Evidence map›Paper›PMID 33020483›Full record

ArticleNature communications2020

Interleukin-6 trans-signaling is a candidate mechanism to drive progression of human DCCs during clinical latency.

Melanie Werner-Klein, Ana Grujovic, Christoph Irlbeck, Milan Obradović, Martin Hoffmann, Huiqin Koerkel-Qu, Xin Lu, Steffi Treitschke, Cäcilia Köstler, Catherine Botteron and 23 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. EMT and cancer: what clinicians should know.Nature reviews. Clinical oncology · 2025
    Review
  8. Article
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  10. Review
  11. MCSPNature cancer · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Obesity Arrhythmias: Role of IL-6 Trans-Signaling.International journal of molecular sciences · 2024
    Review
  18. Article
  19. Article
  20. Article
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

33 authors at 6 institutions in 1 country.

Melanie Werner-Klein *Experimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany. melanie.werner-klein@ukr.de.ORCID http://orcid.org/0000-0002-5677-9346
Ana Grujovic *Experimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Christoph IrlbeckExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0002-0097-5639
Milan ObradovićExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Martin HoffmannDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.ORCID http://orcid.org/0000-0001-9863-1772
Huiqin Koerkel-QuExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Xin LuDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Steffi TreitschkeDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Cäcilia KöstlerDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Catherine BotteronDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Kathrin WeideleDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Christian WernoDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Bernhard PolzerDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.ORCID http://orcid.org/0000-0002-3797-9975
Stefan KirschDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Miodrag GužvićExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0001-8089-3969
Jens WarfsmannDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Kamran HonarnejadDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Zbigniew CzyzExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Giancarlo FelicielloDivision of Personalized Tumour Therapy, Fraunhofer Institute for Toxicology and Experimental Medicine, 93053, Regensburg, Germany.
Isabell BlochbergerExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Sandra GrunewaldExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Elisabeth SchneiderExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Gundula HaunschildExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Nina PatwaryExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Severin GuetterExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0001-8253-3609
Sandra HuberExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany.
Brigitte RackDepartment OB&GYN and CCCLMU, Breast Center, LMU University Hospital, 80337, Munich, Germany.
Nadia HarbeckDepartment OB&GYN and CCCLMU, Breast Center, LMU University Hospital, 80337, Munich, Germany.
Stefan BuchholzClinic of Gynecology and Obstetrics, University Medical Center Regensburg, 93053, Regensburg, Germany.
Petra RümmeleDepartment of Pathology, University of Regensburg, 93053, Regensburg, Germany.ORCID http://orcid.org/0000-0001-6909-9545
Norbert HeineUniversity Center of Plastic-, Aesthetic, Hand- and Reconstructive Surgery, University of Regensburg, Regensburg, Germany.
Stefan Rose-JohnInstitute of Biochemistry, Christian-Albrechts-Universität Kiel, Kiel, Germany.ORCID http://orcid.org/0000-0002-7519-3279
Christoph A KleinExperimental Medicine and Therapy Research, University of Regensburg, Regensburg, Germany. Christoph.klein@ukr.de.ORCID http://orcid.org/0000-0001-7128-1725
University of Regensburg · DEFraunhofer Institute for Toxicology and Experimental Medicine · DELMU Klinikum · DEUniversity Hospital Regensburg · DEChristian-Albrechts-Universität zu Kiel · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although thousands of breast cancer cells disseminate and home to bone marrow until primary surgery, usually less than a handful will succeed in establishing manifest metastases months to years later. To identify signals that support survival or outgrowth in patients, we profile rare bone marrow-derived disseminated cancer cells (DCCs) long before manifestation of metastasis and identify IL6/PI3K-signaling as candidate pathway for DCC activation. Surprisingly, and similar to mammary epithelial cells, DCCs lack membranous IL6 receptor expression and mechanistic dissection reveals IL6 trans-signaling to regulate a stem-like state of mammary epithelial cells via gp130. Responsiveness to IL6 trans-signals is found to be niche-dependent as bone marrow stromal and endosteal cells down-regulate gp130 in premalignant mammary epithelial cells as opposed to vascular niche cells. PIK3CA activation renders cells independent from IL6 trans-signaling. Consistent with a bottleneck function of microenvironmental DCC control, we find PIK3CA mutations highly associated with late-stage metastatic cells while being extremely rare in early DCCs. Our data suggest that the initial steps of metastasis formation are often not cancer cell-autonomous, but also depend on microenvironmental signals.

Indexed as

Signal TransductionBone MarrowBreastBreast NeoplasmsClass I Phosphatidylinositol 3-KinasesCytokine Receptor gp130Epithelial CellsFemaleHumansInterleukin-6MutationNeoplasm MetastasisNeoplastic Stem CellsReceptors, Interleukin-6Stromal CellsTumor MicroenvironmentClass I Phosphatidylinositol 3-KinasesCytokine Receptor gp130IL6 protein, humanIL6R protein, humanIL6ST protein, humanInterleukin-6PIK3CA protein, humanReceptors, Interleukin-6

Identifiers

PMID33020483
PMCPMC7536220
OpenAlexW3090130779

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.