Evidence map›Paper›PMID 41237360›Full record

ArticleJCO precision oncology2025

Mixed Molecular Subtypes Coexist in Estrogen Receptor Heterogeneous Primary Breast Cancers.

Julia Foldi, Kaitlyn Xiong, Matthew Liu, Charles J Robbins, Fangyuan Chen, Haiying Zhan, Sneha Burela, Jiawei Dai, Philipp L Karn, Matteo Dugo and 5 more

Abstract read
In one paragraph

Article in JCO precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Julia FoldiDivision of Hematology/Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.ORCID 0000-0002-7504-867X
Kaitlyn XiongYale University School of Medicine, New Haven, CT.ORCID 0000-0001-9764-6745
Matthew LiuYale University School of Medicine, New Haven, CT.ORCID 0000-0002-2229-5124
Charles J RobbinsYale University School of Medicine, New Haven, CT.ORCID 0000-0002-3130-7107
Fangyuan ChenWomen's Cancer Research Center, UPMC Hillman Cancer Center (HCC), Pittsburgh, PA.ORCID 0000-0002-9891-4753
Haiying ZhanDepartment of Pathology, Yale University School of Medicine, New Haven, CT.
Sneha BurelaDepartment of Pathology, Yale University School of Medicine, New Haven, CT.ORCID 0000-0003-0287-0336
Jiawei DaiYale University School of Medicine, New Haven, CT.ORCID 0000-0003-3806-5160
Philipp L KarnUniversity of Ulm, Ulm, Germany.
Matteo DugoDepartment of Medical Oncology, San Raffaele Hospital, Milan, Italy.
Giampaolo BianchiniDepartment of Medical Oncology, San Raffaele Hospital, Milan, Italy.
Adrian V LeeWomen's Cancer Research Center, UPMC Hillman Cancer Center (HCC), Pittsburgh, PA.ORCID 0000-0001-9917-514X
Steffi OesterreichWomen's Cancer Research Center, UPMC Hillman Cancer Center (HCC), Pittsburgh, PA.ORCID 0000-0002-2537-6923
David L RimmYale University School of Medicine, New Haven, CT.ORCID 0000-0001-5820-4397
Lajos PusztaiYale University School of Medicine, New Haven, CT.ORCID 0000-0001-9632-6686

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
NCATS NIH HHS KL2 TR001856
6 · The paper itself

Abstract

purposeWe performed spatial transcriptomics of estrogen receptor (ER)-negative, ER-low, and ER-high tumor regions of breast cancers that were intermediate (10%-60%) ER-positive by immunohistochemistry to better understand the intratumor heterogeneity in ER expression and to elucidate whether cells of different molecular subtypes (ie, Luminal A [LumA], Luminal B [LumB], human epidermal growth factor receptor 2-enriched, or Basal-like) can coexist in the same tumor.

methodsDigital spatial profiling was performed on 10 ER-heterogeneous (10%-60% ER+) and 10 ER-high (>60% ER+) primary breast cancers using the NanoString GeoMx platform with the Human Whole Transcriptome Atlas probe set.

resultsLumA and LumB molecular subtypes were intermixed, but there were no Basal-like populations in these ER-heterogeneous tumors. The ER-negative (ER-) regions were LumB-like and showed lower expression of

conclusionThis study demonstrates mixed Lum-A and Lum-B molecular subtypes within ER-intermediate primary breast cancers and reveals that ER- tumor cell populations have molecular features of endocrine resistance but chemotherapy sensitivity. These findings may explain the worse clinical outcomes of patients with ER-heterogeneous breast cancers and suggest benefit from combined endocrine and chemotherapy strategies.

Indexed as

Breast NeoplasmsReceptors, EstrogenFemaleGene Expression ProfilingHumansMiddle AgedReceptors, Estrogen

Identifiers

PMID41237360
PMCPMC13327085

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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.