Evidence map›Paper›PMID 33976188›Full record

ArticleNature communications2021

Disruption of FOXO3a-miRNA feedback inhibition of IGF2/IGF-1R/IRS1 signaling confers Herceptin resistance in HER2-positive breast cancer.

Liyun Luo, Zhijie Zhang, Ni Qiu, Li Ling, Xiaoting Jia, Ying Song, Hongsheng Li, Jiansheng Li, Hui Lyu, Hao Liu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
6.2field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. The mechanism of ncRNA in trastuzumab resistance in HER2-positive tumors.Medical oncology (Northwood, London, England) · 2025
    Review
  7. Review
  8. Article
  9. The Role of the Fox Gene in Breast Cancer Progression.International journal of molecular sciences · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Pyrotinib is effective in both trastuzumab-sensitive and primary resistant HER2-positive breast tumors.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Significant role ofBiochemistry and biophysics reports · 2024
    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

13 authors at 4 institutions in 2 countries.

Liyun Luo *Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.
Zhijie Zhang *Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.
Ni Qiu *Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.
Li LingAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.
Xiaoting JiaAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.
Ying SongAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID http://orcid.org/0000-0002-5781-0317
Hongsheng LiAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.
Jiansheng LiAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.
Hui LyuDepartment of Genetics, Stanley S. Scott Cancer Center, School of Medicine, Louisiana State University (LSU) Health Sciences Center, New Orleans, LA, USA.ORCID http://orcid.org/0000-0003-1851-2533
Hao LiuAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID http://orcid.org/0000-0001-6338-4003
Zhimin HeAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China. hezhimin2005@yahoo.com.ORCID http://orcid.org/0000-0001-8023-7590
Bolin LiuDepartment of Genetics, Stanley S. Scott Cancer Center, School of Medicine, Louisiana State University (LSU) Health Sciences Center, New Orleans, LA, USA. bliu2@lsuhsc.edu.ORCID http://orcid.org/0000-0003-0150-8650
Guopei ZhengAffiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, Guangdong, China. zhengguopei@126.com.ORCID http://orcid.org/0000-0002-4662-9993
Guangzhou Medical University · CNLouisiana State University Health Sciences Center New Orleans · USGuangzhou Medical University Cancer Hospital · CNKey Laboratory of Guangdong Province · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resistance to Herceptin represents a significant challenge for successful treatment of HER2-positive breast cancer. Here, we show that in Herceptin-sensitive cells, FOXO3a regulates specific miRNAs to control IGF2 and IRS1 expression, retaining basic IGF2/IGF-1R/IRS1 signaling. The basic activity maintains expression of PPP3CB, a subunit of the serine/threonine-protein phosphatase 2B, to restrict FOXO3a phosphorylation (p-FOXO3a), inducing IGF2- and IRS1-targeting miRNAs. However, in Herceptin-resistant cells, p-FOXO3a levels are elevated due to transcriptional suppression of PPP3CB, disrupting the negative feedback inhibition loop formed by FOXO3a and the miRNAs, thereby upregulating IGF2 and IRS1. Moreover, we detect significantly increased IGF2 in blood and IRS1 in the tumors of breast cancer patients with poor response to Herceptin-containing regimens. Collectively, we demonstrate that the IGF2/IGF-1R/IRS1 signaling is aberrantly activated in Herceptin-resistant breast cancer via disruption of the FOXO3a-miRNA negative feedback inhibition. Such insights provide avenues to identify predictive biomarkers and effective strategies overcoming Herceptin resistance.

Indexed as

AnimalsAntineoplastic Agents, ImmunologicalBreast NeoplasmsCalcineurinCell Line, TumorDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesFeedback, PhysiologicalFemaleForkhead Box Protein O3Gene Expression Regulation, NeoplasticHumansInsulin-Like Growth Factor IIInsulin Receptor Substrate ProteinsMiceMice, NudeAntineoplastic Agents, ImmunologicalCalcineurinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesForkhead Box Protein O3FOXO3 protein, humanIGF1R protein, humanIGF2 protein, humanInsulin-Like Growth Factor IIInsulin Receptor Substrate ProteinsIRS1 protein, humanMicroRNAsMIRN128 microRNA, humanMIRN30b microRNA, humanPPP3CB protein, humanReceptor, IGF Type 1Trastuzumab

Identifiers

PMID33976188
PMCPMC8113606
OpenAlexW3163368161

What Socratic holds

Textmetadata
LicenceCC BY
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.