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Updated: Jan 19, 2026

Author Spotlight: Exploring Salidroside's Molecular Mechanisms in Breast Cancer Treatment
Published on: June 9, 2023
Breast cancer
Nadia Harbeck1, Frédérique Penault-Llorca2, Javier Cortes3,4
1LMU Munich, University Hospital, Department of Obstetrics and Gynecology, Breast Center and Comprehensive Cancer Center (CCLMU), Munich, Germany. nadia.harbeck@med.uni-muenchen.de.
Abstract:
Breast cancer is the most frequent malignancy in women worldwide and is curable in ~70-80% of patients with early-stage, non-metastatic disease. Advanced breast cancer with distant organ metastases is considered incurable with currently available therapies. On the molecular level, breast cancer is a heterogeneous disease; molecular features include activation of human epidermal growth factor receptor 2 (HER2, encoded by ERBB2), activation of hormone receptors (oestrogen receptor and progesterone receptor) and/or BRCA mutations. Treatment strategies differ according to molecular subtype. Management of breast cancer is multidisciplinary; it includes locoregional (surgery and radiation therapy) and systemic therapy approaches. Systemic therapies include endocrine therapy for hormone receptor-positive disease, chemotherapy, anti-HER2 therapy for HER2-positive disease, bone stabilizing agents, poly(ADP-ribose) polymerase inhibitors for BRCA mutation carriers and, quite recently, immunotherapy. Future therapeutic concepts in breast cancer aim at individualization of therapy as well as at treatment de-escalation and escalation based on tumour biology and early therapy response. Next to further treatment innovations, equal worldwide access to therapeutic advances remains the global challenge in breast cancer care for the future.
Insights
Breast cancer is a heterogeneous disease with varying treatability based on stage and molecular subtype. Advances include targeted therapies and immunotherapy, but global access to these innovations remains a challenge.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer is the most common female malignancy, with early stages being curable but advanced, metastatic disease remaining incurable.
- The disease is molecularly heterogeneous, characterized by subtypes such as HER2-activated, hormone receptor-positive, and BRCA-mutated.
- Current management involves a multidisciplinary approach combining locoregional treatments and diverse systemic therapies.
Purpose of the Study:
- To provide an overview of the current understanding and treatment landscape of breast cancer.
- To highlight the importance of molecular subtyping in guiding treatment strategies.
- To discuss emerging therapeutic concepts and future challenges in breast cancer care.
Main Methods:
- Review of current literature on breast cancer epidemiology, molecular classification, and treatment modalities.
- Analysis of systemic therapies including endocrine therapy, chemotherapy, anti-HER2 therapy, and immunotherapy.
- Discussion of future directions in personalized medicine and treatment de-escalation/escalation.
Main Results:
- Treatment strategies are tailored to specific molecular subtypes of breast cancer.
- A range of systemic therapies are available, including endocrine therapy, chemotherapy, anti-HER2 agents, PARP inhibitors, and immunotherapy.
- Individualization of therapy based on tumor biology and early response is a key future concept.
Conclusions:
- Breast cancer management requires a multidisciplinary approach tailored to molecular subtypes.
- Ongoing research is driving innovations in systemic therapies, including immunotherapy.
- Ensuring equitable global access to advanced breast cancer treatments is a critical future challenge.
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