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Optimization of Breast Biopsy and Mastectomy Sample Collection Procedures for Biobanking, Personalized Medicine, and Research Applications
Published on: September 2, 2025
Personalized medicine in breast cancer: pharmacogenomics approaches
Shabnam Jeibouei1, Mohammad Esmael Akbari2, Alireza Kalbasi3
1Department of Biotechnology, School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:
Breast cancer is the fifth cause of cancer death among women worldwide and represents a global health concern due to the lack of effective therapeutic regimens that could be applied to all disease groups. Nowadays, strategies based on pharmacogenomics constitute novel approaches that minimize toxicity while maximizing drug efficacy; this being of high importance in the oncology setting. Besides, genetic profiling of malignant tumors can lead to the development of targeted therapies to be included in effective drug regimens. Advances in molecular diagnostics have revealed that breast cancer is a multifaceted disease, characterized by inter-tumoral and intra-tumoral heterogeneity and, unlike the past, molecular classifications based on the expression of individual biomarkers have led to devising novel therapeutic strategies that improve patient survival. In this review, we report and discuss the molecular classification of breast cancer subtypes, the heterogeneity resource, and the advantages and disadvantages of current drug regimens with consideration of pharmacogenomics in response and resistance to treatment.
Insights
Breast cancer treatment is improving with pharmacogenomics and genetic profiling. Understanding tumor heterogeneity and molecular subtypes guides personalized therapies for better patient outcomes.
Area of Science:
- Oncology
- Genetics
- Pharmacogenomics
Background:
- Breast cancer is a leading cause of cancer death in women globally.
- Current therapeutic regimens lack universal efficacy across all breast cancer subtypes.
- Tumor heterogeneity presents a significant challenge in developing effective treatments.
Purpose of the Study:
- To review the molecular classification of breast cancer subtypes.
- To discuss tumor heterogeneity in breast cancer.
- To evaluate current drug regimens considering pharmacogenomics, response, and resistance.
Main Methods:
- Literature review of molecular diagnostics and breast cancer classification.
- Analysis of pharmacogenomic strategies in cancer therapy.
- Discussion of inter-tumoral and intra-tumoral heterogeneity.
Main Results:
- Molecular classification has led to improved therapeutic strategies and patient survival.
- Pharmacogenomics offers a way to minimize toxicity and maximize drug efficacy.
- Genetic profiling enables the development of targeted therapies.
Conclusions:
- Personalized medicine approaches, including pharmacogenomics, are crucial for advancing breast cancer treatment.
- Understanding molecular subtypes and tumor heterogeneity is key to overcoming treatment resistance.
- Novel therapeutic strategies based on molecular insights improve patient outcomes.
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