Evidence map›Paper›PMID 32846967›Full record

ReviewCancers2020

Perspectives on Triple-Negative Breast Cancer: Current Treatment Strategies, Unmet Needs, and Potential Targets for Future Therapies.

Gagan K Gupta, Amber L Collier, Dasom Lee, Richard A Hoefer, Vasilena Zheleva, Lauren L Siewertsz van Reesema, Angela M Tang-Tan, Mary L Guye, David Z Chang, Janet S Winston and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 177 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed, 2 pooled it
16.4field-weighted citation impact, top 1% 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

177 citing papers in PubMed, 2 syntheses or guidelines pooled it, 330 citations in OpenAlex.

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  13. "When symptoms interact and change": longitudinal network analysis of dynamic symptom changes in oral cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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117 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

16 authors at 13 institutions in 1 country.

Gagan K GuptaLeroy T. Canoles Jr. Cancer Research Center, Department of Microbiology and Molecular Cell Biology, Eastern Virginia Medical School, Norfolk, VA 23501, USA.
Amber L CollierDeWitt Daughtry Family Department of Surgery, Surgical Oncology, University of Miami/Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL 33131, USA.ORCID 0000-0002-5238-227X
Dasom LeeDepartment of Medicine, Internal Medicine, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa, FL 33620, USA.
Richard A HoeferDorothy G. Hoefer Foundation, Sentara CarePlex Hospital, Newport News, VA 23666, USA.
Vasilena ZhelevaSurgical Oncology, Cancer Treatment Centers of America-Comprehensive Care and Research Center Phoenix, 14200 W Celebrate Life Way, Goodyear, AZ 85338, USA.
Lauren L Siewertsz van ReesemaDepartment of OB/GYN, University of Kentucky College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
Angela M Tang-TanDepartment of Molecular and Cell Biology, UC Berkeley, Berkeley, CA 94720, USA.
Mary L GuyeSentara Cancer Network, Sentara Healthcare, Norfolk, VA 23507, USA.ORCID 0000-0003-1622-8686
David Z ChangVirginia Oncology Associates, 1051 Loftis Boulevard, Suite 100, Newport News, VA 23606, USA.
Janet S WinstonBreast Pathology Services, Pathology Sciences Medical Group, Department of Pathology, Sentara Norfolk General Hospital (SNGH), Norfolk, VA 23507, USA.
Billur SamliBreast Pathology Services, Pathology Sciences Medical Group, Department of Pathology, Sentara Norfolk General Hospital (SNGH), Norfolk, VA 23507, USA.
Rick J JansenDepartment of Public Health, North Dakota State University, Fargo, ND 58102, USA.ORCID 0000-0001-5683-2584
Emanuel F PetricoinCenter for Applied Proteomics and Molecular Medicine, School of Systems Biology, George Mason University, Manassas, VA 20110, USA.
Matthew P GoetzDepartments of Oncology and Pharmacology, Mayo Clinic Breast Cancer Specialized Program of Research Excellence (SPORE), Women's Cancer Program, Mayo Clinic Cancer Center, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-4383-270X
Harry D BearDepartments of Surgery and Microbiology & Immunology, Division of Surgical Oncology, Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23298, USA.
Amy H TangLeroy T. Canoles Jr. Cancer Research Center, Department of Microbiology and Molecular Cell Biology, Eastern Virginia Medical School, Norfolk, VA 23501, USA.ORCID 0000-0002-5772-2878
Eastern Virginia Medical School · USSentara CarePlex Hospital · USSentara Norfolk General Hospital · USCancer Treatment Centers of America · USGeorge Mason University · USMayo Clinic · USNorth Dakota State University · USUniversity of California, Berkeley · USUniversity of Kentucky · USUniversity of Miami · USUniversity of South Florida · USVirginia Commonwealth University · USVirginia Oncology Associates · US

Funding

SIAH2-Dependent Proteolysis in Cell Migration, Tumor Growth and Cancer MetastasisR01CA140550 · NCI · EASTERN VIRGINIA MEDICAL SCHOOL · PI TANG, AMY H. · 2010 to 2014
$1.4M
Center for Innovative Technology MF14S-009-LSNIH HHS R01 CA140550U.S. Department of Defense BC180907
6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC), characterized by the absence or low expression of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor (HER2), is the most aggressive subtype of breast cancer. TNBC accounts for about 15% of breast cancer cases in the U.S., and is known for high relapse rates and poor overall survival (OS). Chemo-resistant TNBC is a genetically diverse, highly heterogeneous, and rapidly evolving disease that challenges our ability to individualize treatment for incomplete responders and relapsed patients. Currently, the frontline standard chemotherapy, composed of anthracyclines, alkylating agents, and taxanes, is commonly used to treat high-risk and locally advanced TNBC. Several FDA-approved drugs that target programmed cell death protein-1 (Keytruda) and programmed death ligand-1 (Tecentriq), poly ADP-ribose polymerase (PARP), and/or antibody drug conjugates (Trodelvy) have shown promise in improving clinical outcomes for a subset of TNBC. These inhibitors that target key genetic mutations and specific molecular signaling pathways that drive malignant tumor growth have been used as single agents and/or in combination with standard chemotherapy regimens. Here, we review the current TNBC treatment options, unmet clinical needs, and actionable drug targets, including epidermal growth factor (EGFR), vascular endothelial growth factor (VEGF), androgen receptor (AR), estrogen receptor beta (ERβ), phosphoinositide-3 kinase (PI3K), mammalian target of rapamycin (mTOR), and protein kinase B (PKB or AKT) activation in TNBC. Supported by strong evidence in developmental, evolutionary, and cancer biology, we propose that the K-RAS/SIAH pathway activation is a major tumor driver, and SIAH is a new drug target, a therapy-responsive prognostic biomarker, and a major tumor vulnerability in TNBC. Since persistent K-RAS/SIAH/EGFR pathway activation endows TNBC tumor cells with chemo-resistance, aggressive dissemination, and early relapse, we hope to design an anti-SIAH-centered anti-K-RAS/EGFR targeted therapy as a novel therapeutic strategy to control and eradicate incurable TNBC in the future.

Indexed as

and Taxotere)chemo-resistanceclinical diagnosticsconcurrent ACT regimen (AdriamycinCytoxanEGFR/K-RAS/SIAH signaling pathwayimproved patient survivalneoadjuvant chemotherapy (NACT)pathologic incomplete responders (pIR)prognosticsresidual cancer burden (RCB)sequential ACT regimen (AC-T)triple-negative breast cancer (TNBC)tumor-driving signaling pathways in TNBCtumor recurrence

Identifiers

PMID32846967
PMCPMC7565566
OpenAlexW3081189407

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.