Evidence map›Paper›PMID 32573490›Full record

ArticleThe Journal of clinical investigation2020

FGFR4 regulates tumor subtype differentiation in luminal breast cancer and metastatic disease.

Susana Garcia-Recio, Aatish Thennavan, Michael P East, Joel S Parker, Juan M Cejalvo, Joseph P Garay, Daniel P Hollern, Xiaping He, Kevin R Mott, Patricia Galván and 15 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01377363 (Evaluation of Degree of Conversion of HER2 Receptor Between Primary Breast Cancer and Metastasis), which is not on this map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
5.2field-weighted citation impact, top 3% 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.

NCT01377363 completednot on this map

Evaluation of Degree of Conversion of HER2 Receptor Between Primary Breast Cancer and Metastasis

TypeobservationalSponsorSpanish Breast Cancer Research GroupRan2009 to 2012Enrolled236ConditionsBreast Cancer
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 109 citations in OpenAlex.

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  18. Extraction of a stromal metastatic gene signature in breast cancer via spatial profiling.Journal of experimental & clinical cancer research : CR · 2025
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10 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

25 authors at 7 institutions in 2 countries.

Susana Garcia-RecioLineberger Comprehensive Center and.
Aatish ThennavanLineberger Comprehensive Center and.
Michael P EastDepartment of Pharmacology, Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Joel S ParkerLineberger Comprehensive Center and.
Juan M CejalvoTranslational Genomics and Targeted Therapeutics in Oncology (IDIBAPS), Barcelona, Spain.
Joseph P GarayLineberger Comprehensive Center and.
Daniel P HollernLineberger Comprehensive Center and.
Xiaping HeLineberger Comprehensive Center and.
Kevin R MottLineberger Comprehensive Center and.
Patricia GalvánTranslational Genomics and Targeted Therapeutics in Oncology (IDIBAPS), Barcelona, Spain.
Cheng FanLineberger Comprehensive Center and.
Sara R SelitskyLineberger Comprehensive Center and.
Alisha R CoffeyLineberger Comprehensive Center and.
David MarronLineberger Comprehensive Center and.
Fara Brasó-MaristanyTranslational Genomics and Targeted Therapeutics in Oncology (IDIBAPS), Barcelona, Spain.
Octavio BurguésGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Joan AlbanellGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Federico RojoGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Ana LluchGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Eduardo Martinez de DueñasGEICAM, Spanish Breast Cancer Group, Madrid, Spain.
Jeffery M RosenDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas, USA.
Gary L JohnsonDepartment of Pharmacology, Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Lisa A CareyDivision of Hematology-Oncology, Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Aleix PratTranslational Genomics and Targeted Therapeutics in Oncology (IDIBAPS), Barcelona, Spain.
Charles M PerouLineberger Comprehensive Center and.
Pediatrics and Genetics · USHospital Clínic de Barcelona · ESUniversity of North Carolina at Chapel Hill · USInstituto de Salud Carlos III · ESBaylor College of Medicine · USHospital Clínico Universitario de Valencia · ESUniversitat Pompeu Fabra · ES

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KATHERINE A. HOADLEY · 1992 to 2026
$59.3M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Therapeutic Targeting of Breast Cancer Tumor Initiating CellsR01CA148761 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEROU, CHARLES M, ROSEN, JEFFREY MARK · 2010 to 2025
$6.5M
Credentialing Mouse Models for Immune System Therapy ResearchR01CA195740 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PEROU, CHARLES M, WONG, KWOK KIN · 2015 to 2017
$1.8M
Identifying Effective Immune Checkpoint Therapy Strategies in Triple Negative Breast CancerF32CA210427 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HOLLERN, DANIEL PATRICK · 2016 to 2018
$171k
NCI NIH HHS F32 CA210427NCI NIH HHS P30 CA016086NCI NIH HHS P50 CA058223NCI NIH HHS R01 CA148761NCI NIH HHS R01 CA195740NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

Mechanisms driving tumor progression from less aggressive subtypes to more aggressive states represent key targets for therapy. We identified a subset of luminal A primary breast tumors that give rise to HER2-enriched (HER2E) subtype metastases, but remain clinically HER2 negative (cHER2-). By testing the unique genetic and transcriptomic features of these cases, we developed the hypothesis that FGFR4 likely participates in this subtype switching. To evaluate this, we developed 2 FGFR4 genomic signatures using a patient-derived xenograft (PDX) model treated with an FGFR4 inhibitor, which inhibited PDX growth in vivo. Bulk tumor gene expression analysis and single-cell RNA sequencing demonstrated that the inhibition of FGFR4 signaling caused molecular switching. In the Molecular Taxonomy of Breast Cancer International Consortium (METABRIC) breast cancer cohort, FGFR4-induced and FGFR4-repressed signatures each predicted overall survival. Additionally, the FGFR4-induced signature was an independent prognostic factor beyond subtype and stage. Supervised analysis of 77 primary tumors with paired metastases revealed that the FGFR4-induced signature was significantly higher in luminal/ER+ tumor metastases compared with their primaries. Finally, multivariate analysis demonstrated that the FGFR4-induced signature also predicted site-specific metastasis for lung, liver, and brain, but not for bone or lymph nodes. These data identify a link between FGFR4-regulated genes and metastasis, suggesting treatment options for FGFR4-positive patients, whose high expression is not caused by mutation or amplification.

Indexed as

Breast NeoplasmsCell DifferentiationGene Expression Regulation, NeoplasticAnimalsFemaleHumansMCF-7 CellsMiceMice, Inbred NODMice, SCIDNeoplasm MetastasisNeoplasm ProteinsReceptor, Fibroblast Growth Factor, Type 4FGFR4 protein, humanNeoplasm ProteinsReceptor, Fibroblast Growth Factor, Type 4Breast cancerGeneticsOncology

Identifiers

PMID32573490
PMCPMC7456247
OpenAlexW3037940748

What OpenQuestion holds

Textmetadata
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Registered trials

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.