Evidence map›Paper›PMID 26387133›Full record

ReviewOncotarget2015

Triple negative breast cancer: looking for the missing link between biology and treatments.

Giuseppe Palma, Giuseppe Frasci, Andrea Chirico, Emanuela Esposito, Claudio Siani, Carmela Saturnino, Claudio Arra, Gennaro Ciliberto, Antonio Giordano, Massimiliano D'Aiuto

Open access · diamondAbstract readReview
In one paragraph

Review in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
9.5field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 177 citations in OpenAlex.

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  9. Two Novel Compounds Isolated from the Marine Fungal Symbiont ofJournal of experimental pharmacology · 2025
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  10. ACSL4-mediated H3K9 and H3K27 hyperacetylation upregulates SNAIL to drive TNBC metastasis.Proceedings of the National Academy of Sciences of the United States of America · 2024
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37 more citing papers are in PubMed but not listed here.

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

10 authors at 4 institutions in 2 countries.

Giuseppe PalmaS.S.D. "Sperimentazione Animale", National Cancer Institute, IRCCS, "Fondazione Pascale", Naples, Italy.
Giuseppe FrasciDivision of Breast Surgery, Department of Breast Disease, National Cancer Institute, IRCCS, "Fondazione Pascale", Naples, Italy.
Andrea ChiricoSbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, Temple University, Philadelphia, PA, USA.
Emanuela EspositoDivision of Breast Surgery, Department of Breast Disease, National Cancer Institute, IRCCS, "Fondazione Pascale", Naples, Italy.
Claudio SianiDivision of Breast Surgery, Department of Breast Disease, National Cancer Institute, IRCCS, "Fondazione Pascale", Naples, Italy.
Carmela SaturninoDepartment of Pharmacy and Biomedical Science, University of Salerno, Fisciano SA, Italy.
Claudio ArraS.S.D. "Sperimentazione Animale", National Cancer Institute, IRCCS, "Fondazione Pascale", Naples, Italy.
Gennaro CilibertoNational Cancer Institute, IRCCS, "Fondazione Pascale", Naples, Italy.
Antonio GiordanoSbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, Temple University, Philadelphia, PA, USA.
Massimiliano D'AiutoDivision of Breast Surgery, Department of Breast Disease, National Cancer Institute, IRCCS, "Fondazione Pascale", Naples, Italy.
Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITSapienza University of Rome · ITTemple University · USUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The so called "Triple Negative Breast Cancer" (TNBC) represents approximately 15-20% of breast cancers. This acronym simply means that the tumour does not express oestrogen receptor (ER) and progesterone receptor (PR) and does not exhibit amplification of the human epidermal growth factor receptor 2 (HER2) gene. Despite this unambiguous definition, TNBCs are an heterogeneous group of tumours with just one common clinical feature: a distinctly aggressive nature with higher rates of relapse and shorter overall survival in the metastatic setting compared with other subtypes of breast cancer. Because of the absence of well-defined molecular targets, cytotoxic chemotherapy is currently the only treatment option for TNBC. In the last decades, the use of more aggressive chemotherapy has produced a clear improvement of the prognosis in women with TNBC, but this approach results in an unacceptable deterioration in the quality of life, also if some support therapies try to relieve patients from distress. In addition, there is the general belief that it is impossible to further improve the prognosis of TNBC patients with chemotherapy alone. In view of that, there is a feverish search for new "clever drugs" able both to rescue chemo-resistant, and to reduce the burden of chemotherapy in chemo-responsive TNBC patients. A major obstacle to identifying actionable targets in TNBC is the vast disease heterogeneity both inter-tumour and intra-tumour and years of study have failed to demonstrate a single unifying alteration that is targetable in TNBC. TNBC is considered the subtype that best benefits from the neoadjuvant model, since the strong correlation between pathological Complete Response and long-term Disease-Free-Survival in these patients. In this review, we discuss the recent discoveries that have furthered our understanding of TNBC, with a focus on the subtyping of TNBC. We also explore the implications of these discoveries for future treatments and highlight the need for a completely different type of clinical trials.

Indexed as

Antineoplastic AgentsCell ProliferationDNA RepairFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansImmunohistochemistryMutationNeoplasm Recurrence, LocalNeovascularization, PathologicPhenotypePrognosisQuality of LifeRandomized Controlled Trials as TopicReceptors, AndrogenAntineoplastic AgentsAR protein, humanReceptors, Androgenbiologybreast canceroncologytreatmentstriple negative

Identifiers

PMID26387133
PMCPMC4694936
OpenAlexW1755990644

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.