Evidence map›Paper›PMID 35205744›Full record

ReviewCancers2022

Circulating Tumor Cells in Breast Cancer Patients: A Balancing Act between Stemness, EMT Features and DNA Damage Responses.

Benedikt Heitmeir, Miriam Deniz, Wolfgang Janni, Brigitte Rack, Fabienne Schochter, Lisa Wiesmüller

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Benedikt HeitmeirDepartment of Obstetrics and Gynecology, Ulm University, 89075 Ulm, Germany.
Miriam DenizDepartment of Obstetrics and Gynecology, Ulm University, 89075 Ulm, Germany.
Wolfgang JanniDepartment of Obstetrics and Gynecology, Ulm University, 89075 Ulm, Germany.
Brigitte RackDepartment of Obstetrics and Gynecology, Ulm University, 89075 Ulm, Germany.
Fabienne SchochterDepartment of Obstetrics and Gynecology, Ulm University, 89075 Ulm, Germany.ORCID 0000-0003-3675-6494
Lisa WiesmüllerDepartment of Obstetrics and Gynecology, Ulm University, 89075 Ulm, Germany.ORCID 0000-0002-2397-5041
Universität Ulm · DE

Funding

Deutsche Forschungsgemeinschaft Research Training Group 2544Else Kröner Fresenius Stiftung Cllinician Scientist felloship for B.H.German Cancer Aid 70112504
6 · The paper itself

Abstract

Circulating tumor cells (CTCs) traverse vessels to travel from the primary tumor to distant organs where they adhere, transmigrate, and seed metastases. To cope with these challenges, CTCs have reached maximal flexibility to change their differentiation status, morphology, migratory capacity, and their responses to genotoxic stress caused by metabolic changes, hormones, the inflammatory environment, or cytostatic treatment. A significant percentage of breast cancer cells are defective in homologous recombination repair and other mechanisms that protect the integrity of the replication fork. To prevent cell death caused by broken forks, alternative, mutagenic repair, and bypass pathways are engaged but these increase genomic instability. CTCs, arising from such breast tumors, are endowed with an even larger toolbox of escape mechanisms that can be switched on and off at different stages during their journey according to the stress stimulus. Accumulating evidence suggests that DNA damage responses, DNA repair, and replication are integral parts of a regulatory network orchestrating the plasticity of stemness features and transitions between epithelial and mesenchymal states in CTCs. This review summarizes the published information on these regulatory circuits of relevance for the design of biomarkers reflecting CTC functions in real-time to monitor therapeutic responses and detect evolving chemoresistance mechanisms.

Indexed as

cancer stem cellcirculating tumor cellsDNA damage responseepithelial-mesenchymal transitionmetastasis

Identifiers

PMID35205744
PMCPMC8869884
OpenAlexW4213201274

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.