Evidence map›Paper›PMID 34083229›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Aging and CNS Myeloid Cell Depletion Attenuate Breast Cancer Brain Metastasis.

Alex Man Lai Wu, Selamawit Gossa, Ramakrishna Samala, Monika A Chung, Brunilde Gril, Howard H Yang, Helen R Thorsheim, Andy D Tran, Debbie Wei, Esra Taner and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Mucin 5AC Promotes Breast Cancer Brain Metastasis through cMET/CD44v6.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  11. Metastatic organotropism in small cell lung cancer.bioRxiv : the preprint server for biology · 2025
    Article
  12. Sema3A Affect Osteolytic Bone Metastasis of Non-small Cell Lung Cancer.Recent patents on anti-cancer drug discovery · 2025
    Article
  13. Review
  14. Immune Microenvironment in Breast Cancer Metastasis.Advances in experimental medicine and biology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Mechanisms of Organ-Specific Metastasis of Breast Cancer.Cold Spring Harbor perspectives in medicine · 2023
    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

21 authors at 4 institutions in 1 country.

Alex Man Lai WuWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Selamawit GossaViral Immunology and Intravital Imaging Section, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland.
Ramakrishna SamalaSchool of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, Texas.
Monika A ChungWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Brunilde GrilWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Howard H YangLaboratory of Cancer Biology and Genetics, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.ORCID 0000-0002-9291-631X
Helen R ThorsheimSchool of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, Texas.
Andy D TranLaboratory of Cancer Biology and Genetics, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.ORCID 0000-0002-2388-7121
Debbie WeiWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Esra TanerWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Kristine IsanogleLaboratory Animal Sciences Program, Frederick National Laboratory for Cancer Research, National Cancer Institute, Frederick, Maryland.
Yuan YangLaboratory of Cancer Biology and Genetics, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Emma L DolanWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.ORCID 0000-0003-1086-3275
Christina RobinsonLaboratory Animal Sciences Program, Frederick National Laboratory for Cancer Research, National Cancer Institute, Frederick, Maryland.
Simone DifilippantonioLaboratory Animal Sciences Program, Frederick National Laboratory for Cancer Research, National Cancer Institute, Frederick, Maryland.
Maxwell P LeeLaboratory of Cancer Biology and Genetics, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Imran KhanWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Quentin R SmithSchool of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, Texas.
Dorian B McGavernViral Immunology and Intravital Imaging Section, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland.ORCID 0000-0001-9568-545X
Lalage M WakefieldLaboratory of Cancer Biology and Genetics, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.ORCID 0000-0003-4124-5250
Patricia S SteegWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland. steegp@mail.nih.gov.
National Cancer Institute · USFrederick National Laboratory for Cancer Research · USTexas Tech University · USNational Institute of Neurological Disorders and Stroke · US

Funding

Mechanisms Underlying Clearance of the Persistently Infected CNSZIANS003111 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI MCGAVERN, DORIAN · 2009 to 2025
$33.0M
Molecular Analysis of Breast Cancer Metastasis to the BrainZIABC010538 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI STEEG, PATRICIA SCHRIVER · 2009 to 2025
$17.1M
Development of TGF-beta antagonists for cancer therapyZIABC010881 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WAKEFIELD, LALAGE · 2009 to 2025
$12.5M
Integrated analyses of genetics, epigenetics, and gene expressionZIHBC011703 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LEE, MAXWELL · 2016 to 2025
$10.9M
Breast cancer aggressiveness in young patientsZIABC011718 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI STEEG, PATRICIA SCHRIVER · 2016 to 2024
$4.1M
CRR LIGAND ASSAY AND ANALYSIS CORER24HD102061 · NICHD · UNIVERSITY OF VIRGINIA · PI HAISENLEDER, DANIEL J. · 2019 to 2023
$2.2M
CCR NIH HHS HHSN261200800001CIntramural NIH HHS ZIA BC010538Intramural NIH HHS ZIA BC010881NCI NIH HHS HHSN261200800001ENICHD NIH HHS R24 HD102061
6 · The paper itself

Abstract

purposeBreast cancer diagnosed in young patients is often aggressive. Because primary breast tumors from young and older patients have similar mutational patterns, we hypothesized that the young host microenvironment promotes more aggressive metastatic disease. EXPERIMENTAL

designTriple-negative or luminal B breast cancer cell lines were injected into young and older mice side-by-side to quantify lung, liver, and brain metastases. Young and older mouse brains, metastatic and naïve, were analyzed by flow cytometry. Immune populations were depleted using antibodies or a colony-stimulating factor-1 receptor (CSF-1R) inhibitor, and brain metastasis assays were conducted. Effects on myeloid populations, astrogliosis, and the neuroinflammatory response were determined.

resultsBrain metastases were 2- to 4-fold higher in young as compared with older mouse hosts in four models of triple-negative or luminal B breast cancer; no age effect was observed on liver or lung metastases. Aged brains, naïve or metastatic, contained fewer resident CNS myeloid cells. Use of a CSF-1R inhibitor to deplete myeloid cells, including both microglia and infiltrating macrophages, preferentially reduced brain metastasis burden in young mice. Downstream effects of CSF-1R inhibition in young mice resembled that of an aged brain in terms of myeloid numbers, induction of astrogliosis, and Semaphorin 3A secretion within the neuroinflammatory response.

conclusionsHost microenvironmental factors contribute to the aggressiveness of triple-negative and luminal B breast cancer brain metastasis. CSF-1R inhibitors may hold promise for young brain metastasis patients.

Indexed as

Myeloid CellsAge FactorsAnimalsBrain NeoplasmsCell Line, TumorCentral Nervous SystemHumansMiceReceptor, Macrophage Colony-Stimulating FactorTriple Negative Breast NeoplasmsReceptor, Macrophage Colony-Stimulating Factor

Identifiers

PMID34083229
PMCPMC9974011
OpenAlexW3164204237

What OpenQuestion holds

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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.