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Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Eribulin in advanced breast cancer: safety, efficacy and new perspectives
Ornella Garrone1, Emanuela Miraglio1, Anna Maria Vandone1
1Medical Oncology A.O. S. Croce e Carle Ospedale di Insegnamento, Cuneo, Italy.
Abstract:
Eribulin is a synthetic analog of halichondrin B belonging to microtubule-targeted agents with a distinct mechanism of inhibition of microtubule dynamics. This molecule has multiple nonmitotic effects on tumor biology, exhibiting effects on epithelial-mesenchimal transition and tumor vasculature. We review here preclinical and clinical studies on eribulin. The mitotic and nonmitotic effects together with its favorable safety profile make eribulin a unique drug with high potential in the treatment of metastatic breast cancer. The new emphasis of eribulin mechanism of action on vascular remodeling, microenvironment modifications and reversal of epithelial-mesenchimal transition paves the way to rethinking the use of the drug in an immunological perspective.
Insights
Eribulin, a microtubule-targeting agent, shows promise in treating metastatic breast cancer by impacting tumor biology beyond mitosis. Its unique effects on tumor vasculature and epithelial-mesenchymal transition offer new therapeutic avenues.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Eribulin is a synthetic analog of halichondrin B.
- It functions as a microtubule-targeted agent with a unique mechanism of inhibiting microtubule dynamics.
Purpose of the Study:
- To review preclinical and clinical studies on eribulin.
- To highlight its mitotic and nonmitotic effects on tumor biology.
- To explore its potential in metastatic breast cancer treatment.
Main Methods:
- Review of preclinical studies.
- Review of clinical studies.
Main Results:
- Eribulin exhibits distinct inhibition of microtubule dynamics.
- It demonstrates nonmitotic effects, including impacts on epithelial-mesenchymal transition and tumor vasculature.
- Favorable safety profile observed in studies.
Conclusions:
- Eribulin possesses unique properties for metastatic breast cancer treatment.
- Its nonmitotic actions on vascular remodeling and tumor microenvironment suggest potential for immunological applications.
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