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Updated: Aug 21, 2026

Isolation and Functional Assessment of Human Breast Cancer Stem Cells from Cell and Tissue Samples
Published on: October 2, 2020
Cancer Stem Cell-Targeted Therapies in Triple-Negative Breast Cancer: A Systematic Review and Meta-Analysis
Olfa Rebai1, Mohamed Amri2, Sami Fattouch1
1National Institute of Applied Sciences and Technology (INSAT), LR21ES02, Laboratory of EcoChemistry, University of Carthage, Tunis, Tunisia.
Abstract:
Cancer stem cells (CSCs) drive chemoresistance, metastasis, and relapse in triple-negative breast cancer (TNBC), yet a comprehensive synthesis of targeted therapy evidence remains lacking. We systematically searched PubMed, Scopus, and Web of Science (2010-2025) and pooled effect sizes from 12 eligible studies (540 TNBC samples) using a random-effects model per PRISMA 2020 guidelines. CSC-targeted therapies significantly reduced CSC viability (SMD = -1.12; 95% CI: -1.45 to -0.79; p < 0.001), with combination approaches showing superior efficacy, moderate heterogeneity (I2 = 52%), and no publication bias, supporting further clinical trials to validate these promising preclinical strategies.
Insights
Targeting cancer stem cells (CSCs) shows promise in treating triple-negative breast cancer (TNBC). Therapies significantly reduced CSC viability, with combination treatments being most effective, warranting further clinical investigation.
Area of Science:
- Oncology
- Cancer Research
- Molecular Biology
Background:
- Cancer stem cells (CSCs) are implicated in chemoresistance, metastasis, and relapse in triple-negative breast cancer (TNBC).
- A comprehensive synthesis of evidence for CSC-targeted therapies in TNBC is needed.
Purpose of the Study:
- To systematically review and synthesize the evidence for CSC-targeted therapies in TNBC.
- To evaluate the efficacy of these therapies in reducing CSC viability and identify optimal treatment strategies.
Main Methods:
- Systematic literature search of PubMed, Scopus, and Web of Science (2010-2025).
- Meta-analysis of effect sizes from 12 eligible studies (540 TNBC samples) using a random-effects model.
- Adherence to PRISMA 2020 guidelines.
Main Results:
- CSC-targeted therapies significantly reduced CSC viability (SMD = -1.12; 95% CI: -1.45 to -0.79; p < 0.001).
- Combination CSC-targeted therapies demonstrated superior efficacy compared to single-agent approaches.
- Moderate heterogeneity (I² = 52%) and no significant publication bias were observed.
Conclusions:
- CSC-targeted therapies represent a promising strategy for treating TNBC.
- Combination therapies warrant further investigation due to superior efficacy.
- These preclinical findings support the initiation of clinical trials to validate CSC-targeted approaches in TNBC patients.
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