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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Tyrosine kinase receptor--nuclear protooncogene interactions in breast cancer
Abstract:
In summary, evidence is beginning to accumulate in support of a major role for tyrosine kinase receptors (and their activating growth factors) and steroid hormones and their receptors in normal development and differentiation of the mammary gland. A point of intersection of their mechanisms of action in growth control appears to be the induction of nuclear protooncogenes such as c-myc. When c-myc is amplified, as it is in many breast cancers, EGF and FGF receptor tyrosine kinase action becomes transforming, not simply mitogenic. A source of the transforming factors could be either stromal or epithelial. This mechanism could function early in the progression of breast cancer. c-erbB-2 and EGF receptor overexpression and amplification, when they occur, appear to render tumors even more malignant and of especially poor prognosis. These mechanisms could function late in the progression of breast cancer. Transgenic mouse studies have begun to echo these themes. They have established that a growth factor (TGF-alpha) and its receptor (EGF receptor), which appear to be important in normal mouse and human proliferation and gland development, and a protooncogene (c-myc), commonly amplified and overexpressed in human and mouse breast cancer, can each contribute to mammary carcinogenesis. The mechanisms of the two are likely to be distinct. myc is likely to be acting as a tumor initiator in combination with normal proliferative factors, whereas TGF-alpha is likely to be acting as a hyperproliferative (promotional) factor in combination with a normal background of mutational events. The role of unmutated but amplified erbB-2 in the transgenic mouse is not yet known.
Insights
Tyrosine kinase receptors and steroid hormones are crucial for mammary gland development. Their interaction with protooncogenes like c-myc can drive breast cancer progression, especially when amplified.
Area of Science:
- Oncology
- Molecular Biology
- Developmental Biology
Background:
- Tyrosine kinase receptors (TKRs) and steroid hormones play key roles in mammary gland development and differentiation.
- Protooncogenes, such as c-myc, are implicated in growth control mechanisms.
- Aberrant signaling through TKRs and protooncogenes is linked to breast cancer development.
Purpose of the Study:
- To explore the roles of TKRs, growth factors, steroid hormones, and protooncogenes in mammary gland development and carcinogenesis.
- To investigate the intersection of these pathways in controlling cell growth and transformation.
- To understand the distinct mechanisms by which these factors contribute to breast cancer.
Main Methods:
- Review of accumulating evidence on growth factor and hormone signaling in mammary development.
- Analysis of protooncogene induction and amplification in relation to TKR activity.
- Examination of findings from transgenic mouse studies investigating specific genes in mammary carcinogenesis.
Main Results:
- TKRs and steroid hormones are vital for normal mammary gland development.
- Amplification of c-myc, alongside activated TKRs (EGF, FGF), can lead to transformation, not just proliferation, in breast cancer.
- Overexpression/amplification of c-erbB-2 and EGF receptor correlates with increased malignancy and poor prognosis.
- Transgenic models confirm roles for TGF-alpha, EGF receptor, and c-myc in mammary carcinogenesis, with distinct initiating vs. promoting mechanisms.
Conclusions:
- TKRs and steroid hormones are essential for mammary gland development.
- Aberrant signaling, particularly TKR activation and protooncogene amplification (e.g., c-myc), contributes significantly to breast cancer initiation and progression.
- Specific genetic alterations, like c-erbB-2 amplification, worsen prognosis, highlighting distinct roles in tumorigenesis.
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