Evidence map›Paper›PMID 41315371›Full record

ArticleNature communications2025

Cellular reprogramming during anti-PD-1 and chemotherapy treatment in early-stage primary hormone receptor-positive breast cancer.

Jingxin Fu, Adrienne G Waks, Erica Pimenta, Breanna Titchen, Kevin Bi, Sabrina Camp, Theodora Pappa, Tanya Keenan, Erin Shannon, Sébastien Vigneau and 11 more

Registry-linked trialAbstract 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. It is linked to trial NCT02999477 (A Pilot Study Of Changes In PD-L1 Expression During Preoperative Treatment With Nab-Paclitaxel And Pembrolizumab In Hormone Receptor-Positive Breast Cancer), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT02999477 phase1completednot on this map

A Pilot Study Of Changes In PD-L1 Expression During Preoperative Treatment With Nab-Paclitaxel And Pembrolizumab In Hormone Receptor-Positive Breast Cancer

TypeinterventionalSponsorAdrienne G. WaksRan2017 to 2026Enrolled32ConditionsBreast CancerArmsPembrolizumab, Nab-Paclitaxel, Biopsy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

21 authors.

Jingxin Fu *Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4028-3661
Adrienne G Waks *Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Erica PimentaMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Breanna TitchenMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Kevin BiMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Sabrina CampMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Theodora PappaMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Tanya KeenanMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Erin ShannonMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Sébastien VigneauMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Meredith BemusMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Anwesha NagMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Aaron R ThornerMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Jihye ParkMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Molly DiLulloMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Eileen WrabelMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Rinath JeselsohnMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7996-7529
Elizabeth A MittendorfBreast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, MA, USA.
Daniel L AbravanelMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0129-1618
Sara M TolaneyMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5940-8671
Eliezer M Van AllenMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. eliezerm_vanallen@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-0201-4444

Funding

Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
Molecular origins and evolution to treatment resistance in genitourinary cancersR50CA265182 · NCI · DANA-FARBER CANCER INST · PI Jihye Park · 2022 to 2026
$1.7M
NCI NIH HHS R50 CA265182NCI NIH HHS T32 CA009172Susan G. Komen (Susan G. Komen Breast Cancer Foundation) SAC21204
6 · The paper itself

Abstract

The efficacy of immune checkpoint inhibitors combined with chemotherapy varies among breast cancer subtypes and is particularly less effective in hormone receptor-positive (HR + ) breast cancers. Here, we analyze pre-, on-, and post-treatment biopsies from 20 female patients with stage II-III HR+ breast cancer who participated in a clinical trial of neoadjuvant chemo-immunotherapy with nab-paclitaxel and pembrolizumab. Through single-nucleus RNA and ATAC sequencing of these tumor biopsies, we identified gene expression metaprograms (MPs) associated with differential therapy responses. Here we show that favorable responders exhibit increased activity in pathways related to tumor state transition, T cell effector functions, and pro-inflammatory macrophage states. Unfavorable responders demonstrate increased tumor estrogen signaling and immunosuppressive tumor-immune interactions. In this work, we highlight the interplay between tumor and microenvironmental cells in treatment naïve and exposed HR+ breast cancers and reveal that pivotal shifts in tumor cell, macrophage, and T cell states may mediate response to chemo-immunotherapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCellular ReprogrammingImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorAlbuminsAntibodies, Monoclonal, HumanizedFemaleGene Expression Regulation, NeoplasticHumansMacrophagesMiddle AgedNeoadjuvant TherapyPaclitaxelReceptors, EstrogenReceptors, Progesterone130-nm albumin-bound paclitaxelAlbuminsAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsPaclitaxelPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 ReceptorReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID41315371
PMCPMC12663104

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Registered trials

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.