Publications by authors named "FangMeng Fu"

Background: Chemokines are well-known for playing an essential role in the development of cancer. However, the association between SNPs in the CCL2 and CXCL12 genes and the susceptibility to breast cancer remains unclear.

Methods: A case-control study was conducted in southeast China, including 1855 breast cancer patients and 1838 cancer-free controls.

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Introduction: The association between inflammatory blood markers (IBMs) (monocyte-to-lymphocyte ratio [MLR], neutrophil-to-lymphocyte ratio [NLR], and platelet-to-lymphocyte ratio [PLR]) and breast cancer has been extensively studied. However, the predictive role of IBMs in the neoadjuvant response of human epidermal growth factor receptor 2 (HER2)-positive breast cancer remains unclear.

Methods: This study included 744 patients with HER2 positive breast cancer treated with neoadjuvant therapy.

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Mitochondrial DNA (mtDNA) variations affect the efficiency of the electron transport chain and production of reactive oxygen species, contributing to carcinogenesis. The D-loop region of mtDNA has emerged as a variation hotspot region in human neoplasia; however, the potential contribution of these variations in breast cancer risk prediction remains unknown. We investigated the relationship between germline single nucleotide polymorphisms (SNPs) in the entire D-loop region and breast cancer risk in Chinese women.

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Tumour metabolic reprogramming is pivotal for tumour survival and proliferation. Investigating potential molecular mechanisms within the heterogeneous and clinically aggressive triple-negative breast cancer (TNBC) subtype is essential to identifying novel therapeutic targets. Accordingly, we investigated the role of branched-chain α-keto acid dehydrogenase kinase (BCKDK) in promoting tumorigenesis in TNBC.

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Purpose: Limited data are available regarding the partner and localizer of BRCA2 (PALB2) in Chinese patients with early breast cancer. This study aimed to assess the spectrum and characteristics of germline PALB2 pathogenic variants in this population.

Methods: Peripheral blood samples were collected from 1556 patients diagnosed with BRCA1/2-negative early-onset breast cancer.

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Triple-negative breast cancer (TNBC) is more aggressive and has a higher metastasis rate compared with other subtypes of breast cancer. Due to the lack of drug-targetable receptors, chemotherapy is now the only available systemic treatment for TNBC. However, some patients might still develop drug resistance and have poor prognosis.

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Introduction: The programmed cell death (PCD) pathway plays an important role in restricting cancer cell survival and proliferation. However, limited studies have investigated the association between genetic variants in the 3'-untranslated region of the PCD pathway genes and breast cancer outcomes.

Methods: In this study, we genotyped 28 potentially functional single nucleotide polymorphisms (SNPs) in 23 PCD pathway genes in 1,177 patients with early-stage breast cancer (EBC) from a Han Chinese population.

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Recombinant human granulocyte colony-stimulating factor (G-CSF) administration in patients with cancer and coronavirus disease (COVID-19) remains controversial. Concerns exist that it may worsen COVID-19 outcomes by triggering an inflammatory cytokine storm, despite its common use for managing chemotherapy-induced neutropenia (CIN) or febrile neutropenia post-chemotherapy. Here, we determined whether prophylactic or therapeutic G-CSF administration following chemotherapy exacerbates COVID-19 progression to severe/critical conditions in breast cancer patients with COVID-19.

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Article Synopsis
  • The study focuses on the importance of histological grading in predicting the prognosis of invasive breast cancer, particularly in reclassifying Grade 2 (G2) status.
  • Researchers analyzed data from 556 breast cancer patients, using tumor-infiltrating lymphocyte scores (TILs-score) to differentiate between low risk (Grade 1) and high risk (Grade 2/3) groups and to further categorize G2 patients.
  • Results indicated that TILs-score is a strong, independent predictor for determining histological grade, suggesting its potential as a tool to guide treatment decisions for breast cancer patients.
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Background: Immunochemotherapy has become the first-line treatment for initial diagnosed metastatic nasopharyngeal carcinoma (mNPC). Loco-regional radiotherapy combined with systemic chemotherapy significantly improves the survival. However, the safety and efficacy of loco-regional radiotherapy combined with immunochemotherapy remained unknown.

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Article Synopsis
  • The study investigates how immunohistochemistry (IHC) subtyping can predict outcomes in triple-negative breast cancer (TNBC) patients undergoing neoadjuvant chemotherapy (NAC) and surgery.
  • It finds that the IHC subtype before treatment is linked to the likelihood of a complete pathological response and long-term survival, while after treatment, the subtype can change in about 45% of cases.
  • The post-NAC subtype is a strong indicator of survival in patients with residual disease, suggesting the need for tailored therapy based on IHC subtype both before and after NAC.
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Background: Radiation pneumonitis (RP) is one of the common side effects after adjuvant radiotherapy in breast cancer. Irradiation dose to normal lung was related to RP. We aimed to propose an organ features based on deep learning (DL) model and to evaluate the correlation between normal lung dose and organ features.

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Introduction: Although breast-conserving therapy (BCT) promises at least a similar survival rate for patients with early breast cancer compared with mastectomy, its efficacy in patients with human epidermal growth factor receptor 2 (HER2)-positive tumors remains unclear. Therefore, we conducted this study to explore differential effects of BCT and mastectomy on survival outcomes of patients with early-stage HER2-positive breast cancer.

Methods: Data were extracted from the Surveillance, Epidemiology, and End Results (SEER) database, and basic characteristics of patients who received either BCT or mastectomy were balanced using propensity score matching (PSM).

