Evidence map›Paper›PMID 33777770›Full record

ArticleFrontiers in oncology2021

ESR1 Gene Mutation in Hormone Receptor-Positive HER2-Negative Metastatic Breast Cancer Patients: Concordance Between Tumor Tissue and Circulating Tumor DNA Analysis.

Loredana Urso, Grazia Vernaci, Jessica Carlet, Marcello Lo Mele, Matteo Fassan, Elisabetta Zulato, Giovanni Faggioni, Alice Menichetti, Elisabetta Di Liso, Gaia Griguolo and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. 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
1.0field-weighted citation impact, top 28% 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, 15 citations in OpenAlex.

  1. Article
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  7. Exploration of targeted anti-tumor therapy · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Liquid Biopsy in the Clinical Management of Cancers.International journal of molecular sciences · 2024
    Review
  12. Article
  13. Article
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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

15 authors at 4 institutions in 1 country.

Loredana UrsoDepartment of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padova, Italy.
Grazia VernaciDepartment of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padova, Italy.
Jessica CarletMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
Marcello Lo MeleDepartment of Pathology, Azienda Ospedaliera Universitaria, Padova, Italy.
Matteo FassanDepartment of Medicine-DIMED, Surgical Pathology and Cytopathology Unit, University of Padua, Padova, Italy.
Elisabetta ZulatoImmunology and Molecular Oncology Unit, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
Giovanni FaggioniMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
Alice MenichettiMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
Elisabetta Di LisoMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
Gaia GriguoloDepartment of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padova, Italy.
Cristina FalciMedical Oncology 2, Istituto Oncologico Veneto IOV-IRCCS, Padova, Italy.
Pierfranco ConteDepartment of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padova, Italy.
Stefano IndraccoloDepartment of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padova, Italy.
Valentina GuarneriDepartment of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padova, Italy.
Maria Vittoria DieciDepartment of Surgery, Oncology and Gastroenterology-DiSCOG, University of Padova, Padova, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Padua · ITIstituto Oncologico Veneto · ITAzienda Ospedaliera di Padova · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endocrine therapy represents the cornerstone of treatment in hormone receptor-positive (HR+), HER2-negative metastatic breast cancer (mBC). The natural course of this disease is marked by endocrine resistance, mainly due to Estrogen Receptor 1 (ESR1) acquired mutations. The aim of this study is to evaluate the concordance between ESR1 status in metastatic tumor specimens and matched circulating tumor DNA (ctDNA). Forty-three patients with HR+, HER2-negative mBC underwent both a metastatic tumor biopsy and a liquid biopsy at the time of disease progression. DNA extracted from formalin fixed paraffin embedded (FFPE) tumor specimens and ctDNA from matched plasma were analyzed by droplet digital (dd)PCR for the main ESR1 mutations (Y537S, Y537C, Y537N, D538G, E380Q). We observed a total mutation rate of 21%. We found six mutations on tissue biopsy: Y537S (1), D538G (2), Y537N (1), E380Q (2). Three patients with no mutations in tumor tissue had mutations detected in ctDNA. The total concordance rate between ESR1 status on tumor tissue and plasma was 91%. Our results confirm the potential role of liquid biopsy as a non-invasive alternative to tissue biopsy for ESR1 mutation assessment in mBC patients.

Indexed as

ctDNAendocrine therapyEstrogen Receptor 1 (ESR1)liquid biopsymetastatic breast cancer

Identifiers

PMID33777770
PMCPMC7991720
OpenAlexW3135537887

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.