Breast Cancer: Novel Biomarkers for Diagnosis and Therapy

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cancer Biology and Oncology".

Deadline for manuscript submissions: closed (15 December 2023) | Viewed by 3653

Special Issue Editor


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Guest Editor
Konkuk University Medical Centre, Seoul, Republic of Korea
Interests: breast cancer

Special Issue Information

Dear Colleagues,

Breast cancer is the most common cancer in women, affecting one in eight women and causing a very high mortality rate. To more accurately diagnose or treat breast cancer, biomarkers are needed. Biomarkers can be involved in adjuvant endocrine therapy and chemotherapy for breast cancer, as well as systemic therapy for metastatic breast cancer. This special issue aims to present the latest biomarkers for precision medicine in breast cancer. Articles on the discovery of biomarkers in preclinical research and testing their translational research applications in the clinic are also collected. This special issue of "Breast Cancer: Novel Markers for Diagnosis and Therapy" will introduce biomarkers in breast cancer from the aspects of genomics, transcriptomics, proteomics and immunology, tumor microenvironment, molecular signals, etc. Authors are welcome to submit original research articles and review articles.

Dr. Kyoung Sik Park
Guest Editor

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Published Papers (2 papers)

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Research

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13 pages, 281 KiB  
Article
The Value of Tumor Infiltrating Lymphocytes (TIL) for Predicting the Response to Neoadjuvant Chemotherapy (NAC) in Breast Cancer according to the Molecular Subtypes
by Ionut Flaviu Faur, Amadeus Dobrescu, Adelina Ioana Clim, Paul Pasca, Catalin Prodan-Barbulescu, Bogdan Daniel Gherle, Cristi Tarta, Alexandru Isaic, Dan Brebu, Ciprian Duta, Bogdan Totolici and Gabriel Lazar
Biomedicines 2023, 11(11), 3037; https://doi.org/10.3390/biomedicines11113037 - 13 Nov 2023
Cited by 3 | Viewed by 1797
Abstract
Introduction: The antitumor host immune response is an important factor in breast cancer, but its role is not fully established. The role of tumor infiltrating lymphocytes (TIL) as an immunological biomarker in breast cancer has been significantly explored in recent years. The number [...] Read more.
Introduction: The antitumor host immune response is an important factor in breast cancer, but its role is not fully established. The role of tumor infiltrating lymphocytes (TIL) as an immunological biomarker in breast cancer has been significantly explored in recent years. The number of patients treated with neoadjuvant chemotherapy (NAC) has increased and the identification of a biomarker to predict the probability of pCR (pathological complete response) is a high priority. Materials and methods: We evaluated 334 cases of BC treated with NAC followed by surgical resection from 2020–2022 at the Ist Clinic of Oncological Surgery, Oncological Institute “Prof Dr I Chiricuta” Cluj Napoca. Of the above, 122 cases were available for histological evaluation both in pre-NAC biopsy and post-NAC resection tissue. Evaluation of biopsy fragments and resection parts were performed using hematoxylin eosin (H&E). The TIL evaluation took place according to the recommendations of the International TIL Working Group (ITILWG). Results: There was a strong association between elevated levels of pre-NAC TIL. At the same time, there is a statistically significant correlation between stromal TIL and tumor grade, the number of lymph node metastases, the molecular subtype and the number of mitoses (p < 0.005). Intratumoral TIL showed a significant correlation with tumor size, distant metastasis, molecular subtype, number of mitosis, stage and lymph node metastasis (p < 0.005). We also demonstrated that high pre-NAC STIL represents a strong predictive marker for pCR. Conclusion: This study reveals the role of TIL as a predictive biomarker in breast cancer not only for the well-established TNBC (triple negative breast cancer) and HER2+ (Her2 overexpressed) subtypes but also in Luminal A and B molecular subtypes. In this scenario, the evaluation of sTIL as a novel predictive and therapy-predicting factor should become a routinely performed analysis that could guide clinicians when choosing the most appropriate therapy. Full article
(This article belongs to the Special Issue Breast Cancer: Novel Biomarkers for Diagnosis and Therapy)

Review

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16 pages, 5165 KiB  
Review
PET/MRI and Novel Targets for Breast Cancer
by Hyun Woo Chung, Kyoung Sik Park, Ilhan Lim, Woo Chul Noh, Young Bum Yoo, Sang Eun Nam, Young So and Eun Jeong Lee
Biomedicines 2024, 12(1), 172; https://doi.org/10.3390/biomedicines12010172 - 12 Jan 2024
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Abstract
Breast cancer, with its global prevalence and impact on women’s health, necessitates effective early detection and accurate staging for optimal patient outcomes. Traditional imaging modalities such as mammography, ultrasound, and dynamic contrast-enhanced magnetic resonance imaging (MRI) play crucial roles in local-regional assessment, while [...] Read more.
Breast cancer, with its global prevalence and impact on women’s health, necessitates effective early detection and accurate staging for optimal patient outcomes. Traditional imaging modalities such as mammography, ultrasound, and dynamic contrast-enhanced magnetic resonance imaging (MRI) play crucial roles in local-regional assessment, while bone scintigraphy and 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) aid in evaluating distant metastasis. Despite the proven utility of 18F-FDG PET/CT in various cancers, its limitations in breast cancer, such as high false-negative rates for small and low-grade tumors, have driven exploration into novel targets for PET radiotracers, including estrogen receptor, human epidermal growth factor receptor-2, fibroblast activation protein, and hypoxia. The advent of PET/MRI, which combines metabolic PET information with high anatomical detail from MRI, has emerged as a promising tool for breast cancer diagnosis, staging, treatment response assessment, and restaging. Technical advancements including the integration of PET and MRI, considerations in patient preparation, and optimized imaging protocols contribute to the success of dedicated breast and whole-body PET/MRI. This comprehensive review offers the current technical aspects and clinical applications of PET/MRI for breast cancer. Additionally, novel targets in breast cancer for PET radiotracers beyond glucose metabolism are explored. Full article
(This article belongs to the Special Issue Breast Cancer: Novel Biomarkers for Diagnosis and Therapy)
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