Evidence map›Paper›PMID 32734521›Full record

ArticleBreast cancer research and treatment2020

Identification of candidate mediators of chemoresponse in breast cancer through therapy-driven selection of somatic variants.

Waleed S Al Amri, Diana E Baxter, Andrew M Hanby, Lucy F Stead, Eldo T Verghese, James L Thorne, Thomas A Hughes

Open access · hybridAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.0field-weighted citation impact, top 29% 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

16 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  3. The role of epigenetic alterations in canine mammary cancer.The Journal of reproduction and development · 2026
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  15. American journal of cancer research · 2021
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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

7 authors at 2 institutions in 2 countries.

Waleed S Al AmriSchool of Medicine, University of Leeds, Leeds, UK.
Diana E BaxterSchool of Medicine, University of Leeds, Leeds, UK.
Andrew M HanbyDepartment of Histopathology, St. James's University Hospital, Leeds, UK.
Lucy F SteadSchool of Medicine, University of Leeds, Leeds, UK.
Eldo T VergheseDepartment of Histopathology, St. James's University Hospital, Leeds, UK.
James L ThorneSchool of Food Science and Nutrition, University of Leeds, Leeds, UK.
Thomas A HughesSchool of Medicine, University of Leeds, Leeds, UK. t.hughes@leeds.ac.uk.ORCID http://orcid.org/0000-0003-1169-3386
University of Leeds · GBSt James's University Hospital · GB

Funding

University of Leeds LIBCS studentshipUniversity of Leeds UAF
6 · The paper itself

Abstract

purposeMore than a third of primary breast cancer patients are treated with cytotoxic chemotherapy, typically without guidance from predictive markers. Increased use of neoadjuvant chemotherapy provides opportunities for identification of molecules associated with treatment response, by comparing matched tumour samples before and after therapy. Our hypothesis was that somatic variants of increased prevalence after therapy promote resistance, while variants with reduced prevalence cause sensitivity.

methodsWe performed systematic analyses of matched pairs of cancer exomes from primary oestrogen receptor-positive/HER2-negative breast cancers (n = 6) treated with neoadjuvant epirubicin/cyclophosphamide. We identified candidate genes as mediators of chemotherapy response by consistent subclonal changes in somatic variant prevalence through therapy, predicted variant impact on gene function, and enrichment of specific functional pathways. Influence of candidate genes on breast cancer outcome was tested using publicly available breast cancer expression data (n = 1903).

resultsWe identified 14 genes as the strongest candidate mediators of chemoresponse: TCHH, MUC17, ARAP2, FLG2, ABL1, CENPF, COL6A3, DMBT1, ITGA7, PLXNA1, S100PBP, SYNE1, ZFHX4, and CACNA1C. Genes contained somatic variants showing prevalence changes in up to 4 patients, with up to 3 being predicted as damaging. Genes coding for extra-cellular matrix components or related signalling pathways were significantly over-represented among variants showing prevalence changes. Expression of 5 genes (TCHH, ABL1, CENPF, S100PBP, and ZFHX4) was significantly associated with patient survival.

conclusionsGenomic analysis of paired pre- and post-therapy samples resulting from neoadjuvant therapy provides a powerful method for identification of mediators of response. Genes we identified should be assessed as predictive markers or targets in chemo-sensitization.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCalcium-Binding ProteinsDNA-Binding ProteinsEpirubicinErb-b2 Receptor Tyrosine KinasesExomeFemaleFilaggrin ProteinsGenomicsHumansNeoadjuvant TherapyTreatment OutcomeTumor Suppressor ProteinsCalcium-Binding ProteinsDMBT1 protein, humanDNA-Binding ProteinsEpirubicinErb-b2 Receptor Tyrosine KinasesFilaggrin ProteinsFLG2 protein, humanTumor Suppressor ProteinsChemoresistanceExome sequencingSensitizationSomatic variants

Identifiers

PMID32734521
PMCPMC7497675
OpenAlexW3046671295

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.