Evidence map›Paper›PMID 32701512›Full record

Trial reportJCI insight2020

Pharmacogenomics of aromatase inhibitors in postmenopausal breast cancer and additional mechanisms of anastrozole action.

Junmei Cairns, James N Ingle, Tanda M Dudenkov, Krishna R Kalari, Erin E Carlson, Jie Na, Aman U Buzdar, Mark E Robson, Matthew J Ellis, Paul E Goss and 7 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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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

17 authors at 6 institutions in 1 country.

Junmei CairnsDepartment of Molecular Pharmacology and Experimental Therapeutics.
James N IngleDivision of Medical Oncology, and.
Tanda M DudenkovDepartment of Molecular Pharmacology and Experimental Therapeutics.
Krishna R KalariDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Erin E CarlsonDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Jie NaDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Aman U BuzdarThe University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Mark E RobsonMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Matthew J EllisBaylor Cancer Center, Houston, Texas, USA.
Paul E GossMassachusetts General Hospital, Boston, Massachusetts, USA.
Lois E ShepherdNCIC Clinical Trials Group, Kingston, Ontario, Canada.
Barbara GoodnaturePatient advocate, Mayo Clinic Breast Cancer Specialized Program of Research Excellence, Rochester, Minnesota, USA.
Matthew P GoetzDivision of Medical Oncology, and.
Richard M WeinshilboumDepartment of Molecular Pharmacology and Experimental Therapeutics.
Hu LiDepartment of Molecular Pharmacology and Experimental Therapeutics.
Mehrab Ghanat BariDepartment of Molecular Pharmacology and Experimental Therapeutics.
Liewei WangDepartment of Molecular Pharmacology and Experimental Therapeutics.
Mayo Clinic in Florida · USChildren's Cancer Center · USMassachusetts General Hospital · USMayo Clinic · USMemorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI Fergus Joseph Couch · 2005 to 2026
$49.9M
Medical Scientist Traning Program at Mayo ClinicT32GM065841 · NIGMS · MAYO CLINIC ROCHESTER · PI KAUFMANN, SCOTT H, SCHIMMENTI, LISA A · 2003 to 2022
$5.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA116201NIGMS NIH HHS T32 GM065841
6 · The paper itself

Abstract

Aromatase inhibitors (AIs) reduce breast cancer recurrence and prolong survival, but up to 30% of patients exhibit recurrence. Using a genome-wide association study of patients entered on MA.27, a phase III randomized trial of anastrozole versus exemestane, we identified a single nucleotide polymorphism (SNP) in CUB And Sushi multiple domains 1 (CSMD1) associated with breast cancer-free interval, with the variant allele associated with fewer distant recurrences. Mechanistically, CSMD1 regulates CYP19 expression in an SNP- and drug-dependent fashion, and this regulation is different among 3 AIs: anastrozole, exemestane, and letrozole. Overexpression of CSMD1 sensitized AI-resistant cells to anastrozole but not to the other 2 AIs. The SNP in CSMD1 that was associated with increased CSMD1 and CYP19 expression levels increased anastrozole sensitivity, but not letrozole or exemestane sensitivity. Anastrozole degrades estrogen receptor α (ERα), especially in the presence of estradiol (E2). ER+ breast cancer organoids and AI- or fulvestrant-resistant breast cancer cells were more sensitive to anastrozole plus E2 than to AI alone. Our findings suggest that the CSMD1 SNP might help to predict AI response, and anastrozole plus E2 serves as a potential new therapeutic strategy for patients with AI- or fulvestrant-resistant breast cancers.

Indexed as

Polymorphism, Single NucleotideAnastrozoleAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsAromataseAromatase InhibitorsBreast NeoplasmsDrug Resistance, NeoplasmEstradiolEstrogen Receptor alphaFemaleGenome-Wide Association StudyHumansMembrane ProteinsPharmacogeneticsPostmenopauseAnastrozoleAntineoplastic Agents, HormonalAromataseAromatase InhibitorsCSMD1 protein, humanCYP19A1 protein, humanESR1 protein, humanEstradiolEstrogen Receptor alphaMembrane ProteinsTumor Suppressor ProteinsBreast cancerOncologyPharmacogeneticsTherapeutics

Identifiers

PMID32701512
PMCPMC7455128
OpenAlexW3044506066

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.