Evidence map›Paper›PMID 32112368›Full record

ArticleMolecular diagnosis & therapy2020

Urinary Exosomal MicroRNAs as Potential Non-invasive Biomarkers in Breast Cancer Detection.

Marc Hirschfeld, Gerta Rücker, Daniela Weiß, Kai Berner, Andrea Ritter, Markus Jäger, Thalia Erbes

Abstract read
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In one paragraph

Article in Molecular diagnosis & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing 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.

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

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

  1. Pooled it
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  10. Circulating biomarkers for diagnosis and response to therapies in cancer patients.International review of cell and molecular biology · 2025
    Review
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  12. Exosomal microRNAs: impact on cancer detection, treatment, and monitoring.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  14. Article
  15. Personalized treatment approach for HER2-positive metastatic breast cancer.Medical oncology (Northwood, London, England) · 2024
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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

7 authors.

Marc HirschfeldDepartment of Obstetrics and Gynecology, Medical Center, University of Freiburg, Freiburg, Germany.
Gerta RückerFaculty of Medicine, University of Freiburg, Freiburg, Germany.
Daniela WeißDepartment of Obstetrics and Gynecology, Medical Center, University of Freiburg, Freiburg, Germany.
Kai BernerDepartment of Obstetrics and Gynecology, Medical Center, University of Freiburg, Freiburg, Germany.
Andrea RitterDepartment of Obstetrics and Gynecology, Medical Center, University of Freiburg, Freiburg, Germany.
Markus JägerDepartment of Obstetrics and Gynecology, Medical Center, University of Freiburg, Freiburg, Germany.
Thalia ErbesDepartment of Obstetrics and Gynecology, Medical Center, University of Freiburg, Freiburg, Germany. thalia.erbes@uniklinik-freiburg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBreast cancer (BC) is the most frequent malignant disease in women worldwide and is therefore challenging for the healthcare system. Early BC detection remains a leading factor that improves overall outcome and disease management. Aside from established screening procedures, there is a constant demand for additional BC detection methods. Routine BC screening via non-invasive liquid biopsy biomarkers is one auspicious approach to either complete or even replace the current state-of-the-art diagnostics. The study explores the diagnostic potential of urinary exosomal microRNAs with specific BC biomarker characteristics to initiate the potential prospective application of non-invasive BC screening as routine practice.

methodsBased on a case-control study (69 BC vs. 40 healthy controls), expression level quantification and subsequent biostatistical computation of 13 urine-derived microRNAs were performed to evaluate their diagnostic relevance in BC.

resultsMultilateral statistical assessment determined and repeatedly confirmed a specific panel of four urinary microRNA types (miR-424, miR-423, miR-660, and let7-i) as a highly specific combinatory biomarker tool discriminating BC patients from healthy controls, with 98.6% sensitivity and 100% specificity. DISCUSSION: Urine-based BC diagnosis may be achieved through the analysis of distinct microRNA panels with proven biomarker abilities. Subject to further validation, the implementation of urinary BC detection in routine screening offers a promising non-invasive alternative in women's healthcare.

Indexed as

AdultAgedBiomarkers, TumorBreast NeoplasmsCase-Control StudiesEarly Detection of CancerExosomesFemaleGene Expression Regulation, NeoplasticHumansLiquid BiopsyMicroRNAsMiddle AgedProspective StudiesSensitivity and SpecificityBiomarkers, TumorMicroRNAsMIRN423 microRNA, humanMIRN424 microrna, humanMIRN660 microRNA, humanmirnlet7 microRNA, human

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Registered trials

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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.