Translational Aspects in Metaplastic Breast Carcinoma

Breast cancer is the most common cancer among women. Metaplastic breast carcinoma (MpBC) is a rare, heterogeneous group of invasive breast carcinomas, which are classified as predominantly triple-negative breast carcinomas (TNBCs; HR-negative/HER2-negative). Histologically, MpBC is classified into s...

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Main Authors: Elizve Nairoby Barrientos-Toro, Qingqing Ding, Maria Gabriela Raso
Format: Article
Language:English
Published: MDPI AG 2024-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/16/7/1433
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author Elizve Nairoby Barrientos-Toro
Qingqing Ding
Maria Gabriela Raso
author_facet Elizve Nairoby Barrientos-Toro
Qingqing Ding
Maria Gabriela Raso
author_sort Elizve Nairoby Barrientos-Toro
collection DOAJ
description Breast cancer is the most common cancer among women. Metaplastic breast carcinoma (MpBC) is a rare, heterogeneous group of invasive breast carcinomas, which are classified as predominantly triple-negative breast carcinomas (TNBCs; HR-negative/HER2-negative). Histologically, MpBC is classified into six subtypes. Two of these are considered low-grade and the others are high-grade. MpBCs seem to be more aggressive, less responsive to neoadjuvant chemotherapy, and have higher rates of chemoresistance than other TNBCs. MpBCs have a lower survival rate than expected for TNBCs. MpBC treatment represents a challenge, leading to a thorough exploration of the tumor immune microenvironment, which has recently opened the possibility of new therapeutic strategies. The epithelial–mesenchymal transition in MpBC is characterized by the loss of intercellular adhesion, downregulation of epithelial markers, underexpression of genes with biological epithelial functions, upregulation of mesenchymal markers, overexpression of genes with biological mesenchymal functions, acquisition of fibroblast-like (spindle) morphology, cytoskeleton reorganization, increased motility, invasiveness, and metastatic capabilities. This article reviews and summarizes the current knowledge and translational aspects of MpBC.
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spelling doaj.art-cd68fde907f34a5d85e90e01b0cbff652024-04-12T13:16:20ZengMDPI AGCancers2072-66942024-04-01167143310.3390/cancers16071433Translational Aspects in Metaplastic Breast CarcinomaElizve Nairoby Barrientos-Toro0Qingqing Ding1Maria Gabriela Raso2Department of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Anatomical Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USABreast cancer is the most common cancer among women. Metaplastic breast carcinoma (MpBC) is a rare, heterogeneous group of invasive breast carcinomas, which are classified as predominantly triple-negative breast carcinomas (TNBCs; HR-negative/HER2-negative). Histologically, MpBC is classified into six subtypes. Two of these are considered low-grade and the others are high-grade. MpBCs seem to be more aggressive, less responsive to neoadjuvant chemotherapy, and have higher rates of chemoresistance than other TNBCs. MpBCs have a lower survival rate than expected for TNBCs. MpBC treatment represents a challenge, leading to a thorough exploration of the tumor immune microenvironment, which has recently opened the possibility of new therapeutic strategies. The epithelial–mesenchymal transition in MpBC is characterized by the loss of intercellular adhesion, downregulation of epithelial markers, underexpression of genes with biological epithelial functions, upregulation of mesenchymal markers, overexpression of genes with biological mesenchymal functions, acquisition of fibroblast-like (spindle) morphology, cytoskeleton reorganization, increased motility, invasiveness, and metastatic capabilities. This article reviews and summarizes the current knowledge and translational aspects of MpBC.https://www.mdpi.com/2072-6694/16/7/1433metaplastic breast carcinomatriple-negative breast carcinomatumor immune microenvironmentepithelial–mesenchymal transitionclinical trials
spellingShingle Elizve Nairoby Barrientos-Toro
Qingqing Ding
Maria Gabriela Raso
Translational Aspects in Metaplastic Breast Carcinoma
Cancers
metaplastic breast carcinoma
triple-negative breast carcinoma
tumor immune microenvironment
epithelial–mesenchymal transition
clinical trials
title Translational Aspects in Metaplastic Breast Carcinoma
title_full Translational Aspects in Metaplastic Breast Carcinoma
title_fullStr Translational Aspects in Metaplastic Breast Carcinoma
title_full_unstemmed Translational Aspects in Metaplastic Breast Carcinoma
title_short Translational Aspects in Metaplastic Breast Carcinoma
title_sort translational aspects in metaplastic breast carcinoma
topic metaplastic breast carcinoma
triple-negative breast carcinoma
tumor immune microenvironment
epithelial–mesenchymal transition
clinical trials
url https://www.mdpi.com/2072-6694/16/7/1433
work_keys_str_mv AT elizvenairobybarrientostoro translationalaspectsinmetaplasticbreastcarcinoma
AT qingqingding translationalaspectsinmetaplasticbreastcarcinoma
AT mariagabrielaraso translationalaspectsinmetaplasticbreastcarcinoma