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Published on: December 26, 2016
Biological determinants of endocrine resistance in breast cancer
Elizabeth A Musgrove1, Robert L Sutherland
1Cancer Research Program, Garvan Institute of Medical Research, Sydney, New South Wales 2010, Australia. e.musgrove@garvan.org.au
Abstract:
Endocrine therapies targeting oestrogen action (anti-oestrogens, such as tamoxifen, and aromatase inhibitors) decrease mortality from breast cancer, but their efficacy is limited by intrinsic and acquired therapeutic resistance. Candidate molecular biomarkers and gene expression signatures of tamoxifen response emphasize the importance of deregulation of proliferation and survival signalling in endocrine resistance. However, definition of the specific genetic lesions and molecular processes that determine clinical endocrine resistance is incomplete. The development of large-scale computational and genetic approaches offers the promise of identifying the mediators of endocrine resistance that may be exploited as potential therapeutic targets and biomarkers of response in the clinic.
Insights
Endocrine therapies improve breast cancer survival but face resistance. Identifying genetic drivers of this resistance is crucial for developing new treatments and biomarkers.
Area of Science:
- Oncology
- Endocrinology
- Genetics
Background:
- Endocrine therapies (anti-oestrogens, aromatase inhibitors) reduce breast cancer mortality.
- Therapeutic resistance limits the efficacy of these vital treatments.
- Gene expression signatures highlight proliferation and survival signaling in resistance.
Purpose of the Study:
- To define the specific genetic lesions and molecular processes underlying clinical endocrine resistance.
- To identify potential therapeutic targets and biomarkers for endocrine resistance in breast cancer.
Main Methods:
- Leveraging large-scale computational approaches.
- Utilizing genetic analyses to identify resistance mediators.
Main Results:
- Candidate biomarkers and gene signatures point to deregulation of proliferation and survival signaling.
- The precise genetic drivers of endocrine resistance remain incompletely defined.
Conclusions:
- Further research into genetic lesions is needed to fully understand endocrine resistance.
- Large-scale computational and genetic studies promise to uncover therapeutic targets and biomarkers for improved breast cancer treatment.
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