Evidence map›Paper›PMID 40044693›Full record

ArticleNature communications2025

Genomic characterization of the HER2-enriched intrinsic molecular subtype in primary ER-positive HER2-negative breast cancer.

Lennart Hohmann, Kristin Sigurjonsdottir, Ana Bosch Campos, Deborah F Nacer, Srinivas Veerla, Frida Rosengren, Poojaswini Thimmaraya Reddy, Jari Häkkinen, Nicklas Nordborg, Johan Vallon-Christersson and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2025. 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
–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

9 citing papers in PubMed.

  1. Pembrolizumab and Paclitaxel in Patients with HR+/HER2- Breast Cancer with HER2-Enriched or Basal-like Subtypes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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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

17 authors.

Lennart HohmannDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-0281-7140
Kristin SigurjonsdottirDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Ana Bosch CamposDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Deborah F NacerDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-7117-1371
Srinivas VeerlaDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-7328-6239
Frida RosengrenDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Poojaswini Thimmaraya ReddyDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University, Lund, Sweden.ORCID http://orcid.org/0009-0009-7743-4986
Jari HäkkinenDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-8466-9179
Nicklas NordborgDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Johan Vallon-ChristerssonDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-2195-0385
Yasin MemariAcademic Department of Medical Genetics, School of Clinical Medicine & Early Cancer Institute, University of Cambridge, Cambridge, UK.
Daniella BlackAcademic Department of Medical Genetics, School of Clinical Medicine & Early Cancer Institute, University of Cambridge, Cambridge, UK.
Ramsay BowdenAcademic Department of Medical Genetics, School of Clinical Medicine & Early Cancer Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-1138-4452
Helen R DaviesAcademic Department of Medical Genetics, School of Clinical Medicine & Early Cancer Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-6381-3664
Åke BorgDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-5793-132X
Serena Nik-ZainalAcademic Department of Medical Genetics, School of Clinical Medicine & Early Cancer Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-5054-1727
Johan StaafDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden. johan.staaf@med.lu.se.ORCID http://orcid.org/0000-0001-5254-5115

Funding

Cancerfonden (Swedish Cancer Society) CAN 2021/1407 and 2024/3591Fru Berta Kamprads Stiftelse (Mrs. Berta Kamprad Foundation) FBKS-2020-5 and FBKS-2024-14Vetenskapsrådet (Swedish Research Council) 2021-01800
6 · The paper itself

Abstract

ER-positive/HER2-negative (ERpHER2n) breast cancer classified as PAM50 HER2-enriched (ERpHER2n-HER2E) represents a small high-risk patient subgroup. In this study, we investigate genomic, transcriptomic, and clinical features of ERpHER2n-HER2E breast tumors using two primary ERpHER2n cohorts comprising a total of 5640 patients. We show that ERpHER2n-HER2E tumors exhibit aggressive clinical features and poorer clinical outcomes compared to Luminal A and Luminal B tumors. Furthermore, ERpHER2n-HER2E breast cancer does not consist of misclassified or HER2-low cases, has little impact of ERBB2, is highly proliferative and less ER dependent than other luminal subtypes. It is not an obvious biological entity but is nevertheless associated with potentially targetable molecular features, notably a high immune response and high FGFR4 expression. Strikingly, molecular features that define the HER2E subtype in luminal disease are also consistent in HER2-positive disease, including an epigenetic mechanism for high FGFR4 expression in breast cancer.

Indexed as

Breast NeoplasmsErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenAdultBiomarkers, TumorFemaleGene Expression Regulation, NeoplasticGenomicsHumansMiddle AgedPrognosisTranscriptomeBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, Estrogen

Identifiers

PMID40044693
PMCPMC11882987

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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.