Intratumoural Cytochrome P450 Expression in Breast Cancer: Impact on Standard of Care Treatment and New Efforts to Develop Tumour-Selective Therapies
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Published on: July 25, 2020
Smarakan Sneha1, Simon C Baker2, Andrew Green3
1Institute of Cancer Therapeutics, School of Pharmacy and Medical Sciences, Faculty of Life Sciences, University of Bradford, Bradford BD7 1DP, UK.
Abstract:
Despite significant advances in treatment strategies over the past decade, selective treatment of breast cancer with limited side-effects still remains a great challenge. The cytochrome P450 (CYP) family of enzymes contribute to cancer cell proliferation, cell signaling and drug metabolism with implications for treatment outcomes. A clearer understanding of CYP expression is important in the pathogenesis of breast cancer as several isoforms play critical roles in metabolising steroid hormones and xenobiotics that contribute to the genesis of breast cancer. The purpose of this review is to provide an update on how the presence of CYPs impacts on standard of care (SoC) drugs used to treat breast cancer as well as discuss opportunities to exploit CYP expression for therapeutic intervention. Finally, we provide our thoughts on future work in CYP research with the aim of supporting ongoing efforts to develop drugs with improved therapeutic index for patient benefit.
Insights
Understanding cytochrome P450 (CYP) enzymes is crucial for developing selective breast cancer treatments. This review explores how CYP expression affects standard therapies and offers insights for future drug development to improve patient outcomes.
Area of Science:
- Biochemistry
- Oncology
- Pharmacology
Background:
- Selective breast cancer treatment with minimal side effects remains a challenge.
- Cytochrome P450 (CYP) enzymes influence cancer cell proliferation, signaling, and drug metabolism.
- CYP isoforms are critical in metabolizing steroid hormones and xenobiotics involved in breast cancer development.
Purpose of the Study:
- To review the impact of CYP expression on standard of care (SoC) drugs for breast cancer.
- To explore therapeutic intervention opportunities by exploiting CYP expression.
- To outline future research directions for developing breast cancer drugs with improved therapeutic indices.
Main Methods:
- Literature review of existing research on CYP enzymes in breast cancer.
- Analysis of the role of specific CYP isoforms in breast cancer pathogenesis and treatment.
- Discussion of current therapeutic strategies and potential novel approaches targeting CYP pathways.
Main Results:
- CYP expression significantly impacts the efficacy and toxicity of standard breast cancer therapies.
- Specific CYP isoforms are implicated in both the development and progression of breast cancer.
- Targeting CYP enzymes presents a promising avenue for personalized breast cancer treatment.
Conclusions:
- A deeper understanding of CYP expression is essential for optimizing breast cancer treatment.
- Exploiting CYP pathways can lead to more selective and effective therapies with reduced side effects.
- Future research should focus on elucidating CYP functions to develop improved drugs for breast cancer patients.
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