LABORATORY RESEARCH Self-Renewal of CD133hi Cells by IL6/Notch3 Signaling Regulates Endocrine Resistance in Metastatic Breast Cancer Researchers developed experimental models of metastatic luminal breast cancer and demonstrated that hormonal therapy (HT) can promote the generation of HT-resistant, self-renewing CD133hi/ERlo/IL6hi cancer stem cells. [Nat Commun] Full Article Polyclonal Breast Cancer Metastases Arise From Collective Dissemination of Keratin 14-Expressing Tumor Cell Clusters Researchers used multicolor lineage tracing to demonstrate that polyclonal seeding by cell clusters is a frequent mechanism in a common mouse model of breast cancer, accounting for greater than ninety percent of metastases. [Proc Natl Acad Sci USA] Abstract | Press Release Breast Cancer MDA-MB-231 Cells Use Secreted Heat Shock Protein-90alpha (Hsp90alpha) to Survive a Hostile Hypoxic Environment Investigators showed that hypoxia-inducible factor-1alpha (HIF-1α)-overexpressing breast cancer cells, MDA-MB-231, secrete heat shock protein-90alpha (Hsp90α) and use it to survive under hypoxia. [Sci Rep] Full Article Continuous Quantification of HER2 Expression by Microfluidic Precision Immunofluorescence Estimates HER2 Gene Amplification in Breast Cancer Scientists showed that the level of HER2 protein expression, as continuously quantified using microfluidic precision immunofluorescence in 25 breast cancer cases, including several cases with equivocal immunohistochemistry, can predict the number of HER2 gene copies as assessed by fluorescence in situ hybridization. [Sci Rep] Full Article Downregulation of Histone H2A and H2B Pathways Is Associated with Anthracycline Sensitivity in Breast Cancer Researchers generated paired native and epirubicin-resistant MDA-MB-231, MCF7, SKBR3 and ZR-75-1 breast cancer cell lines to identify pathways contributing to anthracycline resistance. [Breast Cancer Res] Full Article Structural Simulation of Adenosine Phosphate via Plumbagin and Zoledronic Acid Competitively Targets JNK/Erk to Synergistically Attenuate Osteoclastogenesis in a Breast Cancer Model Scientists explored the effect and mechanism of combined treatment with zoledronic acid and plumbagin, a widely investigated component derived from Plumbago zeylanica, against breast cancer-induced osteoclastogenesis. [Cell Death Dis] Full Article Altered S-Nitrosothiol Homeostasis Provides a Survival Advantage to Breast Cancer Cells in HER2 Tumors and Reduces Their Sensitivity to Trastuzumab Researchers explored the role of S-nitrosothiols (SNO) homeostasis in HER2 breast tumors. The antiproliferative action of trastuzumab in HER2-overexpressing BT-474 and SKBR-3 cells was suppressed when S-nitrosoglutathione reductase activity, which plays a key role in SNO homeostasis, was specifically inhibited with the pyrrole derivative compound N6022. [Biochim Biophys Acta] Abstract CLINICAL RESEARCH A Randomized, Open-Label, Multicenter, Phase III Study of Epoetin Alfa versus Best Standard of Care in Anemic Patients with Metastatic Breast Cancer Receiving Standard Chemotherapy Investigators undertook an open-label, noninferiority study to evaluate the impact of epoetin alfa on tumor outcomes when used to treat anemia in patients receiving chemotherapy for metastatic breast cancer. [J Clin Oncol] Abstract Observation versus Late Reintroduction of Letrozole as Adjuvant Endocrine Therapy for Hormone Receptor Positive Breast Cancer (ANZ0501 LATER): An Open-Label Randomized Controlled Trial This randomized open label Phase III trial, recruited postmenopausal women, with hormone receptor positive early breast cancer, who had completed ≥4 years of endocrine therapy ≥1 year prior, to oral letrozole 2.5 mg daily for five years, or observation. [Ann Oncol] Abstract |