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Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Modulation of epidermal growth factor receptor in endocrine-resistant, oestrogen receptor-positive breast cancer
R I Nicholson1, I R Hutcheson, M E Harper
1Tenovus Centre for Cancer Research, Welsh School of Pharmacy, Cardiff, UK. nicholsonri@cardiff.ac.uk
Abstract:
There is an increasing body of evidence demonstrating that growth factor networks are highly interactive with oestrogen receptor (ER) signalling in the control of breast cancer growth. As such, tumour responses to anti- hormones are likely to be a composite of the ER and growth factor inhibitory activity of these agents. The current article examines the modulation of growth factor networks during endocrine response, and presents in vitro and clinical evidence that epidermal growth factor receptor signalling, maintained in either an ER-dependent or -independent manner, is critical to anti- hormonal-resistant breast cancer cell growth. The considerable potential of the epidermal growth factor receptor-selective tyrosine kinase inhibitor, ZD 1839 (Iressa; AstraZeneca) to efficiently treat, and perhaps even prevent, endocrine-resistant breast cancer is highlighted.
Insights
Growth factor networks interact with oestrogen receptor (ER) signalling in breast cancer. Targeting epidermal growth factor receptor (EGFR) signalling may overcome resistance to endocrine therapy in ER-positive breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Growth factor networks and oestrogen receptor (ER) signalling are key regulators of breast cancer growth.
- Tumour response to endocrine therapy is influenced by both ER and growth factor signalling pathways.
- Understanding these interactions is crucial for overcoming endocrine resistance.
Purpose of the Study:
- To examine the modulation of growth factor networks during endocrine therapy response.
- To present evidence on the role of epidermal growth factor receptor (EGFR) signalling in endocrine-resistant breast cancer.
- To highlight the potential of EGFR-selective tyrosine kinase inhibitors in treating endocrine resistance.
Main Methods:
- In vitro studies investigating growth factor network modulation.
- Analysis of clinical data to assess tumour responses to endocrine therapy.
- Evaluation of EGFR signalling in ER-dependent and -independent breast cancer models.
Main Results:
- EGFR signalling, whether ER-dependent or -independent, is critical for the growth of endocrine-resistant breast cancer cells.
- Growth factor networks are significantly modulated during endocrine therapy.
- ZD 1839 (Iressa), an EGFR-selective tyrosine kinase inhibitor, shows potential in preclinical models.
Conclusions:
- EGFR signalling plays a critical role in endocrine-resistant breast cancer.
- Targeting EGFR with tyrosine kinase inhibitors like ZD 1839 offers a promising strategy for treating endocrine-resistant breast cancer.
- This approach may also hold potential for preventing endocrine resistance.
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