Evidence map›Paper›PMID 33420367›Full record

ArticleOncogene2021

Integrin alpha5 in human breast cancer is a mediator of bone metastasis and a therapeutic target for the treatment of osteolytic lesions.

Francesco Pantano, Martine Croset, Keltouma Driouch, Natalia Bednarz-Knoll, Michele Iuliani, Giulia Ribelli, Edith Bonnelye, Harriet Wikman, Sandra Geraci, Florian Bonin and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Oncogene, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
10.5field-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

61 citing papers in PubMed, 98 citations in OpenAlex.

  1. Review
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  4. Article
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  7. Mechanisms of breast cancer dormancy in bone metastasis.Clinical & experimental metastasis · 2026
    Review
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  9. Article
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  14. Article
  15. Cancers · 2025
    Article
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  18. Review
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1 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

18 authors at 4 institutions in 5 countries.

Francesco PantanoINSERM, UMR_S1033, LYOS, Lyon, France.
Martine CrosetINSERM, UMR_S1033, LYOS, Lyon, France.
Keltouma DriouchInstitut Curie, Service de Génétique, Unité de Pharmacogénomique, Paris, France.
Natalia Bednarz-KnollDepartment of Tumor Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-9506-942X
Michele IulianiMedical Oncology Department, Campus Bio-Medico University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0003-3536-7630
Giulia RibelliMedical Oncology Department, Campus Bio-Medico University of Rome, Rome, Italy.
Edith BonnelyeINSERM, UMR_S1033, LYOS, Lyon, France.
Harriet WikmanDepartment of Tumor Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-6862-0888
Sandra GeraciINSERM, UMR_S1033, LYOS, Lyon, France.
Florian BoninInstitut Curie, Service de Génétique, Unité de Pharmacogénomique, Paris, France.
Sonia SimonettiMedical Oncology Department, Campus Bio-Medico University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-0673-1272
Bruno VincenziMedical Oncology Department, Campus Bio-Medico University of Rome, Rome, Italy.
Saw See HongUniv Lyon, Villeurbanne, France.
Sofia SousaINSERM, UMR_S1033, LYOS, Lyon, France.ORCID http://orcid.org/0000-0002-4368-4866
Klaus PantelDepartment of Tumor Biology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Giuseppe ToniniMedical Oncology Department, Campus Bio-Medico University of Rome, Rome, Italy.
Daniele SantiniMedical Oncology Department, Campus Bio-Medico University of Rome, Rome, Italy.
Philippe ClézardinINSERM, UMR_S1033, LYOS, Lyon, France. philippe.clezardin@inserm.fr.ORCID http://orcid.org/0000-0003-0149-4463
Université Claude Bernard Lyon 1 · FRUniversità Campus Bio-Medico · ITUniversität Hamburg · DEInstitut Curie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone metastasis remains a major cause of mortality and morbidity in breast cancer. Therefore, there is an urgent need to better select high-risk patients in order to adapt patient's treatment and prevent bone recurrence. Here, we found that integrin alpha5 (ITGA5) was highly expressed in bone metastases, compared to lung, liver, or brain metastases. High ITGA5 expression in primary tumors correlated with the presence of disseminated tumor cells in bone marrow aspirates from early stage breast cancer patients (n = 268; p = 0.039). ITGA5 was also predictive of poor bone metastasis-free survival in two separate clinical data sets (n = 855, HR = 1.36, p = 0.018 and n = 427, HR = 1.62, p = 0.024). This prognostic value remained significant in multivariate analysis (p = 0.028). Experimentally, ITGA5 silencing impaired tumor cell adhesion to fibronectin, migration, and survival. ITGA5 silencing also reduced tumor cell colonization of the bone marrow and formation of osteolytic lesions in vivo. Conversely, ITGA5 overexpression promoted bone metastasis. Pharmacological inhibition of ITGA5 with humanized monoclonal antibody M200 (volociximab) recapitulated inhibitory effects of ITGA5 silencing on tumor cell functions in vitro and tumor cell colonization of the bone marrow in vivo. M200 also markedly reduced tumor outgrowth in experimental models of bone metastasis or tumorigenesis, and blunted cancer-associated bone destruction. ITGA5 was not only expressed by tumor cells but also osteoclasts. In this respect, M200 decreased human osteoclast-mediated bone resorption in vitro. Overall, this study identifies ITGA5 as a mediator of breast-to-bone metastasis and raises the possibility that volociximab/M200 could be repurposed for the treatment of ITGA5-positive breast cancer patients with bone metastases.

Indexed as

AgedAntibodies, MonoclonalBone NeoplasmsBreast NeoplasmsCell AdhesionCell Line, TumorCell MovementCell ProliferationFemaleGene Expression Regulation, NeoplasticHumansIntegrinsKaplan-Meier EstimateMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalAntibodies, MonoclonalIntegrinsITGA5 protein, humanvolociximab

Identifiers

PMID33420367
PMCPMC7892344
OpenAlexW3120264852

What OpenQuestion holds

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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.