Use of epigenetic modulators as a powerful adjuvant for breast cancer therapies
Aurore Claude-Taupin1, Michael Boyer-Guittaut, Régis Delage-Mourroux
1Laboratoire de Biochimie, Equipe EA3922. Estrogènes, expression génique et pathologies du système nerveux central, Batiment DF, UFR-ST, Université de Franche-Comté, 16, Route de Gray, 25030, Besançon Cedex, France.
Abstract:
Breast cancer (BC) is one of the five most frequent cancers in the world. Despite earlier diagnosis and development of specific treatments, mortality has only declined of about 30 % during the past two decades. Two of the main reasons are the emergence of drug resistance and the absence of specific therapy for triple negative breast cancers (TNBC), which are characterized by a poor prognosis due to high proliferation rate. Therefore, the future goal of the fight against BC will be to find new therapeutic approaches to overcome drug resistances and cure TNBC. Recent research on gene expression profiles linked to the different types of BC cells have led to consider the use of epigenetic modulators to modulate the expression of genes deregulated in cancer. The preliminary encouraging results have demonstrated a positive effect of DNA Methyl Transferase (DNMT) and Histone DeAcetylase (HDAC) inhibitors on different types of BC, as well as drug-resistant cells, with low side effects. In this review, we will describe the different epigenetic modulators currently used or investigated in BC therapy research in vitro as well as preclinical and clinical trials, and promising compounds, which might be used in future BC therapies.
Insights
Epigenetic modulators like DNMT and HDAC inhibitors show promise for treating breast cancer (BC), especially drug-resistant and triple-negative types (TNBC), with few side effects.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Breast cancer (BC) remains a leading cause of cancer mortality worldwide.
- Drug resistance and lack of targeted therapies for triple-negative breast cancer (TNBC) hinder progress.
- High proliferation rates in TNBC contribute to its poor prognosis.
Purpose of the Study:
- To explore novel therapeutic strategies for overcoming BC drug resistance and treating TNBC.
- To investigate the potential of epigenetic modulators in BC therapy.
- To review current research on epigenetic modulators in BC treatment.
Main Methods:
- Review of in vitro, preclinical, and clinical studies on epigenetic modulators in BC.
- Analysis of gene expression profiles in different BC subtypes.
- Focus on DNA Methyl Transferase (DNMT) and Histone DeAcetylase (HDAC) inhibitors.
Main Results:
- Epigenetic modulators demonstrate a positive effect on various BC types, including drug-resistant cells.
- DNMT and HDAC inhibitors show efficacy with a favorable side effect profile.
- Preliminary results suggest potential for new BC therapies.
Conclusions:
- Epigenetic modulators represent a promising therapeutic avenue for breast cancer.
- Targeting epigenetic mechanisms may overcome drug resistance and address TNBC.
- Further investigation into these compounds could lead to improved BC treatments.
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