Whole blood miRNA expression signatures as predictors of neoadjuvant chemotherapy response in triple-negative breast

Monika Drobniene1,2, Domas Stitilis3, Linas Kunigenas4

  • 1Institute of Biosciences, Life Sciences Center, Vilnius University, Vilnius, Lithuania.

Hereditas
|July 9, 2026
PubMed
Abstract

Insights

Researchers identified specific microRNAs (miRNAs) that can predict treatment effectiveness in triple-negative breast cancer (TNBC). This discovery offers hope for personalized therapies and better patient outcomes in TNBC management.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biomarker Discovery

Background:

  • Triple-negative breast cancer (TNBC) presents significant therapeutic challenges due to its aggressive nature and resistance to conventional treatments.
  • Lack of effective prognostic tools leads to suboptimal patient care, with some receiving ineffective and burdensome therapies.
  • MicroRNAs (miRNAs) are emerging as promising minimally invasive biomarkers in liquid biopsies for monitoring treatment response.

Purpose of the Study:

  • To identify microRNAs (miRNAs) that can serve as predictive biomarkers for therapeutic response in triple-negative breast cancer (TNBC) patients.
  • To validate candidate miRNAs through clinical analysis of patient blood samples.

Main Methods:

  • In silico analysis of the Cancer Genome Atlas (TCGA) dataset to identify potential TNBC-associated miRNAs.
  • Clinical validation using RT-qPCR expression analysis on whole-blood samples from TNBC patients before and after therapy.

Main Results:

  • Four miRNAs—miR-340-5p, miR-1307-3p, miR-185-5p, and miR-30a-3p—demonstrated significant predictive potential.
  • Dysregulated miRNA signatures were identified as independent indicators for therapeutic monitoring in TNBC.

Conclusions:

  • A combined multi-miRNA expression panel provides a robust and superior predictive value for stratifying treatment response in TNBC.
  • These miRNA signatures can aid in tracking disease progression and optimizing therapeutic strategies for TNBC patients.

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