Evidence map›Paper›PMID 36344517›Full record

ArticleNPJ breast cancer2022

Molecular differences between younger versus older ER-positive and HER2-negative breast cancers.

Tao Qing, Thomas Karn, Mariya Rozenblit, Julia Foldi, Michal Marczyk, Naing Lin Shan, Kim Blenman, Uwe Holtrich, Kevin Kalinsky, Funda Meric-Bernstam and 1 more

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 25 citations in OpenAlex.

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  11. Ageing, immune fitness and cancer.Nature reviews. Cancer · 2025
    Review
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  14. Assessment ofHealth science reports · 2025
    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

11 authors at 6 institutions in 3 countries.

Tao Qing *Breast Medical Oncology, School of Medicine, Yale University, New Haven, CT, USA.
Thomas Karn *Department of Gynecology and Obstetrics, Goethe-University Frankfurt, Frankfurt, Germany.ORCID http://orcid.org/0000-0002-3264-6573
Mariya RozenblitBreast Medical Oncology, School of Medicine, Yale University, New Haven, CT, USA.
Julia FoldiBreast Medical Oncology, School of Medicine, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-7504-867X
Michal MarczykBreast Medical Oncology, School of Medicine, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-2508-5736
Naing Lin ShanBreast Medical Oncology, School of Medicine, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8572-1311
Kim BlenmanBreast Medical Oncology, School of Medicine, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-6070-0728
Uwe HoltrichDepartment of Gynecology and Obstetrics, Goethe-University Frankfurt, Frankfurt, Germany.
Kevin KalinskyDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-3113-7902
Funda Meric-BernstamDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Lajos PusztaiBreast Medical Oncology, School of Medicine, Yale University, New Haven, CT, USA. lajos.pusztai@yale.edu.ORCID http://orcid.org/0000-0001-9632-6686
Yale University · USGoethe University Frankfurt · DEEmory University · USSilesian University of Technology · PLThe University of Texas MD Anderson Cancer Center · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Breast Cancer Research Foundation (BCRF) BCRF-21-133NCATS NIH HHS UL1 TR001863Susan G. Komen (Susan G. Komen Breast Cancer Foundation) SAC160076
6 · The paper itself

Abstract

The RxPONDER and TAILORx trials demonstrated benefit from adjuvant chemotherapy in patients age ≤ 50 with node-positive breast cancer and Recurrence Score (RS) 0-26, and in node-negative disease with RS 16-25, respectively, but no benefit in older women with the same clinical features. We analyzed transcriptomic and genomic data of ER+/HER2- breast cancers with in silico RS < 26 from TCGA (n = 530), two microarray cohorts (A: n = 865; B: n = 609), the METABRIC (n = 867), and the SCAN-B (n = 1636) datasets. There was no difference in proliferation-related gene expression between age groups. Older patients had higher mutation burden and more frequent ESR1 copy number gain, but lower frequency of GATA3 mutations. Younger patients had higher rate of ESR1 copy number loss. In all datasets, younger patients had significantly lower mRNA expression of ESR1 and ER-associated genes, and higher expression of immune-related genes. The ER- and immune-related gene signatures showed negative correlation and defined three subpopulations in younger women: immune-high/ER-low, immune-intermediate/ER-intermediate, and immune-low/ER-intermediate. We hypothesize that in immune-high cancers, the cytotoxic effect of chemotherapy may drive the benefit, whereas in immune-low/ER-intermediate cancers chemotherapy induced ovarian suppression may play important role.

Identifiers

PMID36344517
PMCPMC9640562
OpenAlexW4308463105

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.