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Published on: March 1, 2020
Clinical and molecular aspects of breast cancer: Targets and therapies
R L N Godone1, G M Leitão2, N B Araújo1
1Molecular Prospection and Bioinformatics Group, Laboratory Keizo Asami of Immunopathology (LIKA), Federal University of Pernambuco (UFPE), Brazil.
Abstract:
Breast Cancer is a complex disease characterized by the occurrence of multiple molecular alterations. Currently, some molecular markers are in use for breast cancer diagnostic, prognostic, and predictive purposes. Thus, genetic signatures are available for improving the decision-making. The biomarkers are also essential as therapeutic approaches, but many questions remain due to the lack of efficacy on breast cancer treatment, mainly for triple-negative breast cancer subtype. Since the genetic profile of breast cancer can also be related to different ethnic groups and geographic areas, the reference populations of the genetic assays and clinical trials need to include a broader population beyond the European and North American patients. In this review, we analyzed the current and potential molecular markers that could help to improve the strategies for breast cancer therapy.
Insights
Molecular markers improve breast cancer diagnosis and treatment decisions. Further research is needed to enhance therapeutic efficacy, especially for triple-negative breast cancer, and include diverse populations in clinical trials.
Area of Science:
- Oncology and Molecular Biology
- Genetics and Genomics in Medicine
Background:
- Breast cancer involves complex molecular alterations, with current molecular markers aiding diagnosis, prognosis, and prediction.
- Biomarkers are crucial for therapeutic strategies, yet treatment efficacy remains a challenge, particularly for triple-negative breast cancer.
- Genetic profiles of breast cancer vary across ethnic groups and geographic regions.
Purpose of the Study:
- To review current and potential molecular markers for breast cancer.
- To explore strategies for improving breast cancer therapy through molecular insights.
- To highlight the need for broader population representation in genetic assays and clinical trials.
Main Methods:
- Literature review of current and emerging molecular markers in breast cancer.
- Analysis of the role of genetic signatures in diagnostic, prognostic, and predictive applications.
- Examination of therapeutic challenges and opportunities related to molecular subtypes.
Main Results:
- Existing molecular markers assist in clinical decision-making for breast cancer patients.
- Significant challenges persist in achieving broad therapeutic efficacy, especially in triple-negative breast cancer.
- The influence of ethnicity and geography on breast cancer genetics necessitates diverse patient cohorts.
Conclusions:
- Molecular markers are vital for advancing breast cancer management and personalized therapy.
- Addressing treatment gaps, particularly in triple-negative breast cancer, requires further investigation into novel biomarkers.
- Ensuring inclusivity in clinical trials and genetic research is essential for equitable progress in breast cancer care.
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