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- Title
Circulating miR-200 Family and CTCs in Metastatic Breast Cancer before, during, and after a New Line of Systemic Treatment.
- Authors
Fischer, Chiara; Turchinovich, Andrey; Feisst, Manuel; Riedel, Fabian; Haßdenteufel, Kathrin; Scharli, Philipp; Hartkopf, Andreas D.; Brucker, Sara Y.; Michel, Laura; Burwinkel, Barbara; Schneeweiss, Andreas; Wallwiener, Markus; Deutsch, Thomas M.
- Abstract
The extracellular circulating microRNA (miR)-200 regulates epithelial-mesenchymal transition and, thus, plays an essential role in the metastatic cascade and has shown itself to be a promising prognostic and predictive biomarker in metastatic breast cancer (MBC). Expression levels of the plasma miR-200 family were analyzed in relationship to systemic treatment, circulating tumor cells (CTC) count, progression-free survival (PFS), and overall survival (OS). Expression of miR-200a, miR-200b, miR-200c, miR-141, and miR-429, and CTC status (CTC-positive ≥ 5 CTC/7.5 mL) was assessed in 47 patients at baseline (BL), after the first completed cycle of a new line of systemic therapy (1C), and upon the progression of disease (PD). MiR-200a, miR-200b, and miR-141 expression was reduced at 1C compared to BL. Upon PD, all miR-200s were upregulated compared to 1C. At all timepoints, the levels of miR-200s were elevated in CTC-positive versus CTC-negative patients. Further, heightened miR-200s expression and positive CTC status were associated with poorer OS at BL and 1C. In MBC patients, circulating miR-200 family members decreased after one cycle of a new line of systemic therapy, were elevated during PD, and were indicative of CTC status. Notably, increased levels of miR-200s and elevated CTC count correlated with poorer OS and PFS. As such, both are promising biomarkers for optimizing the clinical management of MBC.
- Subjects
METASTATIC breast cancer; EPITHELIAL-mesenchymal transition; DISEASE progression; PROGRESSION-free survival; OVERALL survival
- Publication
International Journal of Molecular Sciences, 2022, Vol 23, Issue 17, p9535
- ISSN
1661-6596
- Publication type
Article
- DOI
10.3390/ijms23179535