Evidence map›Paper›PMID 26194471›Full record

ArticleBMC cancer2015

Relationship between circulating tumor cells and epithelial to mesenchymal transition in early breast cancer.

M Mego, Z Cierna, P Janega, M Karaba, G Minarik, J Benca, T Sedlácková, G Sieberova, P Gronesova, D Manasova and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 8% of its field
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Towards liquid biopsy-based analysis of antitumour immunity.Nature reviews. Clinical oncology · 2026
    Review
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  5. Clinical significances ofBiomedical reports · 2025
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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

15 authors at 11 institutions in 6 countries.

M Mego2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovak Republic. misomego@gmail.com.
Z CiernaDepartment of Pathology, Bratislava, Slovakia. ciernaz@gmail.com.
P JanegaDepartment of Pathology, Bratislava, Slovakia. pavol.janega@fmed.uniba.sk.
M KarabaNational Cancer Institute, Bratislava, Slovakia. marian.karaba@nou.sk.
G MinarikInstitute of Molecular Biomedicine, Faculty of Medicine, Comenius University, Bratislava, Slovakia. gabriel.minarik@gmail.com.
J BencaNational Cancer Institute, Bratislava, Slovakia. juraj.benca@nou.sk.
T SedláckováInstitute of Molecular Biomedicine, Faculty of Medicine, Comenius University, Bratislava, Slovakia. tatiana.sedlackova@gmail.com.
G SieberovaNational Cancer Institute, Bratislava, Slovakia. gabriela.sieberova@gmail.com.
P GronesovaCancer Research Institute, Slovak Academy of Sciences, Bratislava, Slovakia. paulina.gronesova@gmail.com.
D ManasovaTranslational Research Unit, Bratislava, Slovakia. d.manasova@gmail.com.
D PindakNational Cancer Institute, Bratislava, Slovakia. daniel.pindak@nou.sk.
J Sufliarsky2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovak Republic. jozef.sufliarsky@nou.sk.
L DanihelDepartment of Pathology, Bratislava, Slovakia. ludovit.danihel@fmed.uniba.sk.
J M ReubenDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. jreuben@mdanderson.org.
J Mardiak2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovak Republic. jozef.mardiak@nou.sk.
Comenius University Bratislava · SKNational Cancer Institute · MYInstitute for Labour and Family Research · SKNational Cancer Research Institute · GBNational Institute of Oncology · HUSlovak Academy of Sciences · SKSlovak Centre of Scientific and Technical Information · SKSlovak Medical University · SKSlovak National Museum · SKThe University of Texas MD Anderson Cancer Center · USTranslational Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCirculating tumor cells (CTCs) play a crucial role in tumor dissemination and are an independent survival predictor in breast cancer (BC) patients. Epithelial to mesenchymal transition (EMT) is involved in cancer invasion and metastasis. The aim of this study was to assess correlation between CTCs and expression of EMT transcription factors TWIST1 and SLUG in breast tumor tissue.

methodsThis study included 102 early BC patients treated by primary surgery. Peripheral blood mononuclear cells (PBMC) were depleted of hematopoietic cells using RossetteSep™ negative selection kit. RNA extracted from CD45-depleted PBMC was interrogated for expression of EMT (TWIST1, SNAIL1, SLUG, FOXC2 and ZEB1) and epithelial (KRT19) gene transcripts by qRT-PCR. Expression of TWIST1 and SLUG in surgical specimens was evaluated by immunohistochemistry and quantified by multiplicative score.

resultsCTCs were detected in 24.5 % patients. CTCs exhibiting only epithelial markers were present in 8.8 % patients, whereas CTCs with only EMT markers were observed in 12.8 % of pts and CTCs co-expressing both markers were detected in 2.9 % pts. We observed lack of correlation between CTCs and expression of TWIST1 and SLUG in breast cancer cells or cancer associated stroma. Lack of correlation was observed for epithelial CTCs as well as for CTCs with EMT.

conclusionsIn this translational study, we showed a lack of association between CTCs and expression of EMT-inducing transcription factors, TWIST1 and SLUG, in breast tumor tissue. Despite the fact that EMT is involved in cancer invasion and metastasis our results suggest, that expression of EMT proteins in unselected tumor tissue is not surrogate marker of CTCs with either mesenchymal or epithelial features.

Indexed as

Epithelial-Mesenchymal TransitionAdultAgedAged, 80 and overBiomarkers, TumorBreast NeoplasmsCell Line, TumorFemaleGene Expression Regulation, NeoplasticHCT116 CellsHeLa CellsHumansMCF-7 CellsMiddle AgedNeoplastic Cells, CirculatingNuclear ProteinsBiomarkers, TumorNuclear ProteinsSNAI1 protein, humanSnail Family Transcription FactorsTranscription FactorsTWIST1 protein, humanTwist-Related Protein 1

Identifiers

PMID26194471
PMCPMC4509773
OpenAlexW2139404453

What OpenQuestion 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 OpenQuestion graph.