Evidence map›Paper›PMID 33194666›Full record

ArticleFrontiers in oncology2020

Hematogenous Dissemination of Breast Cancer Cells From Lymph Nodes Is Mediated by Tumor MicroEnvironment of Metastasis Doorways.

Anouchka Coste, George S Karagiannis, Yarong Wang, Emily A Xue, Yu Lin, Mihaela Skobe, Joan G Jones, Maja H Oktay, John S Condeelis, David Entenberg

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Role of circulating tumor cell clusters in breast cancer.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
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

10 authors at 3 institutions in 1 country.

Anouchka CosteDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
George S KaragiannisDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
Yarong WangDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
Emily A XueDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
Yu LinDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
Mihaela SkobeDepartment of Oncological Sciences and Tisch Cancer Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Joan G JonesDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
Maja H OktayDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
John S CondeelisDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
David EntenbergDepartment of Anatomy and Structural Biology, Einstein College of Medicine/Montefiore Medical Center, New York, NY, United States.
Albert Einstein College of Medicine · USIcahn School of Medicine at Mount Sinai · USMontefiore Medical Center · US

Funding

Tumor Progression and MetastasisP01CA100324 · NCI · YESHIVA UNIVERSITY · PI CONDEELIS, JOHN S · 2003 to 2018
$30.0M
(7) Novel imaging devices for measurement and control of tumor microenvironmentsR01CA216248 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CADY, NATHANIEL CHARLES, CONDEELIS, JOHN S · 2017 to 2021
$2.9M
Training of Surgeons for Studies of the Tumor MicroenvironmentT32CA200561 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MCAULIFFE, JOHN · 2015 to 2024
$2.7M
Mechanisms of Lymphatic Metastasis in MelanomaR01CA172637 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SKOBE, MIHAELA · 2014 to 2018
$1.8M
High-speed/resolution whole slide scanner supported by two core facilitiesS10OD019961 · OD · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI CONDEELIS, JOHN S · 2015 to 2015
$326k
Prometastatic Effects of Neoadjuvant Chemotherapy in Breast CancerK99CA237851 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KARAGIANNIS, GEORGE S · 2019 to 2020
$289k
NCI NIH HHS K99 CA237851NCI NIH HHS P01 CA100324NCI NIH HHS R01 CA172637NCI NIH HHS R01 CA216248NCI NIH HHS T32 CA200561NIH HHS S10 OD019961
6 · The paper itself

Abstract

In primary breast tumors, cancer cells hematogenously disseminate through doorways in the vasculature composed of three-cell complexes (known as Tumor MicroEnvironment of Metastasis) comprising a perivascular macrophage, a tumor cell overexpressing the actin-regulatory protein Mammalian Enabled (Mena), and an endothelial cell, all in direct physical contact. It has been previously shown that once tumor cells establish lymph node metastases in patients, TMEM doorways form in the metastatic tumor cell nests. However, it has not been established if such lymph node-TMEM doorways actively transit tumor cells into the peripheral circulation and on to tertiary sites. To address this question in this short report, we used a mouse model of lymph node metastasis to demonstrate that TMEM doorways: (1) exist in tumor-positive lymph nodes of mice, (2) are restricted to the blood vascular endothelium, (3) serve as a mechanism for further dissemination to peripheral sites such as to the lungs, and (4) their activity can be abrogated by a pharmaceutical intervention. Our data suggest that cancer cell dissemination via TMEM doorways is a common mechanism of breast cancer cell dissemination to distant sites and thus the pharmacological targeting of TMEM may be necessary, even after resection of the primary tumor, to suppress cancer cell dissemination.

Indexed as

blood vesselbreast cancercancer cell disseminationlymphatic vessellymph nodetumor microenvironment of metastasis (TMEM)

Identifiers

PMID33194666
PMCPMC7649363
OpenAlexW3095451430

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.