Evidence map›Paper›PMID 36853945›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2023

Metastasis from the tumor interior and necrotic core formation are regulated by breast cancer-derived angiopoietin-like 7.

Ami Yamamoto, Yin Huang, Brad A Krajina, Margaux McBirney, Andrea E Doak, Sixuan Qu, Carolyn L Wang, Michael C Haffner, Kevin J Cheung

Open access · hybridFull text read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
14.1field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Hyaluronic acid-modified polymeric nanoplatform deliveringJournal of pharmaceutical analysis · 2026
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  5. Adhesion forces between macrophages and cancer cells promote early tumor development.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  12. Review
  13. Collective migration modes in development, tissue repair and cancer.Nature reviews. Molecular cell biology · 2025
    Review
  14. Article
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  18. Radioresistance Mechanisms in Head and Neck Cancer.Clinical and experimental otorhinolaryngology · 2025
    Review
  19. Review
  20. 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

9 authors at 2 institutions in 1 country.

Ami YamamotoTranslational Research Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.
Yin HuangTranslational Research Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.
Brad A KrajinaTranslational Research Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.
Margaux McBirneyTranslational Research Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.
Andrea E DoakTranslational Research Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.
Sixuan QuTranslational Research Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.
Carolyn L WangDepartment of Radiology, University of Washington School of Medicine, Seattle, WA 98195.
Michael C HaffnerHuman Biology Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.ORCID 0000-0001-9906-6832
Kevin J CheungTranslational Research Program, Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, WA 98109.
Fred Hutch Cancer Center · USUniversity of Washington · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
TRAINING IN MOLECULAR AND CELLULAR BIOLOGYT32GM007270 · NIGMS · UNIVERSITY OF WASHINGTON · PI RAIBLE, DAVID W · 1985 to 2020
$21.0M
Interdisciplinary Tranining in Cancer ResearchT32CA080416 · NCI · UNIVERSITY OF WASHINGTON · PI STODDARD, BARRY L. · 1998 to 2023
$9.7M
Role of tumor cell cluster-induced signaling in breast cancer metastasisR37CA234488 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Kevin Jon Cheung · 2020 to 2026
$2.8M
Necrosis-mediated circulating tumor cell disseminationF31CA260932 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI YAMAMOTO, AMI · 2022 to 2023
$45k
NCI NIH HHS F31 CA260932NCI NIH HHS P30 CA015704NCI NIH HHS R37 CA234488NCI NIH HHS T32 CA080416NIGMS NIH HHS T32 GM007270
6 · The paper itself

Abstract

Necrosis in the tumor interior is a common feature of aggressive cancers that is associated with poor clinical prognosis and the development of metastasis. How the necrotic core promotes metastasis remains unclear. Here, we report that emergence of necrosis inside the tumor is correlated temporally with increased tumor dissemination in a rat breast cancer model and in human breast cancer patients. By performing spatially focused transcriptional profiling, we identified angiopoietin-like 7 (Angptl7) as a tumor-specific factor localized to the perinecrotic zone. Functional studies showed that Angptl7 loss normalizes central necrosis, perinecrotic dilated vessels, metastasis, and reduces circulating tumor cell counts to nearly zero. Mechanistically, Angptl7 promotes vascular permeability and supports vascular remodeling in the perinecrotic zone. Taken together, these findings show that breast tumors actively produce factors controlling central necrosis formation and metastatic dissemination from the tumor core.

Indexed as

Breast NeoplasmsMammary Neoplasms, AnimalNeoplastic Cells, CirculatingAngiopoietin-Like Protein 7Angiopoietin-like ProteinsAngiopoietinsAnimalsFemaleHumansNecrosisRatsAngiopoietin-Like Protein 7Angiopoietin-like ProteinsAngiopoietinsANGPTL7 protein, humanAngptl7 protein, ratangiopoietin-like 7breast cancercirculating tumor cellsmetastasisnecrotic core

Identifiers

PMID36853945
PMCPMC10013750
OpenAlexW4322618161

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read46
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.