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Endocrine therapy resistance in estrogen receptor (ER)-positive breast cancer
Tommaso De Marchi1, John A Foekens1, Arzu Umar1
1Department of Medical Oncology, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands.
Abstract:
Estrogen receptor (ER)-positive breast cancer represents the majority (∼70%) of all breast malignancies. In this subgroup of breast cancers, endocrine therapies are effective both in the adjuvant and recurrent settings, although resistance remains a major issue. Several high-throughput approaches have been used to elucidate mechanisms of resistance and to derive potential predictive markers or alternative therapies. In this review, we cover the state-of-the-art of endocrine-resistance biomarker discovery with regard to the latest technological developments, and discuss current opportunities and restrictions for their implementation into a clinical setting.
Insights
Estrogen receptor-positive breast cancer is common, and while endocrine therapies work, resistance is a problem. This review explores new ways to find biomarkers for resistance and improve treatment.
Area of Science:
- Oncology
- Endocrinology
- Biomarker Discovery
Background:
- Estrogen receptor (ER)-positive breast cancer accounts for the majority of breast malignancies.
- Endocrine therapies are standard treatments but face challenges with acquired resistance.
- Understanding resistance mechanisms is crucial for improving patient outcomes.
Purpose of the Study:
- To review the current state of biomarker discovery for endocrine resistance in ER-positive breast cancer.
- To highlight the latest technological advancements in identifying resistance markers.
- To discuss the clinical applicability of these biomarkers.
Main Methods:
- Review of recent high-throughput studies and technological developments.
- Analysis of strategies for biomarker discovery.
- Evaluation of clinical implementation challenges.
Main Results:
- Various high-throughput approaches are being utilized to identify resistance mechanisms and biomarkers.
- Technological advancements are accelerating biomarker discovery.
- Significant opportunities exist, but clinical implementation faces restrictions.
Conclusions:
- Biomarker discovery for endocrine resistance is rapidly evolving.
- Translating these discoveries into clinical practice requires addressing current limitations.
- Further research is needed to optimize biomarker use in managing ER-positive breast cancer.
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