Evidence map›Paper›PMID 34876602›Full record

ArticleScientific reports2021

Discordance of PIK3CA and TP53 mutations between breast cancer brain metastases and matched primary tumors.

Anna Thulin, Carola Andersson, Elisabeth Werner Rönnerman, Shahin De Lara, Chaido Chamalidou, Arnd Schoenfeld, Anikó Kovács, Henrik Fagman, Fredrik Enlund, Barbro K Linderholm

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Feasibility ofGeburtshilfe und Frauenheilkunde · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  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

10 authors at 3 institutions in 1 country.

Anna ThulinDepartment of Oncology at Gothenburg University, Sahlgrenska Academy and University Hospital, 413 45, Gothenburg, Sweden.
Carola AnderssonDiagnostic Center, Kalmar, Regional Hospital of Kalmar County, Kalmar, Sweden.
Elisabeth Werner RönnermanDepartment of Oncology at Gothenburg University, Sahlgrenska Academy and University Hospital, 413 45, Gothenburg, Sweden.
Shahin De LaraDepartment of Clinical Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Chaido ChamalidouDepartment of Oncology at Gothenburg University, Sahlgrenska Academy and University Hospital, 413 45, Gothenburg, Sweden.
Arnd SchoenfeldDepartment of Pathology, Norra Älvsborg Hospital, Trollhättan, Sweden.
Anikó KovácsDepartment of Clinical Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Henrik FagmanDepartment of Clinical Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Fredrik EnlundDiagnostic Center, Kalmar, Regional Hospital of Kalmar County, Kalmar, Sweden.
Barbro K LinderholmDepartment of Oncology at Gothenburg University, Sahlgrenska Academy and University Hospital, 413 45, Gothenburg, Sweden. barbro.linderholm@oncology.gu.se.ORCID 0000-0003-1531-630X
Sahlgrenska University Hospital · SELandstinget i Kalmar län · SENorra Älvsborgs Länssjukhus · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is limited knowledge of the biology of breast cancer (BC) brain metastasis (BM). We primarily aimed to determine the mutations in BCBM and to compare the mutational pattern with the matched primary breast cancer (BC). Secondary aims were to determine mutations in each subgroup (Luminal A-/B-like, HER2+ and TNBC) of BCBM, and to determine survival according to specific mutations. We investigated 57 BCBMs, including 46 cases with matched primary tumors (PT) by targeted Next Generation Sequencing (NGS) using the Cancer Hotspot Panel v2 (ThermoFisher Scientific) covering 207 targeted regions in 50 cancer related genes. Subtype according to immunohistochemistry was re-evaluated. NGS results fulfilling sequencing quality criteria were obtained from 52 BM and 41 PT, out of which 37 were matched pairs. Pathogenic mutations were detected in 66% of PTs (27/41), and 62% of BMs (32/52). TP53 mutations were most frequent; 49% (20/41) of PTs and 48% (25/52) in BMs, followed by PIK3CA mutations; 22% (9/42) in PTs and 25% (13/52) in BMs. Mutations in CDH1, EGFR, HRAS, RB1 CDKN2A and PTEN were detected in single pairs or single samples. Mutational pattern was discordant in 24% of matched pairs. We show a discordance of PIK3CA and TP53 mutations of roughly 25% indicating the need to develop methods to assess mutational status in brain metastasis where analysis of cell-free DNA from cerebrospinal fluid (CSF) has shown promising results.

Indexed as

MutationAdultAgedBiomarkers, TumorBrain NeoplasmsBreast NeoplasmsClass I Phosphatidylinositol 3-KinasesFemaleHigh-Throughput Nucleotide SequencingHumansImmunohistochemistryMiddle AgedSequence Analysis, DNASurvival AnalysisTumor Suppressor Protein p53Biomarkers, TumorClass I Phosphatidylinositol 3-KinasesPIK3CA protein, humanTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID34876602
PMCPMC8651781
OpenAlexW4225464514

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.