Autotaxin and Breast Cancer: Towards Overcoming Treatment Barriers and Sequelae

Matthew G K Benesch1,2, Xiaoyun Tang2, David N Brindley2

  • 1Discipline of Surgery, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL AlB 3V6, Canada.

Cancers
|February 12, 2020
PubMed

Insights

Autotaxin inhibitors, like GLPG1690, show promise for treating idiopathic pulmonary fibrosis and breast cancer. Blocking lysophosphatidic acid (LPA) signaling may overcome treatment resistance and reduce side effects.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • The autotaxin-lysophosphatidate (LPA) axis is implicated in breast cancer progression and treatment resistance.
  • Tumor microenvironment and chronic inflammation are critical in cancer biology, with LPA as a key mediator.

Purpose of the Study:

  • To review current breast cancer therapy challenges.
  • To explore how blocking LPA signaling can offer novel adjuvant therapeutic options.
  • To discuss the potential of autotaxin inhibitors in improving therapeutic indexes for breast and other cancers.

Main Methods:

  • Review of preclinical and clinical data on autotaxin inhibitors.
  • Analysis of the role of the autotaxin-LPA axis in cancer.
  • Examination of therapeutic resistance mechanisms in breast cancer.

Main Results:

  • GLPG1690, an autotaxin inhibitor, is in Phase III trials for idiopathic pulmonary fibrosis.
  • Emerging evidence highlights LPA's role in breast cancer progression and resistance.
  • Autotaxin inhibitors may overcome resistance and reduce side effects like radiation-induced fibrosis.

Conclusions:

  • Blocking LPA signaling presents a potential strategy for novel adjuvant therapies in breast cancer.
  • Autotaxin inhibitors could improve the efficacy and safety of existing cancer treatments.
  • The clinical advent of autotaxin inhibitors may expand their application in various cancer types.

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