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Clinical overview of sorafenib in breast cancer
1Mayo College of Medicine, Multidisciplinary Breast Clinic, Mayo Clinic Florida, FL, USA. morenoaspitia.alvaro@mayo.edu
Abstract:
Breast carcinoma remains the most common malignancy of women around the world, and despite the advances in the early diagnosis and adjuvant treatment of this disease, many women still relapse with metastatic breast cancer. There is therefore an urgent need for the development and testing of novel agents targeting pathways thought to be involved in the pathogenesis of breast cancer. Aberrant activation of the Ras/Raf/MAPK/ERK kinase/extracellular signal-regulated kinase cascade and the VEGF pathway are commonly observed in breast cancer cells leading to malignant cell proliferation, cell growth, prevention of apoptosis, tumor invasion and neo-angiogenesis. Sorafenib is an oral multikinase inhibitor that inhibits tumor growth and proliferation by interfering with several receptor tyrosine kinases involved in the pathogenesis and perpetuation of malignant breast cancer cells. This article reviews previous experiences and current and future development strategies of sorafenib in breast cancer.
Insights
Sorafenib, a multikinase inhibitor, targets key pathways in metastatic breast cancer. This review examines its role in combating cancer cell proliferation and tumor growth, offering insights into treatment strategies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Breast carcinoma is a leading cause of cancer-related deaths in women globally.
- Despite advances, metastatic breast cancer recurrence remains a significant clinical challenge.
- Targeting aberrant cell signaling pathways is crucial for novel breast cancer therapies.
Purpose of the Study:
- To review the therapeutic potential of sorafenib in breast cancer.
- To discuss the mechanisms of action of sorafenib against cancer pathways.
- To explore current and future strategies for sorafenib in breast cancer treatment.
Main Methods:
- Review of existing literature on sorafenib in breast cancer.
- Analysis of sorafenib's inhibitory effects on receptor tyrosine kinases.
- Examination of its impact on Ras/Raf/MAPK/ERK and VEGF pathways.
Main Results:
- Sorafenib demonstrates multikinase inhibitory activity against critical cancer pathways.
- It interferes with receptor tyrosine kinases implicated in breast cancer progression.
- The drug shows potential in inhibiting tumor growth, proliferation, invasion, and neo-angiogenesis.
Conclusions:
- Sorafenib represents a promising targeted therapy for metastatic breast cancer.
- Further research and clinical development are warranted to optimize its use.
- Understanding its role in key signaling cascades can guide future treatment strategies.
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