Evidence map›Paper›PMID 33708885›Full record

ArticleAnnals of translational medicine2021

FEN1 is a prognostic biomarker for ER+ breast cancer and associated with tamoxifen resistance through the ERα/cyclin D1/Rb axis.

Lu Xu, Ji-Ming Shen, Jing-Lei Qu, Na Song, Xiao-Fang Che, Ke-Zuo Hou, Jing Shi, Lei Zhao, Sha Shi, Yun-Peng Liu and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
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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

12 authors at 2 institutions in 1 country.

Lu XuDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Ji-Ming ShenDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Jing-Lei QuDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Na SongDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Xiao-Fang CheDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Ke-Zuo HouDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Jing ShiDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Lei ZhaoDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Sha ShiDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Yun-Peng LiuDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Xiu-Juan QuDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
Yue-E TengDepartment of Medical Oncology, the First Hospital of China Medical University, Shenyang, China.
China Medical University · CNFirst Hospital of China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTamoxifen is an important choice in endocrine therapy for patients with oestrogen receptor-positive (ER+) breast cancer, and disease progression-associated resistance to tamoxifen therapy is still challenging. Flap endonuclease-1 (FEN1) is used as a prognostic biomarker and is considered to participate in proliferation, migration, and drug resistance in multiple cancers, especially breast cancer, but the prognostic function of FEN1 in ER+ breast cancer, and whether FEN1 is related to tamoxifen resistance or not, remain to be explored.

methodsOn-line database Kaplan-Meier (KM) plotter, GEO datasets, and immunohistochemistry were used to analyse the prognostic value of FEN1 in ER+ breast cancer from mRNA and protein levels. Cell viability assay and colony formation assays showed the response of tamoxifen in MCF-7 and T47D cells. Microarray data with FEN1 siRNA

resultsER+ breast cancer patients who received tamoxifen for adjuvant endocrine therapy with poor prognosis showed a high expression of FEN1. MCF-7 and T47D appeared resistant to tamoxifen after FEN1 over-expression and increased sensitivity to tamoxifen after FEN1 knockdown. Importantly, FEN1 over-expression could activate tamoxifen resistance through the ERα/cyclin D1/Rb axis.

conclusionsAs a biomarker of tamoxifen effectiveness, FEN1 participates in tamoxifen resistance through ERα/cyclin D1/Rb axis. In the future, reversing tamoxifen resistance by knocking-down FEN1 or by way of action as a small molecular inhibitor of FEN1 warrants further investigation.

Indexed as

Estrogen receptor positive (ER+) breast cancerFlap endonuclease-1 (FEN1)prognostic biomarkertamoxifen resistance

Identifiers

PMID33708885
PMCPMC7940940
OpenAlexW3128856655

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.