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An Ex vivo Model to Study Hormone Action in the Human Breast
Published on: January 8, 2015
The biology of antihormone failure in breast cancer
Robert I Nicholson1, Julia M W Gee, Janice Knowlden
1Tenovus Centre for Cancer Research, Welsh School of Pharmacy, Cardiff University, Cardiff, UK. nicholsonri@cardiff.ac.uk
Abstract:
Many estrogen receptor-positive breast cancer patients initially respond to treatment with antihormonal agents such as tamoxifen, but remissions are often followed by acquisition of resistance and ultimately disease relapse. The development of a rationale for the effective treatment of tamoxifen-resistant breast cancer requires an understanding of the complex signal transduction mechanisms that contribute towards loss of antiestrogen response. Interactions between estrogen and growth factor signaling pathways have been identified in estrogen-responsive cells that are thought to reinforce their individual cellular effects on growth and gene responses. Increasing evidence indicates that abnormalities occurring in growth factor signaling pathways, notably the epidermal growth factor receptor (EGFR) signaling pathway, could dramatically influence steroid hormone action and may be critical to antihormonal-resistant breast cancer cell growth. Thus, inhibitory agents targeting growth factor receptors, or their intracellular pathway components, may prove clinically beneficial in antihormone refractory disease. One example, gefitinib ('Iressa', ZD1839), an EGFR-tyrosine kinase inhibitor, is an interesting therapeutic option that may provide benefit in the treatment of antihormonal-resistant breast cancer. Rapid progress with pharmacological and molecular therapeutic agents is now being made. Therapies that target growth factor signaling pathways may prevent development of resistance.
Insights
Tamoxifen resistance in estrogen receptor-positive breast cancer is a major challenge. Targeting growth factor signaling pathways, like epidermal growth factor receptor (EGFR), may overcome this resistance and improve treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Estrogen receptor-positive breast cancer often develops resistance to tamoxifen, leading to disease relapse.
- Understanding the mechanisms of tamoxifen resistance is crucial for developing effective treatments.
- Growth factor signaling pathways interact with estrogen signaling and may drive resistance.
Purpose of the Study:
- To explore the role of growth factor signaling pathways in tamoxifen resistance.
- To identify potential therapeutic targets for antihormone-refractory breast cancer.
- To evaluate the potential of EGFR inhibitors in treating resistant breast cancer.
Main Methods:
- Review of existing literature on estrogen and growth factor signaling in breast cancer.
- Analysis of the role of epidermal growth factor receptor (EGFR) signaling in tamoxifen resistance.
- Discussion of targeted therapies, including EGFR inhibitors like gefitinib.
Main Results:
- Growth factor signaling pathways, particularly EGFR, are implicated in the development of tamoxifen resistance.
- Abnormalities in EGFR signaling can promote the growth of antihormonal-resistant breast cancer cells.
- EGFR inhibitors show promise as a therapeutic strategy for resistant breast cancer.
Conclusions:
- Targeting growth factor signaling pathways, such as EGFR, is a promising approach to overcome tamoxifen resistance.
- Inhibitory agents targeting EGFR may provide clinical benefit in antihormone-refractory breast cancer.
- Therapies targeting growth factor signaling pathways could prevent the development of resistance.
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