Evidence map›Paper›PMID 42393102›Full record

ArticleNPJ breast cancer2026

Stage-related transcriptional changes in HR-positive/HER2-negative breast cancer.

William S O Symmans, Kevin Tran, Chunxiao Fu, Hongxia Sun, Rebekah Gould, Lajos Pusztai, Tari King, Roberto Salgado, Vicente Valero, W Fraser Symmans and 1 more

Abstract read
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Article in NPJ breast cancer, 2026. 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
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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

11 authors.

William S O SymmansThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Kevin TranThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Chunxiao FuThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Hongxia SunThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rebekah GouldThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Lajos PusztaiYale University, New Haven, CT, USA.
Tari KingWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Roberto SalgadoZAS Hospitals, Antwerp, Belgium.
Vicente ValeroThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
W Fraser SymmansThe University of Texas MD Anderson Cancer Center, Houston, TX, USA. fsymmans@mdanderson.org.
Eleni AndreopoulouWeill Cornell Medicine, New York City, NY, USA.

Funding

Breast Cancer Research Foundation BCRF-158Cancer Prevention and Research Institute of Texas RP180712NCI NIH HHS HHSN261200800001ESusan G. Komen SAC110034
6 · The paper itself

Abstract

It is important to understand how the biology of breast cancer might differ with the burden of disease. Analyzing the expression of cancer-relevant genes with increasing diagnostic stage can provide insight into the changing biology of breast cancer and may also be clinically useful. Here, we evaluated the transcriptional activity according to the stage of breast cancer (American Joint Committee on Cancer, AJCC Stage I to IV) from 1152 patients with hormone receptor-positive HER2-negative breast cancer. Fresh tumor samples were prospectively collected for clinical-translational research with transcriptional profiling. Most transcriptional signatures remained consistent across stage categories, but the significant changes associated with increasing stage were attributed to endocrine escape, decreasing differentiation, increased complexity of signal transduction, and a few metabolic changes. The clinical relevance and implications of these findings are discussed. The expression data from these high-quality samples are a new publicly available resource for researchers.

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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.