2020
DOI: 10.1007/s10555-020-09881-y
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Molecular and cellular mechanisms underlying brain metastasis of breast cancer

Abstract: Metastasis of cancer cells to the brain occurs frequently in patients with certain subtypes of breast cancer. In particular, patients with HER2-positive or triple-negative breast cancer are at high risk for the development of brain metastases. Despite recent advances in the treatment of primary breast tumors, the prognosis of breast cancer patients with brain metastases remains poor. A better understanding of the molecular and cellular mechanisms underlying brain metastasis might be expected to lead to improve… Show more

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Cited by 101 publications
(89 citation statements)
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“…Currently, the primary prevention of BCa has not been achieved; therefore, strengthening secondary prevention, early detection, early diagnosis and early treatment methods may serve a vital role in reducing the mortality rates of patients with BCa, thereby improving the survival rates (24). Despite recent significant advances in understanding the mechanisms of BCa development and the improvement of treatment strategies, BCa remains the second leading cause of cancer-related mortality in women, and death is almost always due to metastasis (25). The prognosis of patients with metastatic BCa is poor, with an average 5-year survival rate of only 27% (26).…”
Section: Discussionmentioning
confidence: 99%
“…Currently, the primary prevention of BCa has not been achieved; therefore, strengthening secondary prevention, early detection, early diagnosis and early treatment methods may serve a vital role in reducing the mortality rates of patients with BCa, thereby improving the survival rates (24). Despite recent significant advances in understanding the mechanisms of BCa development and the improvement of treatment strategies, BCa remains the second leading cause of cancer-related mortality in women, and death is almost always due to metastasis (25). The prognosis of patients with metastatic BCa is poor, with an average 5-year survival rate of only 27% (26).…”
Section: Discussionmentioning
confidence: 99%
“…We also observed that treating the cells with AOH decreased the expression of protein kinase B (Akt) and Erk1/2 (p44/42) and their phosphorylated forms ( Figure 9 ). Phosphoinositide 3-kinase (PI3K)/Akt and mitogen-activated protein kinases (MAPK) signaling pathways are the key intracellular pathways in breast cancer responsible for the proliferation and metastases [ 23 ]. We observed that AOH decreased both expression of Akt and p44/42, as well as its phosphorylated forms ( Table 1 ).…”
Section: Resultsmentioning
confidence: 99%
“…This is mediated by the binding of STAT3+ reactive astrocytes associated with brain metastases that present an increased expression of macrophage migration inhibitory factor (MIF), which binds to CD74+ microglia that contributes to the establishment of an immunosuppressive microenvironment. Such activated microglia present upregulation of midkine, a downstream target of NF-kB signaling pathway that promotes the development of brain metastases [ 174 ]. The acquisition of neurons-like properties by BCCs can also support brain metastases development.…”
Section: Mirnas In Breast Cancer Brain Metastasesmentioning
confidence: 99%