Evidence map›Paper›PMID 41779324›Full record

ArticleCurrent medical science2026

Overexpression of TFF3 is Associated with Immune Infiltration, Molecular Subtypes, and Clinical Progression in Breast Cancer.

Bei Liu, Qin Wang, Rong-Fu Huang, Xiao-Hong Min, Han-Han Liu, Huan Wu, Hui Xu, Jun-Bo Hu, Yong-Qing Tong, Zi-Ming Huang

Abstract read
In one paragraph

Article in Current medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Bei Liu *Department of Pathology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China.
Qin Wang *Department of Pathology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China.
Rong-Fu Huang *Department of Clinical Laboratory, Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
Xiao-Hong MinDepartment of Pathology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China.
Han-Han LiuDepartment of Pathology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China.
Huan WuDepartment of Pathology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China.
Hui XuDepartment of Pathology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China.
Jun-Bo HuDepartment of Pathology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China. cqjbhu@163.com.
Yong-Qing TongPrenatal Diagnostic Center of Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China. tytsing@whu.edu.cn.ORCID http://orcid.org/0000-0002-1051-5054
Zi-Ming HuangDepartment of Breast and Thyroid Surgery, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430070, China. huangziming@hbfy.com.

Funding

the Key Project of Hubei Provincial Natural Science Foundation 2025AFD670the Maternal and Child Health Hospital of Hubei Province Research Project 2023SFYM008
6 · The paper itself

Abstract

objectiveTrefoil factor 3 (TFF3), a secreted protein involved in mucosal protection and tumor progression, has an incompletely defined role in breast cancer (BRCA). This study aimed to comprehensively evaluate TFF3 expression patterns, clinical relevance, and prognostic significance in BRCA.

methodsData from the TCGA, GTEx, TNMplot, and TISCH2 databases were integrated to analyze TFF3 expression and clinical significance. Protein expression in clinical samples was validated via immunohistochemistry (IHC), and survival analysis, immune infiltration assessment, and functional enrichment analyses were performed to explore the biological role of TFF3.

resultsTFF3 was significantly upregulated in BRCA tumor tissues compared with normal tissues (P < 0.001) and was expressed predominantly in malignant cells and tumor-associated macrophages. High TFF3 expression correlated strongly with hormone receptor (estrogen receptor/progesterone receptor) positivity, luminal A/B subtypes, and early-stage disease (P < 0.01) and showed excellent diagnostic performance for distinguishing basal-like from non-basal-like BRCA (AUC = 0.95). TFF3 was an independent protective factor: high expression was associated with improved overall survival (HR = 0.75, P = 0.02) and disease-free survival (P < 0.001), especially in patients receiving hormone therapy (HR = 0.89, P = 0.0002) or chemotherapy (HR = 0.89, P = 0.0002). TFF3 exhibited immunomodulatory properties, correlated positively with M2 macrophages and negatively with cytotoxic immune cells (CD8

conclusionsTFF3 is a robust diagnostic biomarker for BRCA molecular subtyping, an independent prognostic factor, and a potential immunomodulator. These findings highlight its clinical utility for patient stratification and potential as a therapeutic target, particularly in hormone receptor-positive BRCA.

Indexed as

Biomarkers, TumorBreast NeoplasmsTrefoil Factor-3Disease ProgressionFemaleGene Expression Regulation, NeoplasticHumansMiddle AgedPrognosisBiomarkers, TumorTFF3 protein, humanTrefoil Factor-3Breast cancerImmune microenvironmentMolecular subtypingPrognostic biomarkerTFF3

Identifiers

PMID41779324
PMCPMC13124870

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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.