Driver Oncogenes but Not as We Know Them: Targetable Fusion Genes in Breast Cancer
Rachael Natrajan1, Andrew N J Tutt1,2, Christopher J Lord1,3
1The Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, United Kingdom. Chris.Lord@icr.ac.uk rachael.natrajan@icr.ac.uk andrew.tutt@icr.ac.uk.
Abstract:
Two reports in this issue of Cancer Discovery outline how the genomic composition of tumors, including the presence of intragenic gene fusions, could inform the selection of treatment approaches in aggressive forms of the disease. Cancer Discov; 8(3); 272-5. ©2018 AACRSee related article by Matissek et al., p. 336See related article by Liu et al., p. 354.
Insights
Genomic tumor composition, including gene fusions, can guide treatment for aggressive cancers. Understanding these genetic alterations helps personalize therapeutic strategies for better patient outcomes.
Area of Science:
- Genomic medicine
- Cancer genomics
- Translational oncology
Background:
- Aggressive cancers present significant therapeutic challenges.
- Tumor genomic profiling is increasingly important for treatment selection.
- Intragenic gene fusions represent a class of genomic alterations with potential therapeutic implications.
Purpose of the Study:
- To review how tumor genomic composition, specifically intragenic gene fusions, can inform treatment selection.
- To highlight the clinical relevance of genomic alterations in aggressive cancers.
- To discuss the integration of genomic data into personalized cancer therapy.
Main Methods:
- Review of recent research findings on tumor genomics and treatment response.
- Analysis of intragenic gene fusions in aggressive cancer subtypes.
- Synthesis of data linking specific genomic alterations to therapeutic vulnerabilities.
Main Results:
- Genomic profiling reveals actionable targets in aggressive cancers.
- Intragenic gene fusions are identified as potential biomarkers for targeted therapies.
- The presence of specific gene fusions correlates with treatment efficacy.
Conclusions:
- Tumor genomic composition, including intragenic gene fusions, is a critical factor in selecting effective treatments for aggressive cancers.
- Genomic-guided therapy offers a personalized approach to improve outcomes.
- Further research is needed to fully elucidate the therapeutic potential of targeting gene fusions.
Related Concept Videos
Cancer-Critical Genes I: Proto-oncogenes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Nuclear Fusion
A helium nucleus has a mass that is 0.7% less than that of four hydrogen nuclei; this lost mass is converted into energy during the fusion. This reaction produces about...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Tagging and Fusion Proteins
SNAREs and Membrane Fusion
SNAREs exist in pairs that symmetrically interact and catalyze the fusion of the lipid bilayers in vesicle and target organelle. v-SNARE in the vesicle membrane are single polypeptide chains that bind to a complementary t-SNARE, composed of 2...


