Evidence mapPaperPMID 41792206Full record

ArticleScientific reports2026

Integrating circulating microRNAs with epidemiological factors enhances breast cancer detection across subtypes: the MCC-Spain study.

Inés Gómez-Acebo, Sara Valero-Dominguez, Javier Llorca, Jessica Alonso-Molero, Thalía Belmonte, Gemma Castaño-Vinyals, Víctor Moreno, Aina Romaguera, Pilar Amiano, Juan Alguacil and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Inés Gómez-Acebo *Department of Preventive Medicine and Public Health, University of Cantabria, Santander, Spain. ines.gomez@unican.es.
Sara Valero-Dominguez *Department of Preventive Medicine and Public Health, University of Cantabria, Santander, Spain.
Javier LlorcaDepartment of Preventive Medicine and Public Health, University of Cantabria, Santander, Spain.
Jessica Alonso-MoleroDepartment of Preventive Medicine and Public Health, University of Cantabria, Santander, Spain.
Thalía BelmonteInstituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain.
Gemma Castaño-VinyalsConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Víctor MorenoConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Aina RomagueraJosep Carreras Leukaemia Research Institute, Badalona, Spain.
Pilar AmianoConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Juan AlguacilConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Vicente MartínGene-Environment Interactions and Health Research Group (GIIGAS), Institute of Biomedicine (IBIOMED), University of León, Leon, Spain.
Beatriz Pérez-GómezConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Rosana BurguiConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Ana Molina-BarcelóCancer and Public Health UnitFoundation for the Promotion of Health and Biomedical Research (FISABIO-Salud Pública) in the Valencia Region, Valencia, Spain.
Paz Rodríguez-CundínPreventive Medicine, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Manolis KogevinasConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Marina PollánConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Trinidad Dierssen-SotosDepartment of Preventive Medicine and Public Health, University of Cantabria, Santander, Spain.

Funding

Instituto de Salud Carlos III PI18/00171
6 · The paper itself

Abstract

Circulating microRNAs (miRNAs) are promising non-invasive biomarkers for cancer detection; however, their diagnostic performance across breast cancer molecular subtypes and their incremental value beyond demographic and epidemiological variables remain incompletely characterized. We conducted a multicenter case–control study including 317 breast cancer cases and 127 population-based controls. Serum levels of 44 literature-derived miRNAs were quantified by RT-qPCR. Feature selection was performed using LASSO penalization, followed by multivariable logistic regression to estimate odds ratios (ORs) with 95% confidence intervals (CIs). Models were adjusted for demographic and epidemiological covariates. Predictive performance was assessed using repeated fivefold cross-validation and reported as area under the curve (AUC) with bootstrap bias-corrected 95% CIs. Incorporating demographic and epidemiological covariates enhanced discrimination overall (AUC = 0.908 vs. 0.802 unadjusted) and across subtypes. The most notable improvements were observed in Luminal A (0.896 vs. 0.751) and Luminal B (0.894 vs. 0.768), while HER2-positive and Basal-like tumors already showed high performance (AUC = 0.965 and 0.989, respectively). Among the 12 miRNAs selected by LASSO, miR-21-5p and miR-423-3p were consistently elevated in cases, particularly in HER2-positive and Basal-like tumors, whereas miR-101-3p, miR-146a-5p, and miR-29a-3p showed reproducibly lower levels across multiple subtypes, consistent with oncogenic and tumor-suppressive roles, respectively. Circulating miRNA signatures, especially when integrated with demographic and epidemiological information, demonstrate high discriminatory power for breast cancer detection across molecular subtypes. These results support subtype-aware, minimally invasive strategies for screening and risk stratification using miRNA-based models. Prospective validation in independent cohorts is warranted to confirm clinical utility.

Indexed as

Biomarkers, TumorBreast NeoplasmsCirculating MicroRNAMicroRNAsAgedCase-Control StudiesFemaleHumansMiddle AgedSpainBiomarkers, TumorCirculating MicroRNAMicroRNAsBreast cancerCirculating miRNALASSOMolecular subtypesRisk stratificationROC-AUC

Identifiers

PMID41792206
PMCPMC13083989

What Socratic holds

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LicenceCC BY-NC-ND
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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.