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Published on: June 7, 2019
Role of epigenetic modifications in luminal breast cancer
Hany A Abdel-Hafiz1, Kathryn B Horwitz1,2
1Division of Endocrinology, Department of Medicine, Anschutz Medical Campus, University of Colorado Denver, Aurora, CO 80045, USA.
Abstract:
Luminal breast cancers represent approximately 75% of cases. Explanations into the causes of endocrine resistance are complex and are generally ascribed to genomic mechanisms. Recently, attention has been drawn to the role of epigenetic modifications in hormone resistance. We review these here. Epigenetic modifications are reversible, heritable and include changes in DNA methylation patterns, modification of histones and altered microRNA expression levels that target the receptors or their signaling pathways. Large-scale analyses indicate distinct epigenomic profiles that distinguish breast cancers from normal and benign tissues. Taking advantage of the reversibility of epigenetic modifications, drugs that target epigenetic modifiers, given in combination with chemotherapies or endocrine therapies, may represent promising approaches to restoration of therapy responsiveness in these cases.
Insights
Epigenetic modifications, not just genomic changes, play a key role in endocrine resistance in luminal breast cancer. Targeting these reversible epigenetic changes offers new hope for improving cancer therapy responsiveness.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Luminal breast cancers constitute about 75% of all cases.
- Endocrine resistance in breast cancer is complex, often linked to genomic alterations.
- Emerging evidence highlights the significant role of epigenetic modifications in endocrine resistance.
Purpose of the Study:
- To review the role of epigenetic modifications in endocrine resistance in luminal breast cancer.
- To explore the potential of targeting epigenetic modifiers for overcoming therapy resistance.
Main Methods:
- Review of current literature on epigenetic modifications in breast cancer.
- Analysis of large-scale epigenomic data.
- Discussion of therapeutic strategies targeting epigenetic modifiers.
Main Results:
- Epigenetic modifications, including DNA methylation, histone modification, and microRNA alterations, are implicated in endocrine resistance.
- Distinct epigenomic profiles differentiate breast cancers from normal and benign tissues.
- Epigenetic modifications are reversible and heritable.
Conclusions:
- Epigenetic mechanisms are crucial in the development of endocrine resistance in breast cancer.
- Drugs targeting epigenetic modifiers, used alongside endocrine or chemotherapies, show promise for restoring treatment sensitivity.
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