Evidence map›Paper›PMID 39334392›Full record

ArticleBMC medicine2024

Age- and ethnic-driven molecular and clinical disparity of East Asian breast cancers.

Ji Yoon Lee, Ji Won Lee, Min Sung Chung, Jong Gwon Choi, Sung Hoon Sim, Hyo Jeong Kim, Jeong Eun Kim, Kyoung Eun Lee, Yeon Hee Park, Myoung Joo Kang and 20 more

Abstract read
In one paragraph

Article in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

30 authors.

Ji Yoon Lee *Department of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.
Ji Won Lee *Department of Internal Medicine, Division of Medical Oncology, Korea University Anam Hospital, Seoul, Korea.
Min Sung ChungDepartment of Surgery, College of Medicine, Hanyang University, Seoul, 04763, Korea.
Jong Gwon ChoiDepartment of Oncology-Hematology, Konyang University Hospital, Daejeon, Korea.
Sung Hoon SimCenter for Breast Cancer, National Cancer Center, Goyang, Republic of Korea.
Hyo Jeong KimDepartment of Internal Medicine, Division of Hematology-Oncology, School of Medicine, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
Jeong Eun KimDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Kyoung Eun LeeDepartment of Hematology and Oncology, Ewha Womans University Hospital, Seoul, 07985, Republic of Korea.
Yeon Hee ParkSamsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Myoung Joo KangDepartment of Internal Medicine, Inje University Haeundae Paik Hospital, Busan, Korea.
Mi Sun AhnDepartment of Hematology-Oncology, Ajou University School of Medicine, Suwon, Korea.
Yee Soo ChaeDepartment of Hematology and Oncology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.
Ji Hyun ParkDepartment of Hematology-Oncology, Division of Internal Medicine, KonKuk University Medical Center, Seoul, Republic of Korea.
Jee Hyun KimDepartment of Internal Medicine, Division of Hematology and Medical Oncology, Seoul National University Bundang Hospital, 166 Gumi-Ro, Bundang-Gu, Seongnam, 463-707, Korea.
Gun Min KimDepartment of Internal Medicine, Division of Medical Oncology, Yonsei University College of Medicine, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul, 120-752, Korea.
Jae Ho ByunDepartment of Internal Medicine, Division of Oncology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Keon Uk ParkDepartment of Internal Medicine, Division of Hematology-Oncology, Keimyung University Dongsan Hospital, Keimyung University College of Medicine, Daegu, Republic of Korea.
Ju Won KimDepartment of Internal Medicine, Division of Medical Oncology, Korea University Anam Hospital, Seoul, Korea.
Seung Pil JungDepartment of Surgery, Department of Breast Surgery, Division of Breast and Endocrine, Korea University Anam Hospital, Seoul, Korea.
Jung Hyun LeeDepartment of Pathology, Korea University Anam Hospital, Seoul, Korea.
Jung Seok AnDepartment of Pathology, Korea University Anam Hospital, Seoul, Korea.
Byunghyun JangDepartment of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.
Dayoung YoonDepartment of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.
Jiwon KimDepartment of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.
Jisoo HongDepartment of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.
Harim KooDepartment of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea.
Kyu Ran ChoDepartment of Radiology, Korea University Anam Hospital, Seoul, Korea.
Cheol Yong KimDepartment of Radiology, Korea University Anam Hospital, Seoul, Korea.
Jason K SaDepartment of Biomedical Informatics, Korea University College of Medicine, Seoul, Republic of Korea. jasonksa@korea.ac.kr.
Kyong Hwa ParkDepartment of Internal Medicine, Division of Medical Oncology, Korea University Anam Hospital, Seoul, Korea. khpark@korea.ac.kr.

Funding

Ministry of Health and Welfare HI17C2206National Research Foundation of Korea RS-2023-00209742
6 · The paper itself

Abstract

backgroundBreast cancer (BC) is a complex disease with profound genomic aberrations. However, the underlying molecular disparity influenced by age and ethnicity remains elusive.

methodsIn this study, we aimed to investigate the molecular properties of 843 primary and metastatic BC patients enrolled in the K-MASTER program. By categorizing patients into two distinct age subgroups, we explored their unique molecular properties. Additionally, we leveraged large-scale genomic data from the TCGA and MSK-IMPACT studies to examine the ethnic-driven molecular and clinical disparities.

resultsWe observed a high prevalence of PI3KCA mutations in K-MASTER HER2 + tumors, particularly in older patients. Moreover, we identified increased mutation rates in DNA damage response molecules, including ARID1A, MSH6, and MLH1. The K-MASTER patients were mainly comprised of triple-negative breast cancer (TNBC) and HER2-positive tumors, while the TCGA and MSK-IMPACT cohorts exhibited a predominance of hormone receptor-positive (HR +) subtype tumors. Importantly, GATA3 mutations were less frequently observed in East Asian patients, which correlated with poor clinical outcomes. In addition to characterizing the molecular disparities, we developed a gradient-boosting multivariable model to identify a new molecular signature that could predict the therapeutic response to platinum-based chemotherapy.

conclusionsOur findings collectively provide unprecedented insights into the significance of age and ethnicity on the molecular and clinical characteristics of BC patients.

Indexed as

Breast NeoplasmsMutationAdultAgedAged, 80 and overAge FactorsClass I Phosphatidylinositol 3-KinasesEast Asian PeopleErb-b2 Receptor Tyrosine KinasesFemaleGATA3 Transcription FactorHumansMiddle AgedClass I Phosphatidylinositol 3-KinasesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesGATA3 protein, humanGATA3 Transcription FactorBreast cancerEthnic diversityGenomic alterationsMolecular subtypesPrecision medicine

Identifiers

PMID39334392
PMCPMC11438198

What Socratic holds

Textmetadata
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.