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Purpose: Optimal extended adjuvant endocrine therapy (ET) duration and strategy for hormone receptor-positive (HR +) early breast cancer remain unclear. In this network meta-analysis (NMA), the efficacy and safety of all available extended adjuvant ETs were compared and ranked.

Methods: PubMed, Embase, and Cochrane Library and abstracts presented at ASCO, SABCS, and ESMO were searched on March 5, 2022.

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Article Synopsis
  • The study investigates how collagen features in the breast tumor microenvironment impact patient prognosis, using advanced imaging techniques and data analysis.
  • Researchers utilized multiphoton microscopy to identify collagen signatures at the tumor border and developed a scoring system (CSTB score) based on these features.
  • Findings show that the CSTB score is a stronger prognostic indicator compared to traditional clinical factors, highlighting its potential for improving treatment planning in breast cancer patients.
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  • The study highlights that traditional classifications of tumor necrosis (TN) in invasive breast cancer ignore important spatial differences that could indicate prognosis.
  • Using multiphoton microscopy, the researchers defined four types of TN based on their spatial relationships and developed a TN-score to assess its prognostic value.
  • Results indicated that only high-risk TN was linked to worse 5-year disease-free survival, suggesting that incorporating TN-score into staging could enhance patient stratification in treatment plans.
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Background: Despite the rising incidence and mortality of breast cancer among women in China, there are currently few predictive models for breast cancer in the Chinese population and with low accuracy. This study aimed to identify major genetic and life-style risk factors in a Chinese population for potential application in risk assessment models.

Methods: A case-control study in southeast China was conducted including 1321 breast cancer patients and 2045 controls during 2013-2016, in which the data were randomly divided into a training set and a test set on a 7:3 scale.

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Article Synopsis
  • * After conducting various analyses, they found that overweight and obese patients had a significantly lower likelihood of achieving a pathological complete response (pCR), indicating a poorer therapeutic response compared to those with normal weight.
  • * The results were further supported by a meta-analysis of six studies, confirming that overweight/obesity was linked to a less favorable response to neoadjuvant anti-HER2 therapy, emphasizing concerns for this patient demographic.
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Background: Compelling evidence has indicated a significant association between leukocyte mitochondrial DNA copy number (mtDNAcn) and prognosis of several malignancies in a cancer-specific manner. However, whether leukocyte mtDNAcn can predict the clinical outcome of breast cancer (BC) patients has not been well investigated.

Methods: The mtDNA copy number of peripheral blood leukocytes from 661 BC patients was measured using a Multiplex AccuCopy™Kit based on a multiplex fluorescence competitive PCR principle.

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Article Synopsis
  • Breast cancer is a prevalent disease, with invasive ductal carcinoma (IDC) and invasive lobular carcinoma (ILC) being the two main types; the study investigates their molecular characteristics within the luminal A subgroup using proteomics techniques.
  • Researchers analyzed paired cancer and noncancerous tissues from IDC and ILC patients, identifying over 5,000 proteins and their phosphorylated forms to determine differences in expression and activation of specific kinases.
  • The findings revealed that ILC has higher protein phosphorylation levels, distinct patterns in protein expression between IDC and ILC, and different pathway activations, which may help in understanding the biology of these breast cancer subtypes.
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Article Synopsis
  • Multiphoton microscopy (MPM) was used to analyze tumor-infiltrating lymphocytes (TILs) in breast cancer patients, comparing its results with the traditional guidelines method (TILs-WG).
  • The study developed several models to assess the prognostic value of TILs, finding that TILs-WG is more effective for estrogen receptor (ER)-negative patients while TILs-MPM performed best for ER-positive patients.
  • Combining TILs-WG and TILs-MPM increased prognostic accuracy significantly, resulting in a comprehensive model with high predictive performance across various patient subgroups.
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Despite the potential role of several chemokines in the migration of cytotoxic immune cells to prohibit breast cancer cell proliferation, a comprehensive view of chemokines and the risk and prognosis of breast cancer is scarce, and little is known about their causal associations. With a two-sample Mendelian randomization (MR) approach, genetic instruments associated with 30 plasma chemokines were created. Their genetic associations with breast cancer and its survival by molecular subtypes were extracted from the recent genome-wide association study of 133,384 breast cancer cases and 113,789 controls, with available survival information for 96,661 patients.

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Article Synopsis
  • * The study explores the use of multiphoton microscopy (MPM) to detect changes in lymph nodes after chemotherapy, finding distinct differences in collagen structure between normal and residual cancerous nodes.
  • * MPM shows potential in assessing treatment response, which could lead to more personalized adjuvant therapies for breast cancer patients.
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Triple-negative breast cancer (TNBC) is characterized by a more aggressive biological behavior and unfavorable outcome. Circulating and histological expression of THBS2 has been demonstrated to be a novel diagnostic and prognostic biomarker in patients with various types of tumors. However, few studies have evaluated the predictive and prognostic value of THBS2 in TNBC specifically.

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Background: Bilateral breast cancer (BBC), as well as ovarian cancer, are significantly associated with germline deleterious variants in BRCA1/2, while BRCA1/2 germline deleterious variants carriers can exquisitely benefit from poly (ADP-ribose) polymerase (PARP) inhibitors. However, formal genetic testing could not be carried out for all patients due to extensive use of healthcare resources, which in turn results in high medical costs. To date, existing BRCA1/2 deleterious variants prediction models have been developed in women of European or other descent who are quite genetically different from Asian population.

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