Evidence map›Paper›PMID 38529589›Full record

ArticleJournal of breast cancer2024

Metformin Alters Tumor Immune Microenvironment, Improving the Outcomes of Breast Cancer Patients With Type 2 Diabetes Mellitus.

Satomi Shiba, Michiko Harao, Akira Saito, Masako Sakuragi, Joji Kitayama, Naohiro Sata

Open access · goldAbstract read
In one paragraph

Article in Journal of breast cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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.

Satomi ShibaDepartment of Surgery, Jichi Medical University, Shimotsuke, Japan.ORCID https://orcid.org/0000-0001-9475-2083
Michiko HaraoDepartment of Surgery, Jichi Medical University, Shimotsuke, Japan.ORCID https://orcid.org/0000-0002-3138-062X
Akira SaitoDepartment of Surgery, Jichi Medical University, Shimotsuke, Japan.ORCID https://orcid.org/0000-0003-2679-3240
Masako SakuragiDepartment of Surgery, Jichi Medical University, Shimotsuke, Japan.ORCID https://orcid.org/0000-0003-0753-4710
Joji KitayamaDepartment of Surgery, Jichi Medical University, Shimotsuke, Japan.ORCID https://orcid.org/0000-0002-5708-7130
Naohiro SataDepartment of Surgery, Jichi Medical University, Shimotsuke, Japan.ORCID https://orcid.org/0000-0002-6689-5623
Jichi Medical University · JP

Funding

Japan Society for the Promotion of Science 22H03152Japan Society for the Promotion of Science 22K16450
6 · The paper itself

Abstract

This study investigated the clinical effect of metformin on breast cancer patients with preexisting type 2 diabetes mellitus (T2DM). We analyzed 177 patients with T2DM who underwent breast cancer surgery and assessed tumor-associated macrophages (TAMs) and tumor-infiltrating lymphocytes (TILs) in patients who underwent tumor resection with or without metformin treatment using multiplex immunohistochemistry (IHC). Patients who received metformin either pre- or postoperatively exhibited reduced distant organ recurrence and improved postoperative recurrence-free survival compared to those of patients who did not. Additionally, in a subgroup of 40 patients receiving preoperative systemic therapy, metformin treatment was associated with increased rates of pathological complete response. IHC analysis revealed significantly lower levels of cluster of differentiation (CD) 68(+) CD163(+) M2-type TAMs (

Indexed as

Breast NeoplasmsDiabetes MellitusLymphocytes, Tumor-InfiltratingMetforminTumor-Associated Macrophages

Identifiers

PMID38529589
PMCPMC11065500
OpenAlexW4392475967

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.