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Breast cancer: Molecular basis and therapeutic strategies (Review)
Giovanni Ligresti1, Massimo Libra, Loredana Militello
1Department of Biomedical Sciences, University of Catania, I-95124 Catania, Italy.
Abstract:
Breast cancer is the most common malignancy among women. It is frequently treated with chemotherapy and hormone therapy. More recently, however, 'targeted therapy' has emerged as an important approach to cancer therapy. Targeted therapy works by interfering with a specific molecular target, though inter-individual variability in drug response often causes treatment failure. Anticancer agents inhibit breast cancer progression by several different mechanisms. The Ras/Raf/MEK/ERK signal transduction pathway regulates cell cycle progression and apoptosis in diverse cell types. Alterations in this pathway are often associated with human cancer, including breast cancer. Understanding breast cancer biology is useful for the identification of appropriate anticancer drugs. This review describes the effect of gene alterations on breast cancer development. In addition, it shows how each anticancer drug used to treat breast cancer may block aberrant cell proliferation. Finally, the mechanisms of resistance to therapy are also discussed.
Insights
This review explores how gene alterations impact breast cancer development and how targeted therapies can block cancer cell proliferation. It also discusses mechanisms of treatment resistance in breast cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Breast cancer is a leading malignancy in women, often treated with chemotherapy and hormone therapy.
- Targeted therapy offers a more specific approach but faces challenges due to inter-individual drug response variability.
- The Ras/Raf/MEK/ERK pathway is crucial for cell cycle regulation and is frequently altered in breast cancer.
Purpose of the Study:
- To review the influence of genetic alterations on breast cancer development.
- To elucidate how anticancer drugs target aberrant cell proliferation in breast cancer.
- To discuss the mechanisms underlying resistance to breast cancer therapies.
Main Methods:
- Literature review of studies on breast cancer genetics and targeted therapies.
- Analysis of signal transduction pathways involved in breast cancer progression.
- Examination of drug resistance mechanisms in breast cancer treatment.
Main Results:
- Gene alterations significantly contribute to breast cancer initiation and progression.
- Targeted anticancer agents can effectively inhibit aberrant cell proliferation by interfering with specific molecular pathways.
- Variability in drug response and acquired resistance are significant hurdles in effective breast cancer treatment.
Conclusions:
- Understanding breast cancer biology and genetic alterations is key to developing effective targeted therapies.
- Targeted therapies show promise but require careful patient selection and monitoring to overcome resistance.
- Further research into resistance mechanisms is crucial for improving long-term outcomes for breast cancer patients.
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