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The UPS: a promising target for breast cancer treatment
Ko Sato1, Eeson Rajendra, Tomohiko Ohta
1Division of Breast and Endocrine Surgery, St Marianna University School of Medicine, Kawasaki, 216-8511, Japan.
Abstract:
During the past decade, progress in endocrine therapy and the use of trastuzumab has significantly contributed to the decline in breast cancer mortality for hormone receptor-positive and ERBB2 (HER2)-positive cases, respectively. As a result of these advances, a breast cancer cluster with poor prognosis that is negative for the estrogen receptor (ESR1), the progesterone receptor (PRGR) and ERBB2 (triple negative) has come to the forefront of medical therapeutic attention. DNA microarray analyses have revealed that this cluster is phenotypically most like the basal-like breast cancer that is caused by deficiencies in the BRCA1 pathways. To gain further improvements in breast cancer survival, new types of drugs might be required, and small molecules targeting the ubiquitin proteasome system have moved into the spotlight. The success of bortezomib in the treatment of multiple myeloma has sent encouraging signals that proteasome inhibitors could be used to treat other types of cancers. In addition, ubiquitin E3s involved in ESR1, ERBB2 or BRCA1 pathways could be ideal targets for therapeutic intervention. This review summarizes the ubiquitin proteasome pathways related to these proteins and discusses the possibility of new drugs for the treatment of breast cancers. PUBLICATION HISTORY : Republished from Current BioData's Targeted Proteins database (TPdb; http://www.targetedproteinsdb.com).
Insights
Triple-negative breast cancer (TNBC) survival is poor, but targeting the ubiquitin proteasome system offers new therapeutic hope. Research explores ubiquitin E3 ligases in ESR1, ERBB2, and BRCA1 pathways for novel breast cancer drug development.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Advances in endocrine therapy and trastuzumab have reduced mortality for hormone receptor-positive and ERBB2-positive breast cancers.
- Triple-negative breast cancer (TNBC), lacking estrogen receptor (ESR1), progesterone receptor (PRGR), and ERBB2 (HER2) expression, presents a significant therapeutic challenge with poor prognosis.
- TNBC shares phenotypic similarities with basal-like breast cancer, often linked to BRCA1 pathway deficiencies.
Purpose of the Study:
- To review the role of ubiquitin proteasome pathways in breast cancer, particularly in relation to ESR1, ERBB2, and BRCA1.
- To discuss the potential of targeting the ubiquitin proteasome system (UPS) for novel breast cancer therapeutics.
- To explore the therapeutic implications of ubiquitin E3 ligases in breast cancer treatment.
Main Methods:
- Literature review of ubiquitin proteasome pathways and their relevance to breast cancer.
- Analysis of DNA microarray data linking TNBC to basal-like breast cancer and BRCA1 pathways.
- Examination of existing therapeutic strategies and emerging drug targets in breast cancer.
Main Results:
- The ubiquitin proteasome system (UPS) is increasingly recognized as a potential therapeutic target in oncology.
- Bortezomib's success in multiple myeloma suggests proteasome inhibitors could be effective against other cancers, including breast cancer.
- Specific ubiquitin E3 ligases involved in ESR1, ERBB2, or BRCA1 pathways represent promising targets for drug development.
Conclusions:
- Targeting the ubiquitin proteasome system offers a promising avenue for developing new treatments for triple-negative breast cancer.
- Further research into ubiquitin E3 ligases associated with key breast cancer pathways could lead to innovative therapeutic interventions.
- Developing novel drugs targeting the UPS may significantly improve survival rates for patients with aggressive forms of breast cancer.
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