Evidence map›Paper›PMID 41845059›Full record

ArticleCommunications medicine2026

Exploring the mechanism of action of abemaciclib in breast cancer through circulating chromatin fragments.

Mamoru Takada, Sakuntha Gunarathna, Regina Nguyen, Muhan Yu, Paige Bonnet, Hideyuki Yamada, Takeshi Nagashima, Hiroshi Fujimoto, Junta Sakakibara, Hiroto Yamamoto and 4 more

Abstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Mamoru Takada *Department of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan. mamoru@chiba-u.jp.ORCID http://orcid.org/0000-0002-3961-9009
Sakuntha Gunarathna *Department of Biomedical Sciences, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.ORCID http://orcid.org/0000-0002-0376-9742
Regina NguyenDepartment of Biomedical Sciences, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.
Muhan YuDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Paige BonnetDepartment of Biomedical Sciences, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.ORCID http://orcid.org/0009-0003-1565-8040
Hideyuki YamadaDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Takeshi NagashimaDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hiroshi FujimotoDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Junta SakakibaraDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hiroto YamamotoDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Mayumi IidaJapan Drug Development and Medical Affairs, Eli Lilly Japan, Kobe, Japan.
Tsutomu KawaguchiJapan Drug Development and Medical Affairs, Eli Lilly Japan, Kobe, Japan.
Masayuki OtsukaDepartment of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Motoki TakakuDepartment of Biomedical Sciences, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA. motoki.takaku@und.edu.ORCID http://orcid.org/0000-0002-8652-2541

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCell free DNA (cfDNA) analysis has a large potential for cancer patient diagnosis. Given the evidence that cfDNA partially preserves chromatin architecture of tumor cells, it potentially allows the detection of tumor responses after therapeutic treatment. This study aimed to detect the responses of abemaciclib, a selective inhibitor of cell cycle regulators CDK4 and CDK6, in metastatic recurrent breast cancer patients through cfDNA analysis.

methodsSerum-derived cfDNA was purified from breast cancer patients before and after abemaciclib treatment and from healthy donors. cfDNA concentrations were measured, and sequencing analysis was performed to assess enrichment patterns at open chromatin regions.

resultsHere we show that cfDNA can be used as a valuable marker to monitor cancer burden and responses to drug treatment. cfDNA concentrations are significantly higher in patients with breast cancer than in healthy individuals and decline following abemaciclib therapy. Sequencing analysis reveals distinct cfDNA signatures between treated and untreated samples, particularly at chromatin regions linked to cell death and pathways regulated by CDK4 and CDK6. Chromatin features also differ between long-term responders and short-term progression cases. Pathway analysis identifies the Polycomb complex as a potential modulator of treatment efficacy, and inhibition of its enzyme EZH2 enhanced the anti-proliferative effect of abemaciclib in luminal breast cancer cells.

conclusionOur findings suggest that cfDNA profiling captures molecular changes induced by targeted therapy and may serve as a practical biomarker for treatment monitoring and prediction of therapeutic response. This research provides insight into the mechanisms of CDK4/6 inhibitor action in metastatic breast cancer.

Identifiers

PMID41845059
PMCPMC13149665

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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.