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.

Frontiers in Oncology
|March 15, 2016
PubMed

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.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.1K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.7K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.3K
Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
8.4K
The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
8.1K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.9K