Study record

Circulating levels of MOTS-c in patients with breast cancer treated with metformin

Cuyàs E, Verdura S, Martin-Castillo B et al. · Aging (Albany NY) · 2022

Human obs.Endogenous MOTS-c measuredEvidence tier B

What this study reported

Measured circulating MOTS-c in paired sera from women with HER2-positive breast cancer randomised to a neoadjuvant regimen with or without metformin and reported no significant change in MOTS-c in either arm over the treatment period. Reported that changes in circulating MOTS-c also did not differ significantly between patients who did and did not achieve a pathological complete response.

Limitations

Sample size not stated in the abstract; secondary analysis of a trial not designed to test MOTS-c; reliance on a single commercial competitive ELISA of uncertain specificity; restricted to women with HER2-positive breast cancer receiving concurrent chemotherapy.

Study record

Annotated fields for this study
Study modelHuman observational
Substance studiedEndogenous MOTS-c measuredNaturally occurring MOTS-c was measured; nothing was given.
Specieshuman
System studiedPaired baseline and post-treatment sera from women with HER2-positive breast cancer randomised to neoadjuvant chemotherapy and trastuzumab with or without metformin
PopulationWomen with HER2-positive breast cancer receiving neoadjuvant chemotherapy and trastuzumab
DesignRandomised metformin trial; circulating MOTS-c measured as a secondary analysis
Sample size as reportedNot reported
Control groupPatients receiving the equivalent neoadjuvant regimen without metformin
Route (data field only)Not reported
Endpoints measuredcirculating MOTS-c by competitive ELISA; pathological complete response
Pathways measuredAMPK signalling · Folate cycle / purines / AICAR
Research areasCancer · Metabolic
Evidence tierB — Other human study
Publication typesRandomized Controlled Trial, Journal Article, Research Support, Non-U.S. Gov't

Appraisal

Each dimension is recorded separately and never combined into a single score. A study can be well controlled and still tell you little about people.

Relevance to MOTS-c
Direct
Model applicability
Human
Sample size
Not reported
Controls
Appropriate
Outcome validity
Surrogate
Support for its own conclusion
Moderate

Provenance

  • Bibliographic fields retrieved from PubMed E-utilities efetch (title, journal, date, authors, DOI) on 2026-11-11.
  • Annotated from the published abstract.
  • Editorial review: approved (2026-11-11).
  • Classification follows the site methodology; the record describes the study, not what MOTS-c does in people.