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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">oncotomsk</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский онкологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Siberian journal of oncology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-4861</issn><issn pub-type="epub">2312-3168</issn><publisher><publisher-name>Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21294/1814-4861-2023-22-1-151-158</article-id><article-id custom-type="elpub" pub-id-type="custom">oncotomsk-2441</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Прогнозирование локализации отдаленных метастазов при раке молочной железы</article-title><trans-title-group xml:lang="en"><trans-title>Predicting the site of distant metastases in breast cancer</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4737-8951</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорьева</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigoryeva</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьева Евгения Сергеевна, кандидат медицинских наук, научный сотрудник лаборатории молекулярной онкологии и иммунологии</p><p>634009, г. Томск, пер. Кооперативный, 5</p><p>SPIN-код: 7396-7570,</p><p>Researcher ID (WOS): C-8571-2012,</p><p>Author ID (Scopus): 21934560600</p></bio><bio xml:lang="en"><p>Evgeniya S. Grigoryeva, MD, PhD, Researcher, Laboratory of Molecular Oncology and Immunology</p><p>5, Kooperativny St., 634009, Tomsk</p><p>Researcher ID (WOS): C-8571-2012,</p><p>Author ID (Scopus): 21934560600</p></bio><email xlink:type="simple">grigoryeva.es@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2958-5447</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванюк</surname><given-names>Е. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanyuk</surname><given-names>E. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Иванюк Елена Эдуардовна, кандидат медицинских наук, научный сотрудник лаборатории молекулярной онкологии и иммунологии</p><p>634009, г. Томск, пер. Кооперативный, 5</p><p>Researcher ID (WOS): V-3354-2017,</p><p>Author ID (Scopus): 55887613300</p></bio><bio xml:lang="en"><p>Elena E. Ivanyuk, MD, PhD, Researcher, Laboratory of Molecular Oncology and Immunology</p><p>5, Kooperativny St., 634009, Tomsk</p><p>Researcher ID (WOS): V-3354-2017,</p><p>Author ID (Scopus): 55887613300</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3651-0665</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чойнзонов</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Choinzonov</surname><given-names>E. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чойнзонов Евгений Лхамацыренович, доктор медицинских наук, профессор, академик РАН, директор</p><p>634009, г. Томск, пер. Кооперативный, 5</p><p>SPIN-код: 2240-8730,</p><p>Researcher ID (WOS): P-1470-2014,</p><p>Author ID (Scopus): 6603352329</p></bio><bio xml:lang="en"><p>Evgeniy L. Choinzonov, MD, Professor, Academician of the Russian Academy of Sciences, Director</p><p>5, Kooperativny St., 634009, Tomsk</p><p>Researcher ID (WOS): P-1470-2014,</p><p>Author ID (Scopus): 6603352329</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1526-9013</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чердынцева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Cherdyntseva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чердынцева Надежда Викторовна, доктор биологических наук, профессор, член-корреспондент РАН, заместитель директора по научной работе, заведующая лабораторией молекулярной онкологии и иммунологии</p><p>634009, г. Томск, пер. Кооперативный, 5</p><p>SPINкод: 5344-0990,</p><p>Researcher ID (WOS): C-7943-2012,</p><p>Author ID (Scopus): 6603911744</p></bio><bio xml:lang="en"><p>Nadejda V. Cherdyntseva, DSc, Professor, Corresponding Member of the Russian Academy of Sciences, Deputy Director, Head of the Laboratory of Molecular Oncology and Immunology</p><p>5, Kooperativny St., 634009, Tomsk</p><p>Researcher ID (WOS): C-7943-2012,</p><p>Author ID (Scopus): 6603911744</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт онкологии, Томский национальный исследовательский медицинский центр Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Cancer Research Institute, Тomsk National Research Medical Center, Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>23</day><month>02</month><year>2023</year></pub-date><volume>22</volume><issue>1</issue><fpage>151</fpage><lpage>158</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Григорьева Е.С., Иванюк Е.Э., Чойнзонов Е.Л., Чердынцева Н.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Григорьева Е.С., Иванюк Е.Э., Чойнзонов Е.Л., Чердынцева Н.В.