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Performing Data Mining And Integrative Analysis Of Biomarker in Breast Cancer Using Multiple Publicly Accessible Databases
Published on: May 17, 2019
Challenges and future of precision medicine strategies for breast cancer based on a database on drug reactions
Xiping Zhang1, Hongjian Yang1, Ruiping Zhang2
1Department of Breast Surgery, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China.
Abstract:
Breast cancer (BC) is a malignancy with the highest incidence in women. Great progress has been made in research related to traditional precision medicine for BC. However, many reports have suggested that patients with BC have not benefited a lot from such progress. Thus, we analyze traditional precision medicine strategies for BC, sum up their limitations and challenges, and preliminarily propose future orientations of precision medicine strategies based on a database on drug reaction of patients with BC. According to related research, traditional precision medicine strategies for BC, which are based on molecular subtypes, perform pertinent treatments, new drug research and development according to molecular typing results. Nevertheless, these strategies still have some deficiencies. First, there are very few patients with each molecular subtype, the match ratio of drugs is low. Second, these strategies can not solve the problem of poor drug sensitivity resulting from heterogeneity. The main strategy we put forward in the present paper is based on patients' varying drug reactions. Focusing on treating existing patients and maximizing the utilization of existing drugs, it is expected to not have deficiencies of traditional precision medicine for BC, including low match rate and poor therapeutic efficacy arising from tumor heterogeneity of BC.
Insights
Traditional breast cancer (BC) precision medicine faces challenges due to limited patient numbers per subtype and tumor heterogeneity. A new approach focusing on individual drug reactions aims to improve treatment matching and efficacy for BC patients.
Area of Science:
- Oncology
- Pharmacogenomics
- Translational Medicine
Background:
- Breast cancer (BC) is a leading malignancy in women, with significant research invested in precision medicine.
- Despite advances, traditional precision medicine strategies for BC have shown limited patient benefit.
- Existing strategies often struggle with low drug match rates and overcoming tumor heterogeneity.
Purpose of the Study:
- To analyze the limitations of current BC precision medicine strategies.
- To propose novel precision medicine approaches for BC based on patient drug reactions.
- To enhance therapeutic efficacy and drug utilization in breast cancer treatment.
Main Methods:
- Analysis of traditional BC precision medicine strategies based on molecular subtypes.
- Review of existing research on drug reactions in BC patients.
- Development of a new strategy centered on individual patient drug responses.
Main Results:
- Traditional BC precision medicine strategies exhibit deficiencies, including low patient-drug matching ratios.
- Tumor heterogeneity in BC contributes to poor drug sensitivity and treatment outcomes.
- A drug reaction-based approach shows potential to overcome limitations of molecular subtype-driven treatments.
Conclusions:
- Current BC precision medicine, reliant on molecular subtypes, has inherent limitations.
- A paradigm shift towards patient-specific drug reactions is proposed to improve BC treatment.
- This new strategy aims to maximize existing drug utility and enhance therapeutic outcomes in BC.
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