journal of experimental & clinical cancer research : CR · 2025
    Review
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  20. Mutagenic Consequences of Sublethal Cell Death Signaling.International journal of molecular sciences · 2021
    Review
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

9 authors at 1 institution in 1 country.

Vrajesh PandyaDepartment of Biochemistry, University of Alberta, Edmonton, AB, T6G 2H7, Canada.
John Maringa GithakaDepartment of Biochemistry, University of Alberta, Edmonton, AB, T6G 2H7, Canada.
Namrata PatelDepartment of Biochemistry, University of Alberta, Edmonton, AB, T6G 2H7, Canada.
Richard VeldhoenDepartment of Biochemistry, University of Alberta, Edmonton, AB, T6G 2H7, Canada.ORCID http://orcid.org/0000-0003-4643-2960
Judith HughDepartment of Lab Medicine and Pathology, University of Alberta, Edmonton, AB, T6G 2H7, Canada.
Sambasivarao DamarajuDepartment of Lab Medicine and Pathology, University of Alberta, Edmonton, AB, T6G 2H7, Canada.
Todd McMullenDepartment of Surgery, University of Alberta, Edmonton, AB, T6G 2H7, Canada.
John MackeyDepartment of Oncology, University of Alberta, Edmonton, AB, T6G 2H7, Canada.
Ing Swie GopingDepartment of Biochemistry, University of Alberta, Edmonton, AB, T6G 2H7, Canada. igoping@ualberta.ca.
University of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Apoptosis is fundamental to normal animal development and is the target for many anticancer therapies. Recent studies have explored the consequences of "failed apoptosis" where the apoptotic program is initiated but does not go to completion and does not cause cell death. Nevertheless, this failed apoptosis induces DNA double-strand breaks generating mutations that facilitate tumorigenesis. Whether failed apoptosis is relevant to clinical disease is unknown. BCL-2 interacting killer (BIK) is a stress-induced BH3-only protein that stimulates apoptosis in response to hormone and growth factor deprivation, hypoxia, and genomic stress. It was unclear whether BIK promotes or suppresses tumor survival within the context of breast cancer. We investigated this and show that BIK induces failed apoptosis with limited caspase activation and genomic damage in the absence of extensive cell death. Surviving cells acquire aggressive phenotypes characterized by enrichment of cancer stem-like cells, increased motility and increased clonogenic survival. Furthermore, by examining six independent cohorts of patients (total n = 969), we discovered that high BIK mRNA and protein levels predicted clinical relapse of Estrogen receptor (ER)-positive cancers, which account for almost 70% of all breast cancers diagnosed but had no predictive value for hormone receptor-negative (triple-negative) patients. Thus, this study identifies BIK as a biomarker for tumor recurrence of ER-positive patients and provides a potential mechanism whereby failed apoptosis contributes to cancer aggression.

Indexed as

Apoptosisbcl-2 Homologous Antagonist-Killer ProteinBreast NeoplasmsFemaleHumansPhenotypePrognosisSurvival Analysisbcl-2 Homologous Antagonist-Killer Protein

Identifiers

PMID32528057
PMCPMC7289861
OpenAlexW3035676622

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.