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.

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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