Evidence map›Paper›PMID 41051137›Full record

ReviewCancer medicine2025

Research Advances of Extrachromosomal Circular DNA in Breast Cancer.

Xiaodan Zhu, Yiyang Qian, Quan Tang, Jiahui Li, Yuqing Geng, Shixia Gong, Chunhui Jin

Abstract readReview
In one paragraph

Review in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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.

Xiaodan ZhuWuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.
Yiyang QianWuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.ORCID https://orcid.org/0009-0000-5841-7990
Quan TangWuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.
Jiahui LiWuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.
Yuqing GengWuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.
Shixia GongWuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.
Chunhui JinWuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.ORCID https://orcid.org/0000-0002-8795-9542

Funding

Natural Science Foundation of Nanjing University of Chinese Medicine XZR2023095Project supported by the Natural Science Foundation of Jiangsu Province, China BK20240309Talent Support Program for young and middle-aged people of Wuxi Health Committee HB2023067
6 · The paper itself

Abstract

backgroundThis article presents an extensive review of the advancements in research concerning extrachromosomal circular DNA (ecDNA) within the context of breast cancer. As a distinct form of DNA, ecDNA is critically involved in the initiation, progression, diagnosis, and treatment of breast cancer.

methodsThe article provides a comprehensive analysis of the mechanisms underlying the formation of ecDNA, highlighting factors such as aberrant DNA damage repair and chromosomal rearrangements. It further examines the biological roles of ecDNA in augmenting oncogene expression, fostering tumor heterogeneity, and facilitating immune evasion.

resultsEpidemiological studies indicate significant variability in the distribution of ecDNA across different breast cancer subtypes, with a notable association with invasive subtypes, such as triple-negative breast cancer. The presence of ecDNA is linked to poor prognosis and treatment resistance in patients. Current detection technologies for ecDNA include molecular biology and imaging techniques, and its detectability in plasma underscores its potential as a biomarker for liquid biopsy.

conclusionsThe development of ecDNA-targeted therapies and their integration with immunotherapy strategies offers promising new avenues for breast cancer treatment. Despite challenges such as incomplete elucidation of mechanisms, standardization of detection methods, and ethical considerations, ecDNA remains a valuable biomarker and therapeutic target in breast cancer. Future research is anticipated to advance its clinical transformation and application in individualized treatment.

Indexed as

Biomarkers, TumorBreast NeoplasmsDNA, CircularFemaleHumansPrognosisBiomarkers, TumorDNA, Circularbiological functionbiomarkerbreast cancerextrachromosomal circular DNA (ecDNA)targeted therapytherapeutic strategies

Identifiers

PMID41051137
PMCPMC12498277

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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.