Evidence map›Paper›PMID 39742868›Full record

ArticleCell reports. Medicine2025

Endocrine-targeting therapies shift the breast microbiome to reduce estrogen receptor-α breast cancer risk.

Alana A Arnone, Yu-Ting Tsai, J Mark Cline, Adam S Wilson, Brian Westwood, Meghan E Seger, Akiko Chiba, Marissa Howard-McNatt, Edward A Levine, Alexandra Thomas and 2 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

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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

12 authors.

Alana A ArnoneDepartment of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA; Department of Physiology and Pharmacology, Wake Forest University Health Sciences, Winston-Salem, NC 27157, USA.
Yu-Ting TsaiDepartment of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA; Department of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Mark ClineDepartment of Pathology, Section on Comparative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA; Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Adam S WilsonDepartment of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Brian WestwoodDepartment of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Meghan E SegerDepartment of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Akiko ChibaDepartment of Surgery, Duke University School of Medicine, Durham, NC 27710, USA; Durham VA Medical Center, Department of Surgery, Durham, NC 27705, USA; Duke Cancer Institute, Duke University School of Medicine, Durham, NC 27710, USA.
Marissa Howard-McNattDepartment of General Surgery, Section of Surgical Oncology, Wake Forest University School of Medicine, Winston-Salem NC, 27157, USA.
Edward A LevineDepartment of General Surgery, Section of Surgical Oncology, Wake Forest University School of Medicine, Winston-Salem NC, 27157, USA.
Alexandra ThomasDuke Cancer Institute, Duke University School of Medicine, Durham, NC 27710, USA.
David R Soto-PantojaDepartment of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA; Department of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA; Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Katherine L CookDepartment of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA; Department of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA; Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. Electronic address: klcook@wakehealth.edu.

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
TRAINING PROGRAM IN IMMUNOLOGY AND PATHOGENESIST32AI007401 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Martha Ann Alexander-Miller · 1991 to 2026
$4.4M
NCI NIH HHS P30 CA012197NIAID NIH HHS T32 AI007401
6 · The paper itself

Abstract

Studies indicate that breast tissue has a distinct modifiable microbiome population. We demonstrate that endocrine-targeting therapies, such as tamoxifen, reshape the non-cancerous breast microbiome to influence tissue metabolism and reduce tumorigenesis. Using 16S sequencing, we found that tamoxifen alters β-diversity and increases Firmicutes abundance, including Lactobacillus spp., in mammary glands (MGs) of mice and non-human primates. Immunohistochemistry showed that lipoteichoic acid (LTA)-positive bacteria were elevated in tamoxifen-treated breast tissue. In B6.MMTV-PyMT mice, intra-nipple probiotic bacteria injections reduced tumorigenesis, altered metabolic gene expression, and decreased tumor proliferation. Probiotic-conditioned media selectively reduced viability in estrogen receptor-positive (ER+) breast cancer cells and altered mitochondrial metabolism in non-cancerous epithelial cells. Human tumor samples revealed that LTA-positive bacteria negatively correlated with Ki67, suggesting that endocrine therapies influence tumor-associated microbiota to regulate proliferation. Our data indicate that endocrine-targeting therapies modify the breast microbiome, corresponding with a shift in tissue metabolism to potentially reduce ER+ breast cancer risk.

Indexed as

BreastBreast NeoplasmsEstrogen Receptor alphaMicrobiotaTamoxifenAnimalsCarcinogenesisCell Line, TumorCell ProliferationFemaleHumansLactobacillusLipopolysaccharidesMiceProbioticsRNA, Ribosomal, 16SEstrogen Receptor alphaLipopolysaccharideslipoteichoic acidRNA, Ribosomal, 16STamoxifenTeichoic Acidsaromatase inhibitorsbreast cancerdietestrogen receptorfaslodexglycolysisLactobacillusmetabolismmicrobiomeMMTV-PyMT micepreventionStreptococcustamoxifen

Identifiers

PMID39742868
PMCPMC11866439

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.