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Published on: May 18, 2020
MYC and Breast Cancer
Jinhua Xu1, Yinghua Chen, Olufunmilayo I Olopade
1Center for Clinical Cancer Genetics, Department of Medicine, University of Chicago, Chicago, IL, USA.
Abstract:
MYC is a key regulator of cell growth, proliferation, metabolism, differentiation, and apoptosis. MYC deregulation contributes to breast cancer development and progression and is associated with poor outcomes. Multiple mechanisms are involved in MYC deregulation in breast cancer, including gene amplification, transcriptional regulation, and mRNA and protein stabilization, which correlate with loss of tumor suppressors and activation of oncogenic pathways. The heterogeneity in breast cancer is increasingly recognized. Breast cancer has been classified into 5 or more subtypes based on gene expression profiles, and each subtype has distinct biological features and clinical outcomes. Among these subtypes, basal-like tumor is associated with a poor prognosis and has a lack of therapeutic targets. MYC is overexpressed in the basal-like subtype and may serve as a target for this aggressive subtype of breast cancer. Tumor suppressor BRCA1 inhibits MYC's transcriptional and transforming activity. Loss of BRCA1 with MYC overexpression leads to the development of breast cancer-especially, basal-like breast cancer. As a downstream effector of estrogen receptor and epidermal growth factor receptor family pathways, MYC may contribute to resistance to adjuvant therapy. Targeting MYC-regulated pathways in combination with inhibitors of other oncogenic pathways may provide a promising therapeutic strategy for breast cancer, the basal-like subtype in particular.
Insights
MYC deregulation drives breast cancer, particularly the aggressive basal-like subtype. Targeting MYC pathways offers a promising therapeutic strategy for this challenging cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- MYC is a crucial regulator of cell functions, and its deregulation is implicated in breast cancer development and progression.
- Breast cancer exhibits heterogeneity, with the basal-like subtype characterized by poor prognosis and limited therapeutic options.
- MYC overexpression is common in basal-like breast cancer, suggesting its potential as a therapeutic target.
Purpose of the Study:
- To investigate the role of MYC deregulation in breast cancer, with a focus on the basal-like subtype.
- To explore the relationship between MYC, BRCA1, and breast cancer development.
- To identify potential therapeutic strategies targeting MYC in breast cancer.
Main Methods:
- Review of existing literature on MYC's role in cell biology and breast cancer.
- Analysis of gene expression profiles and correlations with clinical outcomes.
- Examination of the interplay between MYC and tumor suppressors like BRCA1.
Main Results:
- MYC deregulation, through mechanisms like gene amplification and altered regulation, contributes to breast cancer.
- Loss of BRCA1, a MYC inhibitor, combined with MYC overexpression, promotes basal-like breast cancer.
- MYC's involvement in key signaling pathways may confer resistance to therapies.
Conclusions:
- MYC is a significant driver in breast cancer, especially the basal-like subtype.
- Targeting MYC and its associated pathways, potentially in combination with other inhibitors, presents a promising therapeutic avenue.
- Further research into MYC-targeted therapies could improve outcomes for breast cancer patients, particularly those with the basal-like subtype.
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