Evidence map›Paper›PMID 31443516›Full record

ReviewCells2019

Mechanisms of Chemotherapy Resistance in Triple-Negative Breast Cancer-How We Can Rise to the Challenge.

Milica Nedeljković, Ana Damjanović

Registry-linked trialAbstract readReview
In one paragraph

Review in Cells, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06154109 (Comparative Efficacy of Xiaopi Granules and Decoction in Improving Pathological Complete Response of Neoadjuvant Chemotherapy of Triple-negative Breast Cancer), which is not on this map. Cited by 491 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
491citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06154109 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Comparative Efficacy of Xiaopi Granules and Decoction in Improving Pathological Complete Response of Neoadjuvant Chemotherapy of Triple-negative Breast Cancer: a Randomized, Double-blind, Controlled Trial

TypeinterventionalSponsorZhiyu WangRan2023 to 2026Enrolled90ConditionsTriple Negative Breast NeoplasmsArmsXiaopi granules, Xiaopi decoction, Placebo
3 · Its place in the literature

Who cites it

491 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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431 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

2 authors.

Milica NedeljkovićInstitute of Oncology and Radiology of Serbia, Pasterova 14, 11000 Belgrade, Serbia. mnedel30@yahoo.co.uk.
Ana DamjanovićInstitute of Oncology and Radiology of Serbia, Pasterova 14, 11000 Belgrade, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Triple-negative (TNBC) is the most lethal subtype of breast cancer owing to high heterogeneity, aggressive nature, and lack of treatment options. Chemotherapy remains the standard of care for TNBC treatment, but unfortunately, patients frequently develop resistance. Accordingly, in recent years, tremendous effort has been made into elucidating the mechanisms of TNBC chemoresistance with the goal of identifying new molecular targets. It has become evident that the development of TNBC chemoresistance is multifaceted and based on the elaborate interplay of the tumor microenvironment, drug efflux, cancer stem cells, and bulk tumor cells. Alterations of multiple signaling pathways govern these interactions. Moreover, TNBC's high heterogeneity, highlighted in the existence of several molecular signatures, presents a significant obstacle to successful treatment. In the present, in-depth review, we explore the contribution of key mechanisms to TNBC chemoresistance as well as emerging strategies to overcome them. We discuss novel anti-tumor agents that target the components of these mechanisms and pay special attention to their current clinical development while emphasizing the challenges still ahead of successful TNBC management. The evidence presented in this review outlines the role of crucial pathways in TNBC survival following chemotherapy treatment and highlights the importance of using combinatorial drug strategies and incorporating biomarkers in clinical studies.

Indexed as

Antineoplastic AgentsBiomarkers, TumorDrug Resistance, NeoplasmHumansTriple Negative Breast NeoplasmsAntineoplastic AgentsBiomarkers, TumorABC transportersapoptosiscancer stem cellschemoresistancehypoxiamicroRNAmolecular subtypesreceptor tyrosine kinasessignaling pathwaysTriple-negative breast cancer

Identifiers

PMID31443516
PMCPMC6770896

What OpenQuestion holds

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Registered trials

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.