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Author Spotlight: Exploring Salidroside's Molecular Mechanisms in Breast Cancer Treatment
Published on: June 9, 2023
Safety of mTOR inhibitors in breast cancer
Hana Študentová1, Denisa Vitásková1, Bohuslav Melichar1,2
1a Department of Oncology , Palacký University Medical School & Teaching Hospital , Olomouc , Czech Republic.
Introduction:
Despite advances in the treatment of metastatic breast cancer, the lack of response or relapse/progression during the course of therapy continue to present a challenge towards deeper understanding of dysregulated signaling pathways in breast cancer. Consequently, there is an unmet medical need for the development of new agents to overcome the resistance to therapy and improve the treatment outcome.
Areas Covered:
In this review, the mechanism of action and the role of intracellular PI3K/AKT/mTOR signaling pathway inhibition in breast cancer patients are described. Everolimus has been approved in combination with exemestane for the treatment of hormone-receptor-positive advanced breast cancer after failure of nonsteroidal aromatase inhibitor therapy. The aim of this paper is to focus on the safety and efficacy of mTOR inhibitors in the treatment of breast cancer. Current strategies of major adverse event management and prevention are delineated.
Expert Opinion:
Study results demonstrate clearly that the inhibition of the PI3K/AKT/mTOR pathway represents a promising approach to improve the efficacy of other targeted therapies in estrogen receptor-positive breast cancer patients with an acceptable safety profile. Although side effects are not uncommon, these are usually mild to moderate in severity and manageable with supportive care and dose adjustments.
Insights
Targeting the PI3K/AKT/mTOR pathway with mTOR inhibitors shows promise for treating metastatic breast cancer. These agents, like everolimus, offer an acceptable safety profile for hormone-receptor-positive patients, improving treatment efficacy.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Metastatic breast cancer treatment faces challenges due to therapy resistance and relapse.
- Understanding dysregulated signaling pathways is crucial for improving patient outcomes.
- There is a significant unmet need for novel therapeutic agents to overcome treatment resistance.
Purpose of the Study:
- To review the mechanism of action of PI3K/AKT/mTOR pathway inhibitors in breast cancer.
- To evaluate the safety and efficacy of mTOR inhibitors in breast cancer treatment.
- To outline strategies for managing adverse events associated with mTOR inhibitors.
Main Methods:
- Review of existing literature on PI3K/AKT/mTOR pathway inhibition.
- Analysis of clinical data on everolimus and other mTOR inhibitors.
- Discussion of adverse event management and prevention strategies.
Main Results:
- PI3K/AKT/mTOR pathway inhibition is a promising strategy for enhancing targeted therapies.
- Everolimus is approved for hormone-receptor-positive advanced breast cancer post-aromatase inhibitor therapy.
- mTOR inhibitors demonstrate an acceptable safety profile in breast cancer patients.
Conclusions:
- Inhibition of the PI3K/AKT/mTOR pathway improves efficacy in estrogen receptor-positive breast cancer.
- mTOR inhibitors offer a manageable safety profile with potential for dose adjustment.
- Targeted therapy combined with mTOR inhibition represents a promising approach for breast cancer treatment.
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