Mechanisms of resistance to endocrine therapies for breast cancer
Abstract:
Abstract Breast cancer is the most frequently diagnosed cancer in women and 70% of the cases are hormone-dependent. The presence of ERα is one of the most important prognostic factors predictive of response to endocrine therapy in human breast cancers. Resistance to endocrine therapies has become a major public health concern and it appears essential to understand the mechanisms underlying this phenomenon. This review provides insights into the molecular mechanisms associated with resistance to endocrine therapies and presents the different strategies currently developed in pre-clinical models to overcome this resistance.
Insights
This review explores endocrine resistance in hormone-dependent breast cancer. Understanding molecular mechanisms and pre-clinical strategies is crucial for overcoming treatment challenges in estrogen receptor-positive breast cancer.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- Breast cancer is the most common cancer in women, with 70% of cases being hormone-dependent.
- Estrogen receptor alpha (ERα) presence is a key prognostic factor for endocrine therapy response.
- Endocrine therapy resistance is a significant public health issue in breast cancer treatment.
Purpose of the Study:
- To review the molecular mechanisms driving resistance to endocrine therapies in breast cancer.
- To present current pre-clinical strategies aimed at overcoming endocrine resistance.
- To enhance understanding of treatment failure in hormone-dependent breast cancer.
Main Methods:
- Literature review of pre-clinical models and molecular mechanisms.
- Analysis of studies investigating resistance pathways.
- Synthesis of data on therapeutic strategies to overcome resistance.
Main Results:
- Detailed insights into molecular mechanisms of endocrine resistance are provided.
- Various pre-clinical strategies to combat resistance are presented.
- The review highlights the complexity of resistance development.
Conclusions:
- Understanding molecular mechanisms is essential for developing effective treatments.
- Pre-clinical models offer valuable insights into overcoming endocrine resistance.
- Further research into novel strategies is needed to improve patient outcomes in breast cancer.
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