Evidence map›Paper›PMID 34932500›Full record

ArticleJCI insight2022

RB expression confers sensitivity to CDK4/6 inhibitor-mediated radiosensitization across breast cancer subtypes.

Andrea M Pesch, Nicole H Hirsh, Anna R Michmerhuizen, Kassidy M Jungles, Kari Wilder-Romans, Benjamin C Chandler, Meilan Liu, Lynn M Lerner, Charles A Nino, Connor Ward and 5 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  15. Cellular senescence in the response of HRJournal of translational medicine · 2023
    Article
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  18. Down-regulation ofInternational journal of molecular epidemiology and genetics · 2023
    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 1 institution in 1 country.

Andrea M PeschDepartment of Radiation Oncology.
Nicole H HirshDepartment of Radiation Oncology.
Anna R MichmerhuizenDepartment of Radiation Oncology.
Kassidy M JunglesDepartment of Radiation Oncology.
Kari Wilder-RomansDepartment of Radiation Oncology.
Benjamin C ChandlerDepartment of Radiation Oncology.
Meilan LiuDepartment of Radiation Oncology.
Lynn M LernerDepartment of Radiation Oncology.
Charles A NinoDepartment of Radiation Oncology.
Connor WardDepartment of Radiation Oncology.
Erin F CobainDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Theodore S LawrenceDepartment of Radiation Oncology.
Lori J PierceDepartment of Radiation Oncology.
James M RaeDepartment of Pharmacology.
Corey W SpeersDepartment of Radiation Oncology.
University of Michigan · US

Funding

MICHIGAN MEDICAL SCIENTIST TRAINING PROGRAMT32GM007863 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COLLINS, KATHLEEN L. · 1985 to 2024
$38.3M
CELLULAR AND MOLECULAR BIOLOGY AT MICHIGANT32GM007315 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PUTHENVEEDU, MANOJKUMAR A · 1985 to 2021
$12.8M
INTERDEPARTMENTAL TRAINING IN PHARMACOLOGICAL SCIENCEST32GM007767 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISOM, LORI L. · 1985 to 2019
$10.2M
Training Program in Translational ResearchT32GM113900 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIEBERMAN, ANDREW P, NIKOLOVSKA-COLESKA, ZANETA · 2016 to 2020
$991k
Elucidating the Mechanism of CDK4/6 Inhibitor-Mediated Radiosensitization of ER+ Breast CancersF31CA254138 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PESCH, ANDREA MICHELLE · 2020 to 2021
$64k
NCI NIH HHS F31 CA254138NIGMS NIH HHS T32 GM007315NIGMS NIH HHS T32 GM007767NIGMS NIH HHS T32 GM007863NIGMS NIH HHS T32 GM113900
6 · The paper itself

Abstract

Standard radiation therapy (RT) does not reliably provide locoregional control for women with multinode-positive breast cancer and triple-negative breast cancer (TNBC). We hypothesized that CDK4/6 inhibition (CDK4/6i) would increase the radiosensitivity not only of estrogen receptor-positive (ER+) cells, but also of TNBC that expresses retinoblastoma (RB) protein. We found that CDK4/6i radiosensitized RB WT TNBC (n = 4, radiation enhancement ratio [rER]: 1.49-2.22) but failed to radiosensitize RB-null TNBC (n = 3, rER: 0.84-1.00). RB expression predicted response to CDK4/6i + RT (R2 = 0.84), and radiosensitization was lost in ER+/TNBC cells (rER: 0.88-1.13) after RB1 knockdown in isogenic and nonisogenic models. CDK4/6i suppressed homologous recombination (HR) in RB WT cells but not in RB-null cells or isogenic models of RB1 loss; HR competency was rescued with RB reexpression. Radiosensitization was independent of nonhomologous end joining and the known effects of CDK4/6i on cell cycle arrest. Mechanistically, RB and RAD51 interact in vitro to promote HR repair. CDK4/6i produced RB-dependent radiosensitization in TNBC xenografts but not in isogenic RB1-null xenografts. Our data provide the preclinical rationale for a clinical trial expanding the use of CDK4/6i + RT to difficult-to-control RB-intact breast cancers (including TNBC) and nominate RB status as a predictive biomarker of therapeutic efficacy.

Indexed as

Gene Expression Regulation, NeoplasticMammary Neoplasms, ExperimentalAnimalsBiomarkers, TumorCell Cycle CheckpointsCell Line, TumorCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Disease Models, AnimalDNA, NeoplasmFemaleMiceMice, SCIDTriple Negative Breast NeoplasmsXenograft Model Antitumor AssaysBiomarkers, TumorCdk4 protein, mouseCdk6 protein, mouseCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6DNA, NeoplasmBreast cancerDNA repairOncologyRadiation therapy

Identifiers

PMID34932500
PMCPMC8855810
OpenAlexW4200039125

What OpenQuestion holds

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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.