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Updated: Mar 25, 2026

Extraction of Histones from Clinical Specimens for Epigenetic Profiling by Mass Spectrometry
Published on: November 21, 2025
Diagnostic and Therapeutic Implications of Histone Epigenetic Modulators in Breast Cancer
Louise Walsh1,2, William M Gallagher3,4, Darran P O'Connor1
1a Department of Molecular and Cellular Therapeutics , Royal College of Surgeons in Ireland , Dublin 2 , Ireland.
Abstract:
Breast cancer is the most common cancer in women and great advancements have been made for individualised patient treatment. Through understanding the underlying altered biology in the different subtypes of breast cancer, targeted therapeutics have been developed. Unfortunately, resistance to targeted therapy, intrinsic or acquired, is a recurring theme in cancer treatment. Epigenetic-mediated resistance to targeted therapy has been identified across different types of cancer. In addition, tumorigenesis has also been linked to altered expression of epigenetic modifiers. Due to the reversible nature of epigenetic modifications, epigenetic proteins are appealing as therapeutic targets in both the primary and relapsed/resistant setting. In this review, we will discuss the current state of targetable epigenetic histone modifications and their diagnostic and therapeutic implications in breast cancer.
Insights
This review explores how epigenetic modifications drive breast cancer resistance to targeted therapies. Targeting these reversible epigenetic changes offers new therapeutic strategies for primary and resistant breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Breast cancer treatment has advanced with targeted therapies based on subtype-specific biology.
- Resistance to targeted therapy, both intrinsic and acquired, remains a significant challenge in cancer care.
- Epigenetic alterations are implicated in both cancer development and therapeutic resistance across various cancers.
Purpose of the Study:
- To review the current landscape of targetable epigenetic histone modifications in breast cancer.
- To discuss the diagnostic and therapeutic implications of these epigenetic modifications.
- To highlight the potential of targeting epigenetic proteins for overcoming treatment resistance.
Main Methods:
- Literature review of current research on epigenetic histone modifications in breast cancer.
- Analysis of studies investigating epigenetic-mediated resistance to targeted therapies.
- Examination of the role of epigenetic modifiers in tumorigenesis and treatment response.
Main Results:
- Epigenetic modifications play a crucial role in the development of intrinsic and acquired resistance to targeted breast cancer therapies.
- Altered expression of epigenetic modifiers is linked to breast cancer initiation and progression.
- Epigenetic modifications are reversible, making epigenetic proteins attractive therapeutic targets.
Conclusions:
- Targeting epigenetic histone modifications presents a promising strategy for improving breast cancer treatment outcomes.
- Understanding epigenetic mechanisms can help overcome resistance to current targeted therapies.
- Epigenetic therapies hold potential for both initial treatment and managing relapsed or resistant breast cancer.
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