Evidence map›Paper›PMID 39979511›Full record

ArticleMetabolomics : Official journal of the Metabolomic Society2025

A predictive model for neoadjuvant therapy response in breast cancer.

Rafael Nambo-Venegas, Virginia Isabel Enríquez-Cárcamo, Marcela Vela-Amieva, Isabel Ibarra-González, Lourdes Lopez-Castro, Sara Aileen Cabrera-Nieto, Juan E Bargalló-Rocha, Cynthia M Villarreal-Garza, Alejandro Mohar, Berenice Palacios-González and 3 more

Abstract read
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In one paragraph

Article in Metabolomics : Official journal of the Metabolomic Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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  5. Resistance to neoadjuvant chemotherapy in breast cancers: a metabolic perspective.Journal of experimental & clinical cancer research : CR · 2025
    Review
  6. Article
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

13 authors.

Rafael Nambo-VenegasProtein Structure Laboratory, National Institute of Genomic Medicine (INMEGEN), 14610, Mexico City, Mexico.
Virginia Isabel Enríquez-CárcamoTumor Bank, National Cancer Institute, 14080, Mexico City, Mexico.
Marcela Vela-AmievaLaboratory of Inborn Errors of Metabolism, National Institute of Pediatrics (INP), 04530, Mexico City, Mexico.
Isabel Ibarra-GonzálezInstitute of Biomedical Research, IIB-UNAM, 04510, Mexico City, Mexico.
Lourdes Lopez-CastroDepartment of Nursing, National Cancer Institute, 14080, Mexico City, Mexico.
Sara Aileen Cabrera-NietoFaculty of Health Sciences, Universidad Anahuac Mexico, 52786, Mexico City, Mexico.
Juan E Bargalló-RochaDepartment of Breast Tumors, National Cancer Institute, 14080, Mexico City, Mexico.
Cynthia M Villarreal-GarzaBreast Cancer Center, Hospital Zambrano Hellion TecSalud, Tecnologico de Monterrey, 66278 NL, Monterrey, Mexico.
Alejandro MoharUnit of Epidemiology and Biomedical Research in Cancer, Institute of Biomedical Research, UNAM-National Cancer Institute, 14080, Mexico City, Mexico.
Berenice Palacios-GonzálezHealthy Aging Laboratory of the National Institute of Genomic Medicine (INMEGEN) at the Center for Aging Research (CIE-CINVESTAV South Campus), 14330, Mexico City, Mexico.
Juan P Reyes-GrajedaProtein Structure Laboratory, National Institute of Genomic Medicine (INMEGEN), 14610, Mexico City, Mexico.
Fernanda Sarahí Fajardo-EspinozaFaculty of Health Sciences, Universidad Anahuac Mexico, 52786, Mexico City, Mexico.
Marlid Cruz-RamosInvestigadora Por México Secretaría de Ciencia, Humanidades, Tecnologías E Innovación (SECIHTI), 03940, Mexico City, Mexico. marlid.cruz@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoadjuvant therapy is a standard treatment for breast cancer, but its effectiveness varies among patients. This highlights the importance of developing accurate predictive models. Our study uses metabolomics and machine learning to predict the response to neoadjuvant therapy in breast cancer patients.

objectiveTo develop and validate predictive models using machine learning and circulating metabolites for forecasting responses to neoadjuvant therapy among breast cancer patients, enhancing personalized treatment strategies.

methodsBased on pathological analysis after neoadjuvant chemotherapy and surgery, this retrospective study analyzed 30 young women breast cancer patients from a single institution, categorized as responders or non-responders. Utilizing liquid chromatography-tandem mass spectrometry, we investigated the plasma metabolome, explicitly targeting 40 metabolites, to identify relevant biomarkers linked to therapy response, using machine learning to generate a predictive model and validate the results.

resultsEighteen significant biomarkers were identified, including specific acylcarnitines and amino acids. The most effective predictive model demonstrated a remarkable accuracy of 90.7% and an Area Under the Curve (AUC) of 0.999 at 95% confidence, illustrating its potential utility as a web-based application for future patient management. This model's reliability underscores the significant role of circulating metabolites in predicting therapy outcomes.

conclusionOur study's findings highlight the crucial role of metabolomics in advancing personalized medicine for breast cancer treatment by effectively identifying metabolite biomarkers correlated with neoadjuvant therapy response. This approach signifies a critical step towards tailoring treatment plans based on individual metabolic profiles, ultimately improving patient outcomes in breast cancer care.

Indexed as

Breast NeoplasmsMetabolomicsNeoadjuvant TherapyAdultBiomarkers, TumorChromatography, LiquidFemaleHumansMachine LearningMetabolomeMiddle AgedRetrospective StudiesTandem Mass SpectrometryBiomarkers, TumorBiomarkersBreast cancerMachine learningMetabolomicsNeoadjuvant therapy

Identifiers

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Textmetadata
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Registered trials

None linked

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 Socratic graph.