Evidence map›Paper›PMID 34359829›Full record

ArticleCells2021

ER+ Breast Cancer Strongly Depends on MCL-1 and BCL-xL Anti-Apoptotic Proteins.

Clara Alcon, Jorge Gómez Tejeda Zañudo, Reka Albert, Nikhil Wagle, Maurizio Scaltriti, Anthony Letai, Josep Samitier, Joan Montero

Open access · goldAbstract read
In one paragraph

Article in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.9field-weighted citation impact, top 13% 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, 30 citations in OpenAlex.

  1. Review
  2. VFLING: Vertical Federated Learning for Multi-Omics Data Integration with Graphs.Interdisciplinary sciences, computational life sciences · 2026
    Article
  3. Subtype-Independent Activation of NF-κB Signaling in Breast Cancer.International journal of molecular sciences · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. siRNA and targeted delivery systems in breast cancer therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
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

8 authors at 6 institutions in 2 countries.

Clara AlconInstitute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology (BIST), 08028 Barcelona, Spain.
Jorge Gómez Tejeda ZañudoEli and Edythe L. Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Reka AlbertDepartment of Biology, The Pennsylvania State University, University Park, PA 16802-6300, USA.ORCID 0000-0002-9485-0828
Nikhil WagleEli and Edythe L. Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.ORCID 0000-0003-3332-9438
Maurizio ScaltritiHuman Oncology & Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Anthony LetaiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0002-1993-9013
Josep SamitierInstitute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology (BIST), 08028 Barcelona, Spain.ORCID 0000-0002-1140-3679
Joan MonteroInstitute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology (BIST), 08028 Barcelona, Spain.
Broad Institute · USInstitute for Bioengineering of Catalonia · ESBiomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine · ESHarvard University · USMemorial Sloan Kettering Cancer Center · USPennsylvania State University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
CERCA Programme / Generalitat de Catalunya 2017 SGR 1079Ministerio de Ciencia, Innovación y Universidades RTI2018-094533-A-I00Ministerio de Economia y Competitividad RYC-2015-18357National Science Foundation 1545853National Science Foundation PHY 1545839National Science Foundation grants PHY 1545832NCI NIH HHS P30 CA008748Stand Up to Cancer Foundation, and Stand Up to Cancer Foundation/The V Foundation D2015-039Stand Up to Cancer Foundation/The V Foundation Convergence Scholar D2015-037
6 · The paper itself

Abstract

Breast cancer is the most frequent type of cancer and the major cause of mortality in women. The rapid development of various therapeutic options has led to the improvement of treatment outcomes; nevertheless, one-third of estrogen receptor (ER)-positive patients relapse due to cancer cell acquired resistance. Here, we use dynamic BH3 profiling (DBP), a functional predictive assay that measures net changes in apoptotic priming, to find new effective treatments for ER+ breast cancer. We observed anti-apoptotic adaptations upon treatment that pointed to metronomic therapeutic combinations to enhance cytotoxicity and avoid resistance. Indeed, we found that the anti-apoptotic proteins BCL-xL and MCL-1 are crucial for ER+ breast cancer cells resistance to therapy, as they exert a dual inhibition of the pro-apoptotic protein BIM and compensate for each other. In addition, we identified the AKT inhibitor ipatasertib and two BH3 mimetics targeting these anti-apoptotic proteins, S63845 and A-1331852, as new potential therapies for this type of cancer. Therefore, we postulate the sequential inhibition of both proteins using BH3 mimetics as a new treatment option for refractory and relapsed ER+ breast cancer tumors.

Indexed as

Antineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsApoptosisbcl-X ProteinBreast NeoplasmsBridged Bicyclo Compounds, HeterocyclicCell Line, TumorDrug Resistance, NeoplasmDrug SynergismEstrogen Receptor alphaEverolimusFemaleFulvestrantGene Expression Regulation, NeoplasticHumansMCF-7 CellsAlpelisibAntineoplastic AgentsBCL2L1 protein, humanbcl-X ProteinBridged Bicyclo Compounds, HeterocyclicESR1 protein, humanEstrogen Receptor alphaEverolimusFulvestrantipatasertibMCL1 protein, humanMyeloid Cell Leukemia Sequence 1 ProteinpalbociclibPiperazinesProtein IsoformsProto-Oncogene Proteins c-aktPyridinesPyrimidinesS63845SulfonamidesThiazolesThiophenesvenetoclaxapoptosisBH3 mimeticsDBPER+ breast cancerprimingresistancetargeted therapies

Identifiers

PMID34359829
PMCPMC8304651
OpenAlexW3176739764

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.