The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the Literature

Breast cancer is one of the leading causes of death in women worldwide. One subtype of breast cancer is the triple-negative, which accounts for 15% of total breast cancer cases and is known for its poor prognosis. The main cause of death is due to metastasis. Circulating tumor cells (CTCs) play a ke...

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Main Authors: Lorena Alexandra Lisencu, Sebastian Trancă, Eduard-Alexandru Bonci, Andrei Pașca, Carina Mihu, Alexandru Irimie, Oana Tudoran, Ovidiu Balacescu, Ioan Cosmin Lisencu
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/4/769
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author Lorena Alexandra Lisencu
Sebastian Trancă
Eduard-Alexandru Bonci
Andrei Pașca
Carina Mihu
Alexandru Irimie
Oana Tudoran
Ovidiu Balacescu
Ioan Cosmin Lisencu
author_facet Lorena Alexandra Lisencu
Sebastian Trancă
Eduard-Alexandru Bonci
Andrei Pașca
Carina Mihu
Alexandru Irimie
Oana Tudoran
Ovidiu Balacescu
Ioan Cosmin Lisencu
author_sort Lorena Alexandra Lisencu
collection DOAJ
description Breast cancer is one of the leading causes of death in women worldwide. One subtype of breast cancer is the triple-negative, which accounts for 15% of total breast cancer cases and is known for its poor prognosis. The main cause of death is due to metastasis. Circulating tumor cells (CTCs) play a key role in the metastatic process. CTCs arise either by detaching from the primary tumor or from cancer stem cells undergoing an epithelial-to-mesenchymal transition (EMT). This review aims to present up-to-date data concerning the role of CTC numbers in relation to the prognostic and treatment response in metastatic triple-negative breast cancer (mTNBC) patients, and also to discuss the methods used for CTCs’ identification. A search in the MEDLINE database was performed. A total of 234 articles were identified. The results of the 24 eligible studies showed that positive CTC status is associated with shorter overall survival (OS) and progression-free survival (PFS) in mTNBC patients. Furthermore, a decrease in number of CTCs during therapy seems to be a favorable prognostic factor, making CTCs’ detection an important prognostic tool before and during therapy in mTNBC patients. The methods used for CTC detection are still developing and need further improvement.
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spelling doaj.art-caf75899d0e142dab57626258401e6d92023-12-01T00:53:04ZengMDPI AGBiomedicines2227-90592022-03-0110476910.3390/biomedicines10040769The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the LiteratureLorena Alexandra Lisencu0Sebastian Trancă1Eduard-Alexandru Bonci2Andrei Pașca3Carina Mihu4Alexandru Irimie5Oana Tudoran6Ovidiu Balacescu7Ioan Cosmin Lisencu8Department of Oncological Surgery and Gynecological Oncology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Anaesthesia and Intensive Care II, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Oncological Surgery and Gynecological Oncology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Oncological Surgery and Gynecological Oncology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Toxicology and Clinical Pharmacology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Oncological Surgery and Gynecological Oncology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Genetics, Genomics and Experimental Pathology, The Oncology Institute “Prof. Dr. Ion Chiricuță”, 400015 Cluj-Napoca, RomaniaDepartment of Genetics, Genomics and Experimental Pathology, The Oncology Institute “Prof. Dr. Ion Chiricuță”, 400015 Cluj-Napoca, RomaniaDepartment of Oncological Surgery and Gynecological Oncology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaBreast cancer is one of the leading causes of death in women worldwide. One subtype of breast cancer is the triple-negative, which accounts for 15% of total breast cancer cases and is known for its poor prognosis. The main cause of death is due to metastasis. Circulating tumor cells (CTCs) play a key role in the metastatic process. CTCs arise either by detaching from the primary tumor or from cancer stem cells undergoing an epithelial-to-mesenchymal transition (EMT). This review aims to present up-to-date data concerning the role of CTC numbers in relation to the prognostic and treatment response in metastatic triple-negative breast cancer (mTNBC) patients, and also to discuss the methods used for CTCs’ identification. A search in the MEDLINE database was performed. A total of 234 articles were identified. The results of the 24 eligible studies showed that positive CTC status is associated with shorter overall survival (OS) and progression-free survival (PFS) in mTNBC patients. Furthermore, a decrease in number of CTCs during therapy seems to be a favorable prognostic factor, making CTCs’ detection an important prognostic tool before and during therapy in mTNBC patients. The methods used for CTC detection are still developing and need further improvement.https://www.mdpi.com/2227-9059/10/4/769metastatic TNBCCTCsprogression-free survivaloverall survivaltherapy response
spellingShingle Lorena Alexandra Lisencu
Sebastian Trancă
Eduard-Alexandru Bonci
Andrei Pașca
Carina Mihu
Alexandru Irimie
Oana Tudoran
Ovidiu Balacescu
Ioan Cosmin Lisencu
The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the Literature
Biomedicines
metastatic TNBC
CTCs
progression-free survival
overall survival
therapy response
title The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the Literature
title_full The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the Literature
title_fullStr The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the Literature
title_full_unstemmed The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the Literature
title_short The Role of Circulating Tumor Cells in the Prognosis of Metastatic Triple-Negative Breast Cancers: A Systematic Review of the Literature
title_sort role of circulating tumor cells in the prognosis of metastatic triple negative breast cancers a systematic review of the literature
topic metastatic TNBC
CTCs
progression-free survival
overall survival
therapy response
url https://www.mdpi.com/2227-9059/10/4/769
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