</copyright-holder><copyright-holder xml:lang="en">Grigoryeva E.S., Ivanyuk E.E., Choinzonov E.L., Cherdyntseva N.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.siboncoj.ru/jour/article/view/2441">https://www.siboncoj.ru/jour/article/view/2441</self-uri><abstract><sec><title>Введение</title><p>Введение. Метастазирование опухоли в отдаленные органы является основной причиной смерти при раке молочной железы. Преимущественная локализация отдаленных метастазов при раке молочной железы – кости, легкие и печень. Возникает вопрос, какие факторы могут влиять на направление распространения опухолевых клеток в тот или иной орган.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Мы обобщили имеющиеся в мировой литературе данные о методах прогнозирования локализации отдаленных метастазов у больных раком молочной железы.</p></sec><sec><title>Результаты</title><p>Результаты. Факторы, связанные с локализацией отдаленных метастазов, мы разделили на две основные группы: клинико-патологические параметры больных раком молочной железы и молекулярные особенности микроокружения опухоли и опухолевых клеток (первичных опухолевых и циркулирующих опухолевых клеток) или их производных – экзосом. Представляется, что молекулярный подтип первичной опухоли является наиболее перспективным предиктором, предсказывающим место отдаленного метастазирования. Люминальные опухоли (HR+/ HER2-) чаще характеризуются единичными метастазами, с преимущественной локализацией в костях, в то время как трижды негативные и HER2-обогащенные опухоли чаще образуют множественные метастазы, которые чаще локализуются в головном мозге и печени. Однако некоторые авторы не обнаруживают в своих исследованиях таких закономерностей, что, вероятно, свидетельствует о наличии других факторов, существенно влияющих на органотропность метастазирования. Многочисленные исследования демонстрируют ассоциацию различных молекул, экспрессируемых на опухолевых клетках, с органотропным метастазированием. Однако эти данные весьма фрагментарны и иногда весьма противоречивы.</p></sec><sec><title>Заключение</title><p>Заключение. Обнаруженные ассоциации относятся ко всем участникам метастатического каскада, но остается неясным, какие факторы являются существенными и решающими в определении направления метастазирования.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Background</title><p>Background. Distant organ tumor dissemination is a major cause of breast cancer-related deaths. Breast cancer can metastasize to several organs, and the most frequent metastatic sites include the bones, lungs and liver. There is a question what factors can influence the direction of spread of tumor cells to a particular organ.</p></sec><sec><title>Material and Methods</title><p>Material and Methods. We summarized the data available in the world literature on methods for prediction of the localization of distant metastases in breast cancer patients.</p></sec><sec><title>Results</title><p>Results. We divided the factors associated with the localization of distant metastases into two main groups: clinicopathological parameters of breast cancer patients and molecular features of tumor microenvironment and tumor cells (primary tumor and circulating tumor cells) or its derivates – exosomes. From our point of view, the most powerful clinicopathological factor predicting the distant metastasis site is a molecular subtype of primary tumor. We can conclude that luminal (HR+/HER2-) tumors are often characterized by single metastases and bones are the most common metastatic site, while TNBC and HER2-enriched tumors often metastasize to multiple sites, most commonly brain and liver. However, several authors did not reveal these associations in their studies. It likely indicates the existence of other factors that significantly affect the organotropism of metastasis. Numerous studies demonstrate the association of different molecules expressed on tumor cells with organotropic metastasis. However, these data are very fragmentary and rather contradictory.</p></sec><sec><title>Conclusion</title><p>Conclusion. The found associations are common to all participants of metastatic cascade, but remains unclear which factors are essential and crucial in determining the direction of metastasis.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>рак молочной железы</kwd><kwd>гематогенное метастазирование</kwd><kwd>предикторы прогноза</kwd></kwd-group><kwd-group xml:lang="en"><kwd>breast cancer</kwd><kwd>hematogenous metastasis</kwd><kwd>prognostic predictors</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена при поддержке Российского научного фонда (грант № 21-15-00140)</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Riggio A.I., Varley K.E., Welm A.L. 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