Evidence map›Paper›PMID 34588427›Full record

ArticleBone research2021

Inflammatory conversion of quiescent osteoblasts by metastatic breast cancer cells through pERK1/2 aggravates cancer-induced bone destruction.

Jungho Back, Minh Nam Nguyen, Lu Li, Saelim Lee, Inkyu Lee, Fancheng Chen, Lauren Gillinov, Yeon-Ho Chung, Kareme D Alder, Hyuk-Kwon Kwon and 9 more

Open access · goldAbstract read
In one paragraph

Article in Bone research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Organoids in breast cancer translational research: intersection of technologies.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Muscle and Bone Defects in Metastatic Disease.Current osteoporosis reports · 2022
    Review
  13. 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

19 authors at 7 institutions in 4 countries.

Jungho Back *Department of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Minh Nam Nguyen *Department of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Lu LiDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Saelim LeeDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Inkyu LeeDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Fancheng ChenDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Lauren GillinovDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Yeon-Ho ChungDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Kareme D AlderDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-7796-4188
Hyuk-Kwon KwonDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-4723-4061
Kristin E YuDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8500-5200
Christopher M DussikDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Zichen HaoDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Michael J FloresDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Yoseph KimBiomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.
Izuchukwu K IbeDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Alana M MungerDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA.
Sung Wook SeoDepartment of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Gangnam-gu, Republic of Korea.
Francis Y LeeDepartment of Orthopædics & Rehabilitation, Yale University, School of Medicine, New Haven, CT, USA. francis.lee@yale.edu.
Yale University · USJohns Hopkins University · USRenji Hospital · CNSamsung Medical Center · KRSecond Military Medical University · CNShanghai Medical College of Fudan University · CNVietnam National University Ho Chi Minh City · VN

Funding

Short-Term Reserch Training: Students in Health SchoolsT35HL007649 · NHLBI · YALE UNIVERSITY · PI Sarwat I Chaudhry, Erica L Herzog · 1987 to 2026
$5.7M
ERK Signaling in Inflammatory Bone LossR01AR056246 · NIAMS · YALE UNIVERSITY · PI LEE, FRANCIS YOUNG-IN · 2009 to 2018
$3.5M
Modification of Bone Grafts for Orthopaedic ProceduresR01AR068353 · NIAMS · YALE UNIVERSITY · PI LEE, FRANCIS YOUNG-IN · 2015 to 2020
$2.7M
Bone and Breast Cancer Molecular InteractionsR01CA203011 · NCI · YALE UNIVERSITY · PI LEE, FRANCIS YOUNG-IN · 2016 to 2020
$2.3M
NCI NIH HHS R01 CA203011NHLBI NIH HHS T35 HL007649NIAMS NIH HHS R01 AR056246NIAMS NIH HHS R01 AR068353U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) CA203011U.S. Department of Health & Human Services | NIH | National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) AR056246U.S. Department of Health & Human Services | NIH | National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) AR068353
6 · The paper itself

Abstract

Disruption of bone homeostasis caused by metastatic osteolytic breast cancer cells increases inflammatory osteolysis and decreases bone formation, thereby predisposing patients to pathological fracture and cancer growth. Alteration of osteoblast function induces skeletal diseases due to the disruption of bone homeostasis. We observed increased activation of pERK1/2 in osteolytic breast cancer cells and osteoblasts in human pathological specimens with aggressive osteolytic breast cancer metastases. We confirmed that osteolytic breast cancers with high expression of pERK1/2 disrupt bone homeostasis via osteoblastic ERK1/2 activation at the bone-breast cancer interface. The process of inflammatory osteolysis modulates ERK1/2 activation in osteoblasts and breast cancer cells through dominant-negative MEK1 expression and constitutively active MEK1 expression to promote cancer growth within bone. Trametinib, an FDA-approved MEK inhibitor, not only reduced breast cancer-induced bone destruction but also dramatically reduced cancer growth in bone by inhibiting the inflammatory skeletal microenvironment. Taken together, these findings suggest that ERK1/2 activation in both breast cancer cells and osteoblasts is required for osteolytic breast cancer-induced inflammatory osteolysis and that ERK1/2 pathway inhibitors may represent a promising adjuvant therapy for patients with aggressive osteolytic breast cancers by altering the shared cancer and bone microenvironment.

Identifiers

PMID34588427
PMCPMC8481290
OpenAlexW3202858525

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.