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Current Management Strategies in Breast Cancer by Targeting Key Altered Molecular Players
Shazia Ali1, Neelima Mondal1, Hani Choudhry2
1School of Life Science, Jawaharlal Nehru University , New Delhi , India.
Abstract:
Breast cancer is the second largest disease affecting women worldwide. It remains the most frequently reported and leading cause of death among women in both developed and developing countries. Tamoxifen and raloxifene are commonly used selective estrogen receptor modulators for treatment of breast cancer in women with high risk, although resistance occurs by tamoxifen after 5 years of therapy and both drugs cause uterine cancer and thromboembolic events. Aromatase inhibitors (AIs) are one of the optional modes used for breast cancer treatment. The combination of AIs along with tamoxifen can also be beneficial. Various therapeutic agents from different sources are being studied, which further need to be improved for potential outcome. For this, clinical trials based on large number of patients with optimal dose and lesser side effects have to be more in practice. Despite the clinical trials going on, there is need of better molecular models, which can identify high risk population, new agents with better benefit having less side effects, and improved biomarkers for treating breast cancer.
Insights
Breast cancer treatment faces challenges with current therapies like tamoxifen, necessitating research into improved agents and molecular models. Further clinical trials are crucial for developing safer, more effective breast cancer treatments with better outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Breast cancer is a leading global health concern for women, presenting significant mortality and morbidity.
- Current treatments, including selective estrogen receptor modulators (SERMs) like tamoxifen and raloxifene, face limitations such as drug resistance and adverse effects like uterine cancer and thromboembolic events.
Purpose of the Study:
- To review current breast cancer treatment strategies and identify areas for improvement.
- To highlight the need for novel therapeutic agents, enhanced molecular models, and improved biomarkers for breast cancer management.
Main Methods:
- Literature review of existing breast cancer therapies, including SERMs and aromatase inhibitors (AIs).
- Discussion of treatment combinations, such as AIs with tamoxifen.
- Exploration of ongoing research and clinical trial needs.
Main Results:
- Tamoxifen resistance and adverse effects limit the long-term efficacy of current treatments.
- Aromatase inhibitors offer an alternative, and combinations with tamoxifen may be beneficial.
- Ongoing research focuses on developing new agents with improved efficacy and reduced side effects.
Conclusions:
- There is a critical need for advanced molecular models to identify high-risk populations.
- Development of novel therapeutic agents with superior benefit-risk profiles is essential.
- Improved biomarkers are required for more effective breast cancer treatment and patient stratification.
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