Evidence map›Paper›PMID 32923902›Full record

ArticleJCO precision oncology2020

Frequent Molecular Subtype Switching and Gene Expression Alterations in Lung and Pleural Metastasis From Luminal A-Type Breast Cancer.

Max Klebe, Carlo Fremd, Mark Kriegsmann, Katharina Kriegsmann, Thomas Albrecht, Verena Thewes, Martina Kirchner, Pornpimol Charoentong, Nadine Volk, Johannes Haag and 7 more

Open access · hybridAbstract read
In one paragraph

Article in JCO precision oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-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

17 citing papers in PubMed, 33 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 5 institutions in 1 country.

Max KlebeDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Carlo FremdNational Center for Tumor Diseases, Department of Medical Oncology, Heidelberg, Germany.
Mark KriegsmannDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Katharina KriegsmannDepartment of Hematology, Oncology and Rheumatology, Heidelberg University Hospital, Heidelberg, Germany.
Thomas AlbrechtDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Verena ThewesNational Center for Tumor Diseases, Department of Medical Oncology, Heidelberg, Germany.
Martina KirchnerDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Pornpimol CharoentongNational Center for Tumor Diseases, Department of Medical Oncology, Heidelberg, Germany.
Nadine VolkDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Johannes HaagDepartment of Surgery, Thoraxklinik Heidelberg, Heidelberg, Germany.
Ralph WirtzStratifyer Molecular Diagnostic GmbH, Köln, Germany.
Thordur OskarssonDivision of Stem Cells and Cancer, German Cancer Research Center and Heidelberg Institute for Stem Cell Technology and Experimental Medicine, Heidelberg, Germany.
Alexandra SchulzDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Jörg HeilDepartment of Gynecology and Obstetrics, Heidelberg University Hospital, Heidelberg, Germany.
Andreas SchneeweissNational Center for Tumor Diseases, Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany.
Hauke WinterDepartment of Surgery, Thoraxklinik Heidelberg, Heidelberg, Germany.
Peter SinnDepartment of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
University Hospital Heidelberg · DEHeidelberg University · DEGerman Cancer Research Center · DEHeidelberg Institute for Stem Cell Technology and Experimental Medicine · DENational Center for Tumor Diseases · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConversion of tumor subtype frequently occurs in the course of metastatic breast cancer but is a poorly understood phenomenon. This study aims to compare molecular subtypes with subsequent lung or pleural metastasis. PATIENTS AND

methodsIn a cohort of 57 patients with breast cancer and lung or pleural metastasis (BCLPM), we investigated paired primary and metastatic tissues for differential gene expression of 269 breast cancer genes. The PAM50 classifier was applied to identify intrinsic subtypes, and differential gene expression and cluster analysis were used to further characterize subtypes and tumors with subtype conversion.

resultsIn primary breast cancer, the most frequent molecular subtype was luminal A (lumA; 49.1%); it was luminal B (lumB) in BCLPM (38.6%). Subtype conversion occurred predominantly in lumA breast cancers compared with other molecular subtypes (57.1%

conclusionOur results indicate that gene expression changes and subsequent subtype conversion occur on a large scale in metastatic luminal A-type breast cancer compared with other molecular subtypes. This underlines the significance of molecular changes in metastatic disease, especially in tumors of initially low aggressive potential.

Identifiers

PMID32923902
PMCPMC7446514
OpenAlexW3044069371

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.