Evidence map›Paper›PMID 33257837›Full record

ArticleBritish journal of cancer2021

RON signalling promotes therapeutic resistance in ESR1 mutant breast cancer.

Derek Dustin, Guowei Gu, Amanda R Beyer, Sarah K Herzog, David G Edwards, Hangqing Lin, Thomas L Gonzalez, Sandra L Grimm, Cristian Coarfa, Doug W Chan and 7 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Multi-omic Profiling of Recurrence Risk Across Breast Cancer Subtypes.medRxiv : the preprint server for health sciences · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Organoids in breast cancer translational research: intersection of technologies.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Small-molecule agents for cancer immunotherapy.Acta pharmaceutica Sinica. B · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Derek DustinLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Guowei GuLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Amanda R BeyerLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Sarah K HerzogLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
David G EdwardsLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Hangqing LinLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Thomas L GonzalezLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Sandra L GrimmDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA.
Cristian CoarfaDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA.
Doug W ChanLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Beom-Jun KimLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Jean-Paul De La OUniversity of Utah Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Matthew J EllisLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA.
Dan LiuDepartment of Biochemistry and Molecular Biology, Baylor College of Medicine, Houston, TX, USA.
Shunqiang LiWashington University School of Medicine, St. Louis, MO, USA.
Alana L WelmUniversity of Utah Huntsman Cancer Institute, Salt Lake City, Utah, USA.ORCID http://orcid.org/0000-0002-1412-1351
Suzanne A W FuquaLester & Sue Smith Breast Center, Baylor College of Medicine, Houston, TX, USA. sfuqua@bcm.edu.ORCID http://orcid.org/0000-0001-8886-5161
Baylor College of Medicine · USUniversity of Utah · USWashington University in St. Louis · US

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI DAVID R ROWLEY · 2007 to 2026
$73.9M
TRAINING PROGRAM IN CELL AND MOLECULAR BIOLOGYT32GM008231 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI NELSON, DAVID LOREN · 1990 to 2019
$7.2M
Replication Stress and DNA Damage Response Drives ESR1 Mutant MetastasisR01CA072038 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI Suzanne AW Fuqua · 1996 to 2026
$6.7M
Short-form Ron Kinase in Tumor Progression and MetastasisR01CA166422 · NCI · UNIVERSITY OF UTAH · PI WELM, ALANA L · 2012 to 2017
$2.0M
MECHANISMS OF AR-ER COLLABORATION IN HORMONE RESISTANCE AND METASTASIS OF BREAST CANCERR01CA207270 · NCI · BAYLOR COLLEGE OF MEDICINE · PI FUQUA, SUZANNE AW · 2017 to 2021
$1.8M
Translational Breast Cancer Research Training ProgramT32CA203690 · NCI · BAYLOR COLLEGE OF MEDICINE · PI FUQUA, SUZANNE AW, RIMAWI, MOTHAFFAR FAHED · 2018 to 2022
$1.0M
Breast Cancer Research Foundation (BCRF) 19-055Cancer Prevention and Research Institute of Texas (Cancer Prevention Research Institute of Texas) RP180712Cancer Prevention and Research Institute of Texas (Cancer Prevention Research Institute of Texas) RR140033NCI NIH HHS P30 CA125123NCI NIH HHS R01 CA072038NCI NIH HHS R01 CA166422NCI NIH HHS R01 CA207270NCI NIH HHS T32 CA203690NIGMS NIH HHS T32 GM008231Susan G. Komen (Susan G. Komen Breast Cancer Foundation) PDF12230127U.S. Department of Health & Human Services | National Institutes of Health (NIH) T322389301302
6 · The paper itself

Abstract

backgroundOestrogen Receptor 1 (ESR1) mutations are frequently acquired in oestrogen receptor (ER)-positive metastatic breast cancer (MBC) patients who were treated with aromatase inhibitors (AI) in the metastatic setting. Acquired ESR1 mutations are associated with poor prognosis and there is a lack of effective therapies that selectively target these cancers.

methodsWe performed a proteomic kinome analysis in ESR1 Y537S mutant cells to identify hyperactivated kinases in ESR1 mutant cells. We validated Recepteur d'Origine Nantais (RON) and PI3K hyperactivity through phospho-immunoblot analysis, organoid growth assays, and in an in vivo patient-derived xenograft (PDX) metastatic model.

resultsWe demonstrated that RON was hyperactivated in ESR1 mutant models, and in acquired palbociclib-resistant (PalbR) models. RON and insulin-like growth factor 1 receptor (IGF-1R) interacted as shown through pharmacological and genetic inhibition and were regulated by the mutant ER as demonstrated by reduced phospho-protein expression with endocrine therapies (ET). We show that ET in combination with a RON inhibitor (RONi) decreased ex vivo organoid growth of ESR1 mutant models, and as a monotherapy in PalbR models, demonstrating its therapeutic efficacy. Significantly, ET in combination with the RONi reduced metastasis of an ESR1 Y537S mutant PDX model.

conclusionsOur results demonstrate that RON/PI3K pathway inhibition may be an effective treatment strategy in ESR1 mutant and PalbR MBC patients. Clinically our data predict that ET resistance mechanisms can also contribute to CDK4/6 inhibitor resistance.

Indexed as

AnimalsBreast NeoplasmsDrug Resistance, NeoplasmEstrogen Receptor alphaFemaleHumansMiceMutationPiperazinesProtein Kinase InhibitorsPyridinesReceptor Protein-Tyrosine KinasesSignal TransductionXenograft Model Antitumor AssaysESR1 protein, humanEstrogen Receptor alphapalbociclibPiperazinesProtein Kinase InhibitorsPyridinesReceptor Protein-Tyrosine KinasesRON protein

Identifiers

PMID33257837
PMCPMC7782501
OpenAlexW3110430879

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.