Evidence map›Paper›PMID 39393354›Full record

ArticleCancer cell2024

Long-term breast cancer response to CDK4/6 inhibition defined by TP53-mediated geroconversion.

Rei Kudo, Anton Safonov, Catherine Jones, Enrico Moiso, Jonathan R Dry, Hong Shao, Sharanya Nag, Edaise M da Silva, Selma Yeni Yildirim, Qing Li and 18 more

Erratum issuedAbstract read
In one paragraph

Article in Cancer cell, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
–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

44 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Rei KudoHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA; Department of Surgery, The Jikei University School of Medicine, Tokyo 1058461, Japan.
Anton SafonovBreast Medicine Service, Department of Medicine, MSK, New York, NY 10065, USA; Weill Cornell Medical College, New York, NY 10065, USA.
Catherine JonesHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA.
Enrico MoisoDepartment of Medicine, MSK, New York, NY 10065, USA; Department of Epidemiology and Biostatistics, MSK, New York, NY 10065, USA.
Jonathan R DryTempus AI, Boston, MA 02110, USA.
Hong ShaoHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA.
Sharanya NagHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA.
Edaise M da SilvaDepartment of Pathology and Laboratory Medicine, MSK, New York, NY 10065, USA.
Selma Yeni YildirimDepartment of Pathology and Laboratory Medicine, MSK, New York, NY 10065, USA.
Qing LiHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA.
Elizabeth O'ConnellHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA.
Payal PatelHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA.
Marie WillHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA; Breast Medicine Service, Department of Medicine, MSK, New York, NY 10065, USA; Clinical Genetics Service, Department of Medicine, MSK, New York, NY 10065, USA.
Atsushi FushimiDepartment of Surgery, The Jikei University School of Medicine, Tokyo 1058461, Japan.
Marimar BenitezProgram in Molecular Biology, Sloan Kettering Institute, MSK, New York, NY 10065, USA.
Martina BradicProgram in Molecular Biology, Sloan Kettering Institute, MSK, New York, NY 10065, USA.
Li FanHelen and Robert Appel Alzheimer's Disease Research Institute, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, NY 10021, USA.
Harikrishna NakshatriDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Dhivya R SudhanOncology R&D, AstraZeneca, Waltham, MA 02451, USA.
Christopher R DenzOncology R&D, AstraZeneca, Waltham, MA 02451, USA.
Iker Huerga SanchezTempus AI, Boston, MA 02110, USA.
Jorge S Reis-FilhoDepartment of Pathology and Laboratory Medicine, MSK, New York, NY 10065, USA.
Shom GoelPeter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia; The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3000, Australia.
Andrew KoffProgram in Molecular Biology, Sloan Kettering Institute, MSK, New York, NY 10065, USA.
Britta WeigeltDepartment of Pathology and Laboratory Medicine, MSK, New York, NY 10065, USA.
Qamar J KhanDivision of Medical Oncology, The University of Kansas Medical Center, Kansas City, KS 66160, USA.
Pedram RazaviBreast Medicine Service, Department of Medicine, MSK, New York, NY 10065, USA; Weill Cornell Medical College, New York, NY 10065, USA. Electronic address: razavip@mskcc.org.
Sarat ChandarlapatyHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center (MSK), New York, NY 10065, USA; Breast Medicine Service, Department of Medicine, MSK, New York, NY 10065, USA; Weill Cornell Medical College, New York, NY 10065, USA. Electronic address: chandars@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Targeting Polθ to Overcome PARP Inhibitor Resistance in Homologous Recombination Deficient Breast CancerP50CA247749 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Sarat Chandarlapaty, Simon N. Powell · 2020 to 2026
$16.3M
Defining mechanisms of resistance to hormonal therapy in breast cancerR01CA234361 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CHANDARLAPATY, SARAT, SOLIT, DAVID B. · 2019 to 2023
$2.0M
Defining the impact of mutant oncogene zygosityR01CA245069 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CHANDARLAPATY, SARAT · 2020 to 2024
$2.0M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA247749NCI NIH HHS R01 CA234361NCI NIH HHS R01 CA245069
6 · The paper itself

Abstract

Inhibition of CDK4/6 kinases has led to improved outcomes in breast cancer. Nevertheless, only a minority of patients experience long-term disease control. Using a large, clinically annotated cohort of patients with metastatic hormone receptor-positive (HR+) breast cancer, we identify TP53 loss (27.6%) and MDM2 amplification (6.4%) to be associated with lack of long-term disease control. Human breast cancer models reveal that p53 loss does not alter CDK4/6 activity or G1 blockade but instead promotes drug-insensitive p130 phosphorylation by CDK2. The persistence of phospho-p130 prevents DREAM complex assembly, enabling cell-cycle re-entry and tumor progression. Inhibitors of CDK2 can overcome p53 loss, leading to geroconversion and manifestation of senescence phenotypes. Complete inhibition of both CDK4/6 and CDK2 kinases appears to be necessary to facilitate long-term response across genomically diverse HR+ breast cancers.

Indexed as

Breast NeoplasmsCyclin-Dependent Kinase 2Cyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Tumor Suppressor Protein p53AnimalsCell Line, TumorCellular SenescenceFemaleHumansMicePhosphorylationProtein Kinase InhibitorsProto-Oncogene Proteins c-mdm2CDK2 protein, humanCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 2Cyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6MDM2 protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins c-mdm2TP53 protein, humanTumor Suppressor Protein p53breast cancerCDK2CDK4/6cell cyclecyclin dependent kinasedrug resistancep53quiescencesenescence

Identifiers

PMID39393354
PMCPMC12700659

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.