Evidence map›Paper›PMID 34762647›Full record

ArticlePLoS genetics2021

Positive correlation between transcriptomic stemness and PI3K/AKT/mTOR signaling scores in breast cancer, and a counterintuitive relationship with PIK3CA genotype.

Ralitsa R Madsen, Emily C Erickson, Oscar M Rueda, Xavier Robin, Carlos Caldas, Alex Toker, Robert K Semple, Bart Vanhaesebroeck

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  4. PI3 K/AKT/mTOR pathway and its role in breast cancer stem cells.Naunyn-Schmiedeberg's archives of pharmacology · 2025
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  16. Genomic characterisation of hormone receptor-positive breast cancer arising in very young women.Annals of oncology : official journal of the European Society for Medical Oncology · 2023
    Article
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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

8 authors at 5 institutions in 3 countries.

Ralitsa R MadsenUniversity College London Cancer Institute, Paul O'Gorman Building, University College London, London, United Kingdom.ORCID 0000-0001-8844-5167
Emily C EricksonDepartment of Pathology, Medicine and Cancer Center, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0003-3494-2605
Oscar M RuedaCancer Research UK Cambridge Institute and Department of Oncology, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom.
Xavier RobinSIB Swiss Institute of Bioinformatics, Biozentrum, University of Basel, Basel, Switzerland.ORCID 0000-0002-6813-3200
Carlos CaldasCancer Research UK Cambridge Institute and Department of Oncology, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom.
Alex TokerDepartment of Pathology, Medicine and Cancer Center, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0003-0723-4419
Robert K SempleCentre for Cardiovascular Science, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0001-6539-3069
Bart VanhaesebroeckUniversity College London Cancer Institute, Paul O'Gorman Building, University College London, London, United Kingdom.ORCID 0000-0002-7074-3673
Beth Israel Deaconess Medical Center · USLondon Cancer · GBUniversity of Cambridge · GBSIB Swiss Institute of Bioinformatics · CHThe Queen's Medical Research Institute · GB

Funding

Discovery, Regulation and Function of the PI 3-Kinase and AKT Pathway in CancerR35CA253097 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Alex Toker · 2020 to 2026
$6.9M
Targeting the PI3K/AKT pathway in cancer using a pan-AKT degraderF31CA254000 · NCI · HARVARD MEDICAL SCHOOL · PI ERICKSON, EMILY COLLEEN · 2020 to 2021
$67k
Cancer Research UK 15965Cancer Research UK 16942Cancer Research UK 25722Cancer Research UK 29567Cancer Research UK C23338, A25722NCI NIH HHS F31 CA254000NCI NIH HHS R35 CA253097Wellcome TrustWellcome Trust 210752/Z/18/ZWellcome Trust 220464/Z/20/Z
6 · The paper itself

Abstract

A PI3Kα-selective inhibitor has recently been approved for use in breast tumors harboring mutations in PIK3CA, the gene encoding p110α. Preclinical studies have suggested that the PI3K/AKT/mTOR signaling pathway influences stemness, a dedifferentiation-related cellular phenotype associated with aggressive cancer. However, to date, no direct evidence for such a correlation has been demonstrated in human tumors. In two independent human breast cancer cohorts, encompassing nearly 3,000 tumor samples, transcriptional footprint-based analysis uncovered a positive linear association between transcriptionally-inferred PI3K/AKT/mTOR signaling scores and stemness scores. Unexpectedly, stratification of tumors according to PIK3CA genotype revealed a "biphasic" relationship of mutant PIK3CA allele dosage with these scores. Relative to tumor samples without PIK3CA mutations, the presence of a single copy of a hotspot PIK3CA variant was associated with lower PI3K/AKT/mTOR signaling and stemness scores, whereas the presence of multiple copies of PIK3CA hotspot mutations correlated with higher PI3K/AKT/mTOR signaling and stemness scores. This observation was recapitulated in a human cell model of heterozygous and homozygous PIK3CAH1047R expression. Collectively, our analysis (1) provides evidence for a signaling strength-dependent PI3K-stemness relationship in human breast cancer; (2) supports evaluation of the potential benefit of patient stratification based on a combination of conventional PI3K pathway genetic information with transcriptomic indices of PI3K signaling activation.

Indexed as

Signal TransductionTranscriptomeBreast NeoplasmsClass I Phosphatidylinositol 3-KinasesFemaleGenotypeHumansNeoplastic Stem CellsProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesClass I Phosphatidylinositol 3-KinasesMTOR protein, humanPIK3CA protein, humanProto-Oncogene Proteins c-aktTOR Serine-Threonine Kinases

Identifiers

PMID34762647
PMCPMC8584750
OpenAlexW3214587246

What Socratic holds

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LicenceCC BY
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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.