2013
DOI: 10.1001/jamasurg.2013.3028
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Correlation of Breast Cancer Axillary Lymph Node Metastases With Stem Cell Mutations

Abstract: Tumors in which BCSCs have defects in PI3K/Akt signaling are significantly more likely to manifest nodal metastases. These oncogenic defects may be missed by gross molecular testing of the tumor and are markers of more aggressive breast cancer. Molecular profiling of BCSCs may identify patients who would likely benefit from PI3K/Akt inhibitors, which are being tested in clinical trials.

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Cited by 17 publications
(13 citation statements)
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“…The CSC theory was proposed to explain the heterogeneity in the biology of cancer cells (Marusyk and Polyak 2010). CSCs are supposed to have metastatic potential and natural resistance to the chemotherapy and radiotherapy (Donovan et al 2013;Sterlacci et al 2014). EMT is a process wherein epithelial cells gradually transform into mesenchymal-like cells and could also be one of the causes of morphological tumor heterogeneity (Bartis et al 2013).…”
Section: Introductionmentioning
confidence: 99%
“…The CSC theory was proposed to explain the heterogeneity in the biology of cancer cells (Marusyk and Polyak 2010). CSCs are supposed to have metastatic potential and natural resistance to the chemotherapy and radiotherapy (Donovan et al 2013;Sterlacci et al 2014). EMT is a process wherein epithelial cells gradually transform into mesenchymal-like cells and could also be one of the causes of morphological tumor heterogeneity (Bartis et al 2013).…”
Section: Introductionmentioning
confidence: 99%
“…In addition, the data presented here indicate that the gene and protein expression of BCSCs may vary from that of other cells within a tumor. Because BCSCs are a rare population of cells within a tumor, they are not accurately tested by random sampling of whole tumor specimens [ 48 ]. Thus, from a clinical perspective, determining the gene and protein status of directly isolated BCSCs from each patient tumor may prove to be critical for informed care management.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, when depleted in HSCs, NSCs or prostate stem cells, PTEN can lead to leukaemia [ 123 ], brain or prostate tumorigenesis, respectively [ 121 ]. Mutations in PI3K and AKT were reported in breast CSCs, but also in other cancers, and might be related with tumour proliferation [ 124 ].…”
Section: Age-associated Genetic Events and Generation Of Cscsmentioning
confidence: 99%