Evidence mapPaperPMID 41205803Full record

ReviewJournal of advanced research2026

Flavonoid-modulated JAK-STAT signaling mitigates malignant transformation and drug resistance in breast tumors: A clinically relevant 3PM-guided innovation.

Peter Kubatka, Mykhailo Huniadi, Andrea Kapinova, Natalia Nosalova, Elizabeth Varghese, Dana Blahutova, Slavomir Hornak, Alexandra Trbolova, Kamil Biringer, Katarina Adamicova and 3 more

Abstract readReview
In one paragraph

Review in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

13 authors.

Peter KubatkaCenter of Experimental and Clinical Regenerative Medicine, Small Animal Clinic, University of Veterinary Medicine and Pharmacy, 041 81 Kosice, Slovakia; European Association for Predictive, Preventive and Personalised Medicine (EPMA), 1160 Brussels, Belgium; Department of Biology and Ecology, Pedagogical Faculty, Catholic University in Ružomberok 034 01 Ružomberok, Slovakia. Electronic address: peter.kubatka@uvlf.sk.
Mykhailo HuniadiCenter of Experimental and Clinical Regenerative Medicine, Small Animal Clinic, University of Veterinary Medicine and Pharmacy, 041 81 Kosice, Slovakia. Electronic address: mykhailo.huniadi@uvlf.sk.
Andrea KapinovaBiomedical Centre Martin, Jessenius Faculty of Medicine, Comenius University in Bratislava, 036 01 Martin, Slovakia. Electronic address: andrea.kapinova@uniba.sk.
Natalia NosalovaCenter of Experimental and Clinical Regenerative Medicine, Small Animal Clinic, University of Veterinary Medicine and Pharmacy, 041 81 Kosice, Slovakia. Electronic address: natalia.nosalova@uvlf.sk.
Elizabeth VargheseDepartment of Physiology and Biophysics, Weill Cornell Medicine in Qatar, Education City, Qatar Foundation, 24144 Doha, Qatar. Electronic address: elv2007@Qatar-med.cornell.edu.
Dana BlahutovaDepartment of Biology and Ecology, Pedagogical Faculty, Catholic University in Ružomberok 034 01 Ružomberok, Slovakia. Electronic address: dana.blahutova@ku.sk.
Slavomir HornakSmall Animal Clinic, University of Veterinary Medicine and Pharmacy, 041 81 Kosice, Slovakia. Electronic address: slavomir.hornak@uvlf.sk.
Alexandra TrbolovaSmall Animal Clinic, University of Veterinary Medicine and Pharmacy, 041 81 Kosice, Slovakia. Electronic address: alexandra.trbolova@uvlf.sk.
Kamil BiringerClinic of Obsterics and Gynecology, Jessenius Faculty of Medicine, Comenius University in Bratislava, 036 01 Martin, Slovakia. Electronic address: kamil.biringer@uniba.sk.
Katarina AdamicovaDepartment of Pathological Anatomy, Jessenius Faculty of Medicine, Comenius University in Bratislava, 036 01 Martin, Slovakia. Electronic address: katarina.adamicova@uniba.sk.
Dasa CizkovaCenter of Experimental and Clinical Regenerative Medicine, Small Animal Clinic, University of Veterinary Medicine and Pharmacy, 041 81 Kosice, Slovakia; Institute of Neuroimmunology, Slovak Academy of Sciences, 845 10 Bratislava, Slovakia. Electronic address: dasa.cizkova@uvlf.sk.
Dietrich BüsselbergDepartment of Physiology and Biophysics, Weill Cornell Medicine in Qatar, Education City, Qatar Foundation, 24144 Doha, Qatar. Electronic address: dib2015@qatar-med.cornell.edu.
Olga GolubnitschajaPredictive, Preventive and Personalised (3P) Medicine, Department of Radiation Oncology, University Hospital Bonn, Rheinische Friedrich-Wilhelms-Universität Bonn 53127 Bonn, Germany; European Association for Predictive, Preventive and Personalised Medicine (EPMA), 1160 Brussels, Belgium. Electronic address: Olga.Golubnitschaja@ukbonn.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer (BC) treatment efficacy is often compromised by tumor cell plasticity and multidrug resistance of multi-factorial origin. Among emerging therapeutic agents, flavonoids - a structurally diverse group of naturally occurring polyphenols - have demonstrated a significant potential to modulate the Janus kinase/signal transducer and activator of transcription (JAK-STAT) signaling pathway, a key driver of oncogenic transformation, immune evasion, and therapeutic failure in BC. Notably, natural compounds, including but not restricted to apigenin, quercetin, naringenin, morin, luteolin, butein, xanthohumol, silibinin, baicalein, nobiletin, rosmanol, orientin, eriocitrin, breviscapine, 8-hydroxydaidzein, icariside I, cardamonin, epigallocatechin-3-gallate, fisetin, brutieridin, melitidin, isoliquiritigenin, and sophoraflavanone G, have been recognized as potent JAK-STAT modulators in BC models. KEY SCIENTIFIC CONCEPTS OF THE STUDY: Through targeted interference with this pathway, flavonoids exert pleiotropic antitumor effects - enhancing the efficacy of chemotherapeutic agents, suppressing cellular proliferation and invasion, and reducing tumor aggressiveness. Beyond JAK-STAT signaling, flavonoids also influence several additional therapy resistance-related mechanisms, including regulation of ATP-binding cassette (ABC) transporters, promotion of apoptosis, suppression of epithelial-mesenchymal transition (EMT) and cancer stem cells (CSCs), cell cycle arrest, mitochondrial autophagy and mitophagy modulation, as well as remodeling of the tumor microenvironment. AIMS OF THE STUDY: This article provides a comprehensive overview of the molecular mechanisms by which flavonoids overcome therapeutic resistance in BC, focusing on JAK-STAT signaling modulation. The paper follows principles of Predictive, Preventive, and Personalized Medicine (3PM), promoting the paradigm shift from reactive to proactive medicine. Contextually, it underscores the importance of multidisciplinary research to elucidate flavonoid-specific mechanisms, identify predictive biomarker panels, and develop advanced delivery systems, integrates patient phenotyping, multi-level diagnostics, and AI-driven data interpretation to enable cost-effective primary and secondary prevention, and therapeutic algorithms tailored to personalised patient profiles improving therefore individual outcomes.

Indexed as

Breast NeoplasmsCell Transformation, NeoplasticDrug Resistance, NeoplasmFlavonoidsJanus KinasesSignal TransductionSTAT Transcription FactorsAnimalsFemaleHumansFlavonoidsJanus KinasesSTAT Transcription FactorsAnti-cancer therapyArtificial intelligenceBig data interpretationBreast carcinomaCancer chemo-resistanceCell plasticityFlavonoidsImproved individual outcomesJAK, STAT signalingMitochondrial homeostasis and fitnessMulti-level diagnosticsPatient phenotyping and stratificationPredictive preventive personalized medicine (PPPM / 3PM)Primary and secondary careRe-sensitizationTreatments tailored to individualized patient profile

Identifiers

PMID41205803
PMCPMC13316416

What Socratic holds

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Registered trials

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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 Socratic graph.