Evidence map›Paper›PMID 36493359›Full record

ArticleThe oncologist2023

Clinical Implications and Treatment Strategies for ESR1 Fusions in Hormone Receptor-Positive Metastatic Breast Cancer: A Case Series.

Jamie O Brett, Lauren L Ritterhouse, Erik T Newman, Kelly E Irwin, Megan Dawson, Lianne Y Ryan, Laura M Spring, Miguel N Rivera, Jochen K Lennerz, Dora Dias-Santagata and 3 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 30% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Characteristics of fusion genes in breast cancer.Cancer cell international · 2026
    Review
  2. Review
  3. Article
  4. ESR1 fusions in breast cancer: functions, mechanisms and therapeutic opportunities.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. 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

13 authors at 1 institution in 1 country.

Jamie O BrettMassachusetts General Hospital Department of Medicine, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-3112-5204
Lauren L RitterhouseMassachusetts General Hospital Department of Pathology, Center for Integrated Diagnostics, Harvard Medical School, Boston, MA, USA.
Erik T NewmanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Kelly E IrwinMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Megan DawsonMassachusetts General Hospital Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Lianne Y RyanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Laura M SpringMassachusetts General Hospital Department of Medicine, Harvard Medical School, Boston, MA, USA.
Miguel N RiveraMassachusetts General Hospital Department of Pathology, Center for Integrated Diagnostics, Harvard Medical School, Boston, MA, USA.
Jochen K LennerzMassachusetts General Hospital Department of Pathology, Center for Integrated Diagnostics, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-2434-4978
Dora Dias-SantagataMassachusetts General Hospital Department of Pathology, Center for Integrated Diagnostics, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-1174-3972
Leif W EllisenMassachusetts General Hospital Department of Medicine, Harvard Medical School, Boston, MA, USA.
Aditya BardiaMassachusetts General Hospital Department of Medicine, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-4885-1157
Seth A WanderMassachusetts General Hospital Department of Medicine, Harvard Medical School, Boston, MA, USA.
Harvard University · US

Funding

Dana Farber/Harvard Cancer Consortium Career Development Program in Clinical OncologyK12CA087723 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI David Tsai Ting · 2002 to 2026
$17.9M
6 · The paper itself

Abstract

In hormone receptor-positive metastatic breast cancer (HR+ MBC), endocrine resistance is commonly due to genetic alterations of ESR1, the gene encoding estrogen receptor alpha (ERα). While ESR1 point mutations (ESR1-MUT) cause acquired resistance to aromatase inhibition (AI) through constitutive activation, far less is known about the molecular functions and clinical consequences of ESR1 fusions (ESR1-FUS). This case series discusses 4 patients with HR+ MBC with ESR1-FUS in the context of the existing ESR1-FUS literature. We consider therapeutic strategies and raise the hypothesis that CDK4/6 inhibition (CDK4/6i) may be effective against ESR1-FUS with functional ligand-binding domain swaps. These cases highlight the importance of screening for ESR1-FUS in patients with HR+ MBC while continuing investigation of precision treatments for these genomic rearrangements.

Indexed as

Breast NeoplasmsDrug Resistance, NeoplasmEstrogen Receptor alphaFemaleHumansMutationESR1 protein, humanEstrogen Receptor alphabreast cancercyclin-dependent kinase 4cyclin-dependent kinase 6estrogen receptor alphagene fusion

Identifiers

PMID36493359
PMCPMC9907034
OpenAlexW4311020146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.