Evidence mapPaperPMID 42343903Full record

ArticleOncology reviews2026

Association of MMP-2 and hematological parameters with breast cancer metastasis: a cross-sectional study in Central Java, Indonesia.

Alyssa Imani, Yan Wisnu Prajoko, Rudi Nirwantono, Fitya Syarifa Mozar, Bens Pardamean, Edward Kurnia Setiawan Limijadi

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

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5 · Who and what money

Authors and funding

6 authors.

Alyssa ImaniBioinformatics and Data Science Research Center, Bina Nusantara University, Jakarta, Indonesia.
Yan Wisnu PrajokoDepartment of Surgical Oncology, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia.
Rudi NirwantonoBioinformatics and Data Science Research Center, Bina Nusantara University, Jakarta, Indonesia.
Fitya Syarifa MozarBioinformatics and Data Science Research Center, Bina Nusantara University, Jakarta, Indonesia.
Bens PardameanBioinformatics and Data Science Research Center, Bina Nusantara University, Jakarta, Indonesia.
Edward Kurnia Setiawan LimijadiDepartment of Clinical Pathology, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer metastasis remains a major contributor to morbidity and mortality, partly due to the disease's marked biological heterogeneity. Identification of reliable biomarkers associated with metastatic progression is essential for improving risk stratification and clinical management. Matrix metalloproteinase-2 (MMP-2) and routine hematological and metabolic parameters have been implicated in cancer progression, but their roles in breast cancer metastasis remain inconsistent across populations. Methods: This cross-sectional study evaluated general, hematological and metabolic parameters in breast cancer patients from Dr. Kariadi General Hospital, the main referral hospital for Central Java, Indonesia. Associations with metastasis were assessed using univariate analyses, followed by least absolute shrinkage and selection operator (LASSO) logistic regression for variable selection. Multicollinearity was assessed using variance inflation factor (VIF), and selected variables were entered simultaneously into a multivariable binary logistic regression model. Associations between selected hematological parameters and estrogen receptor (ER) and progesterone receptor (PR) status were also examined. Associations between clinicopathological variables and histologic grade were analyzed using the Kruskal-Wallis test. Results: Histologic grade was the only general characteristic significantly associated with metastasis ( Conclusion: Elevated MMP-2 levels and reduced platelets were independently associated with breast cancer metastasis, while platelets were additionally associated with ER status. These findings suggest that MMP-2 and platelet count may serve as potential biomarkers associated with metastatic behavior and hormone receptor status in breast cancer.

Indexed as

breast cancercross-sectional studyhematological parametersmetabolic parametersmetastasisMMP-2

Identifiers

PMID42343903
PMCPMC13287012

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