Evidence map›Paper›PMID 40263319›Full record

ArticleNPJ breast cancer2025

The interplay between FOXO3 and FOXM1 influences sensitivity to AKT inhibition in PIK3CA and PIK3CA/PTEN altered estrogen receptor positive breast cancer.

Valentina Cutano, Ming Li Chia, Eleanor M Wigmore, Lorna Hopcroft, Stuart C Williamson, Amanda L Christie, Brandon Willis, James Kerr, Jenny Ashforth, Rhys Fox and 10 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. A renaissance in targeting the PI3K/AKT/mTOR pathway.Nature reviews. Drug discovery · 2026
    Review
  4. Review
  5. Anoikis: To Die or Not to Die?International journal of molecular sciences · 2026
    Review
  6. Review
  7. 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

20 authors.

Valentina CutanoBioscience, Early Oncology, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0001-6235-1082
Ming Li ChiaCancer Research UK Cambridge Institute, Cambridge, UK.
Eleanor M WigmoreEarly Data Science, Oncology Data Science, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0003-0864-9990
Lorna HopcroftBioscience, Early Oncology, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0003-3689-7609
Stuart C WilliamsonBioscience, Early Oncology, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0002-5209-4796
Amanda L ChristieBioscience, Early Oncology, AstraZeneca, Boston, MA, USA.
Brandon WillisBioscience, Early Oncology, AstraZeneca, Boston, MA, USA.
James KerrBioscience, Early Oncology, AstraZeneca, Cambridge, UK.
Jenny AshforthBioscience, Early Oncology, AstraZeneca, Cambridge, UK.
Rhys FoxBioscience, Early Oncology, AstraZeneca, Cambridge, UK.
Sophie D'ArcyBioscience, Early Oncology, AstraZeneca, Cambridge, UK.
Lauren BradshawBioscience, Early Oncology, AstraZeneca, Cambridge, UK.
Catherine BlakerBioscience, Early Oncology, AstraZeneca, Cambridge, UK.
Cath EberleinBioscience, Early Oncology, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0002-7357-7789
Lambert Montava-GarrigaDiscovery Sciences, AstraZeneca, Cambridge, UK.
Elza C de BruinTranslational Medicine, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0002-8996-8354
Susan E CritchlowBioscience, Early Oncology, AstraZeneca, Cambridge, UK.
Kevin M BrindleCancer Research UK Cambridge Institute, Cambridge, UK.
Simon T BarryBioscience, Early Oncology, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0002-8511-0588
Susana RosBioscience, Early Oncology, AstraZeneca, Cambridge, UK. susana.ros@astrazeneca.com.ORCID http://orcid.org/0000-0002-5451-1880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Loss of PTEN expression, via homozygous or hemizygous deletion, is common in PIK3CA mutant ER + BC tumors. We assessed reduction of PTEN protein expression on AKT inhibitor capivasertib efficacy in PIK3CA altered tumors. In PIK3CA altered, PTEN protein high models, PI3Kα and AKT inhibition was effective, however ablation and partial PTEN expression reduction attenuated PI3Kαi but not AKTi efficacy, alone or combined with fulvestrant. Efficacy was FOXO3 dependent and associated with FOXM1 downregulation. FOXO3A deletion reduced response to capivasertib, and increased FOXM1 expression. Long term capivasertib exposure of ER+ BC cells upregulated FOXM1 expression. Downregulating FOXM1 expression reversed resistance to capivasertib, while FOXM1 overexpression reduced capivasertib efficacy. Collectively this suggests the AKT-FOXO3-FOXM1 axis plays a pivotal role in response to AKTi in ER+ breast cancer with PIK3CA mutations with and without expression of PTEN, that FOXO3 expression loss can mediate resistance, and that FOXM1 downregulation is a potential biomarker of response.

Identifiers

PMID40263319
PMCPMC12015352

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.