Evidence map›Paper›PMID 41477765›Full record

ArticleCell reports2026

Growth factors maintain intratumoral heterogeneity and drive therapeutic resistance in triple-negative breast cancer.

Kaylyn L Devlin, Rebecca Smith, Elmar Bucher, Mark Dane, Chloe L Bowman, Eric J Carlson, David Kilburn, Damir Sudar, Heidi S Feiler, Laura M Heiser and 2 more

Abstract read
In one paragraph

Article in Cell reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

12 authors.

Kaylyn L DevlinDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA.
Rebecca SmithDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA.
Elmar BucherDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA.
Mark DaneDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA.
Chloe L BowmanCancer Early Detection Advanced Research (CEDAR), OHSU, Portland, OR 97201, USA; Division of Oncological Sciences, OHSU, Portland, OR 97201, USA.
Eric J CarlsonCancer Early Detection Advanced Research (CEDAR), OHSU, Portland, OR 97201, USA; Division of Oncological Sciences, OHSU, Portland, OR 97201, USA.
David KilburnDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA.
Damir SudarQuantitative Imaging Systems LLC, Portland, OR 97210, USA.
Heidi S FeilerDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA; Knight Cancer Institute, OHSU, Portland, OR 97201, USA.
Laura M HeiserDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA; Knight Cancer Institute, OHSU, Portland, OR 97201, USA.
Ellen M LangerKnight Cancer Institute, OHSU, Portland, OR 97201, USA; Cancer Early Detection Advanced Research (CEDAR), OHSU, Portland, OR 97201, USA; Division of Oncological Sciences, OHSU, Portland, OR 97201, USA; Department of Molecular and Medical Genetics, OHSU, Portland, OR 97201, USA.
James E KorkolaDepartment of Biomedical Engineering, Oregon Health & Science University (OHSU), Portland, OR 97201, USA; Knight Cancer Institute, OHSU, Portland, OR 97201, USA. Electronic address: korkola@ohsu.edu.

Funding

OutreachU54HG008100 · NHGRI · OREGON HEALTH & SCIENCE UNIVERSITY · PI GRAY, JOE W., HEISER, LAURA MADELINE · 2014 to 2019
$10.5M
Understanding the Impact of Microscale and Nanoscale Heterogeneity and ResistanceU54CA209988 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEMIR, EMEK, HEISER, LAURA MADELINE · 2017 to 2021
$10.3M
NCI NIH HHS U54 CA209988NHGRI NIH HHS U54 HG008100
6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC) shows considerable intratumoral heterogeneity, which contributes to therapeutic resistance. Recent studies show that targeted therapeutics can steer TNBC toward homogeneous, drug-resistant states, but little is understood about how the microenvironment modulates these responses. We report studies to determine how components of the microenvironment impact response to trametinib and cellular heterogeneity. We find that multiple microenvironmental factors, including HGF and neuregulin 1, can drive therapeutic resistance and that treatment with hepatocyte growth factor (HGF) inhibitors restores trametinib sensitivity. Interestingly, treatment with these ligands reverses trametinib-induced homogeneity, restoring heterogeneity to levels comparable to baseline both in vitro and in vivo. Analysis of patient data demonstrates that TNBC with high HGF expression levels has a poor outcome and increased expression of basal and mesenchymal state markers. Our data suggest that common growth factors drive therapeutic resistance and maintain tumor heterogeneity in TNBC, and that co-targeting these factors may improve therapeutic response.

Indexed as

Drug Resistance, NeoplasmHepatocyte Growth FactorTriple Negative Breast NeoplasmsAnimalsCell Line, TumorFemaleHumansMicePyridonesPyrimidinonesTumor MicroenvironmentHepatocyte Growth FactorPyridonesPyrimidinonestrametinibCP: Cancermicroenvironmenttherapeutic resistancetriple negative breast cancertumor heterogeneity

Identifiers

PMID41477765
PMCPMC12959317

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.