ONCOBREAST-TEST Is a Quick Diagnostic, Prognostic and Predictive Method of Response to Systemic Treatment

Author:

Tankiewicz-Kwedlo Anna1ORCID,Lobacz Tomasz2,Kozlowski Leszek2,Czartoryska-Arlukowicz Bogumila2,Koda Mariusz3,Pawlak Krystyna4ORCID,Czarnomysy Robert5ORCID,Borkowska Magdalena Joanna2,Pawlak Dariusz1ORCID

Affiliation:

1. Department of Pharmacodynamics, Medical University of Bialystok, Mickiewicza 2C, 15-222 Bialystok, Poland

2. M. Skłodowska-Curie Bialystok Oncology Center, Ogrodowa 12, 15-027 Bialystok, Poland

3. Department of General Pathomorphology, Medical University of Bialystok, ul. Waszyngtona 13, 15-269 Bialystok, Poland

4. Department of Monitored Pharmacotherapy, Medical University of Bialystok, Mickiewicza 2C, 15-222 Bialystok, Poland

5. Department of Synthesis and Technology of Drugs, Medical University of Bialystok, Kilinskiego 1, 15-089 Bialystok, Poland

Abstract

ONCOBREAST-TEST is a diagnostic and therapeutic procedure that is part of the comprehensive care of a patient with breast cancer.: Chemosensitivity of cancer cells was assessed using the MTT test, morphological assessment of cells, LDH activity in the culture medium, and flow cytometry technique (apoptosis, proliferation, CD24, CD44, GATA3, cytokeratin, Ki-67). Diagnostic tools included panels of simple tests which could be used to accurately predict the chemosensitivity of tumor cells previously isolated from a patient, even before actual chemotherapy. The proposed procedure allows for a simple (based on MTT results, cell morphology, LDH concentration), minimally invasive, quick, and accurate assessment of the sensitivity of breast cancer cells to the drugs used and, to select the most effective treatment plan as part of personalized therapy. In a patient with NOS G3, the most promising therapy will be docetaxel with cyclophosphamide and in the case of a patient with NOS G1, paclitaxel alone and in combination with trastuzumab. The implementation of such a procedure would undoubtedly increase the effectiveness of chemotherapy, reduce side effects by excluding drugs that are ineffective before using them, protect the patient’s health, and shorten the treatment time, bringing economic and social benefits.

Funder

Medical University of Bialystok

Publisher

MDPI AG

Subject

Cancer Research,Oncology

Reference19 articles.

1. (2023, October 18). Breast Cancer Facts and Statistics. Available online: https://www.breastcancer.org/facts-statistics.

2. (2023, October 18). EuroeanCancer Information System. Available online: https://ecis.jrc.ec.europa.eu/.

3. (2023, October 18). Breast Cancer. Available online: https://www.who.int/news-room/fact-sheets/detail/breast-cancer.

4. A Genome-Wide Gene-Based Gene-Environment Interaction Study of Breast Cancer in More than 90,000 Women;Wang;Cancer Res. Commun.,2022

5. Effect of Erythropoietin, 5-Fluorouracil and SN-38 on the Growth of DLD-1 Cells;Pawlak;Pharmacol. Rep.,2010

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