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August 16, 2026npj Breast CancerOpen Access

Single-cell decoding of breast cancer organotropism: ecosystem mapping for precision therapy

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Authors

MDMei-Qi DongLiaoning Cancer Hospital & InstituteBLBai-Qiang LiChina Medical UniversityFZFu-Ying ZhaoChina Medical University

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Implication

Review reveals distinct organ-specific metabolic and microenvironmental adaptations in metastatic breast cancer, highlighting novel niche-directed therapeutic targets.

Key Points

  • Synthesize single-cell and spatial multi-omics advances to establish an ecological framework of breast cancer organotropism and guide niche-directed precision interception.
  • Synthesized single-cell and spatial multi-omics data examining breast cancer metastasis across brain, lung, bone, and lymph node niches.
  • Evaluated conserved tumor survival pathways alongside organ-specific metabolic, stromal, and immune interactions.
  • Identified conserved metastatic programs including hypoxic memory, stemness, and immune evasion across distinct secondary sites.
  • Characterized organ-specific niches: brain lipid rewiring (RARRES2-PTEN-mTOR) and immunosuppression (IL-34-CSF1R-ARG1+), lung fatty acid oxidation (DLAT) and ferroptosis resistance (TDO2+), and bone dormancy (MAF-CD248).
  • Outlined niche-targeted therapeutic approaches, including dual-payload antibody-drug conjugates, metabolic blockers, engineered extracellular vesicles, and spatial multi-omic platforms.

Cite This Study

Dong et al. (2026) studied this question.

synapsesocial.com/papers/6a81799af2fb91fc834acbd7https://doi.org/10.1038/s41523-026-01027-7
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mechanisms and therapeutic targets in distant metastasis of lung adenocarcinoma2026
  2. 2Rearrangement of 3D genome organization in breast cancer epithelial - mesenchymal transition and metastasis organotropism2025
  3. 3Abstract 6154: A single-cell atlas reveals a tumor microenvironment-dominated ecosystem in breast cancer brain metastasis2026
  4. 4Rearrangement of 3D genome organization in breast cancer epithelial - mesenchymal transition and metastasis organotropism2024
  5. 5Abstract PR-006: Brain metastases roadmap reveals conserved regulatory dynamics rooted in dormant tumor cells2024