Evidence map›Paper›PMID 35550508›Full record

Trial reportNature communications2022

CDK12 promotes tumorigenesis but induces vulnerability to therapies inhibiting folate one-carbon metabolism in breast cancer.

M G Filippone, D Gaglio, R Bonfanti, F A Tucci, E Ceccacci, R Pennisi, M Bonanomi, G Jodice, M Tillhon, F Montani and 18 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.0field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 43 citations in OpenAlex.

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  16. Cancer cell stiffening via CoQNature communications · 2024
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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

28 authors at 7 institutions in 2 countries.

M G FilipponeEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
D GaglioInstitute of Molecular Bioimaging and Physiology (IBFM), National Research Council (CNR) Segrate, Milan, Italy.
R BonfantiEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
F A TucciSchool of Pathology, University of Milan, Milan, Italy.ORCID 0000-0001-6247-5392
E CeccacciEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
R PennisiEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.ORCID 0000-0001-6542-7898
M BonanomiISBE.IT/Centre of Systems Biology, Piazza della Scienza 4, 20126, Milan, Italy.ORCID 0000-0003-0886-7613
G JodiceEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
M TillhonEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
F MontaniEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
G BertalotEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
S FreddiEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
M VecchiEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
A TaglialatelaDepartment of Genetics and Development, Columbia University Irving Medical Center, New York, NY, USA.
M RomanenghiEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
F RomeoEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
N BiancoEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
E MunzoneEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.ORCID 0000-0003-3371-3878
F SanguedolceDepartment of Pathology, University of Foggia, Foggia, Italy.
G VagoSchool of Pathology, University of Milan, Milan, Italy.
G VialeEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
P P Di FioreEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.ORCID 0000-0002-2252-0950
S MinucciEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
L AlberghinaISBE.IT/Centre of Systems Biology, Piazza della Scienza 4, 20126, Milan, Italy.ORCID 0000-0003-1694-931X
M ColleoniEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
P VeronesiEuropean Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy.
D Tosoni *European Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy. daniela.tosoni@ieo.it.ORCID 0000-0003-4443-1059
S Pece *European Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy. salvatore.pece@ieo.it.ORCID 0000-0003-1764-3929
Ripamonti · ITUniversity of Milan · ITColumbia University Irving Medical Center · USIFOM · ITInstitute of Molecular Bioimaging and Physiology · ITUniversity of Foggia · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cyclin-dependent kinase 12 (CDK12) overexpression is implicated in breast cancer, but whether it has a primary or only a cooperative tumorigenic role is unclear. Here, we show that transgenic CDK12 overexpression in the mouse mammary gland per se is sufficient to drive the emergence of multiple and multifocal tumors, while, in cooperation with known oncogenes, it promotes earlier tumor onset and metastasis. Integrative transcriptomic, metabolomic and functional data reveal that hyperactivation of the serine-glycine-one-carbon network is a metabolic hallmark inherent to CDK12-induced tumorigenesis. Consistently, in retrospective patient cohort studies and in patient-derived xenografts, CDK12-overexpressing breast tumors show positive response to methotrexate-based chemotherapy targeting CDK12-induced metabolic alterations, while being intrinsically refractory to other types of chemotherapy. In a retrospective analysis of hormone receptor-negative and lymph node-positive breast cancer patients randomized in an adjuvant phase III trial to 1-year low-dose metronomic methotrexate-based chemotherapy or no maintenance chemotherapy, a high CDK12 status predicts a dramatic reduction in distant metastasis rate in the chemotherapy-treated vs. not-treated arm. Thus, by coupling tumor progression with metabolic reprogramming, CDK12 creates an actionable vulnerability for breast cancer therapy and might represent a suitable companion biomarker for targeted antimetabolite therapies in human breast cancers.

Indexed as

Breast NeoplasmsAnimalsCarbonCarcinogenesisCyclin-Dependent KinasesFemaleFolic AcidHumansMethotrexateMiceRetrospective StudiesCarbonCDK12 protein, humanCyclin-Dependent KinasesFolic AcidMethotrexate

Identifiers

PMID35550508
PMCPMC9098894
OpenAlexW4280526502

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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.