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Author Spotlight: Exploring Salidroside's Molecular Mechanisms in Breast Cancer Treatment
Published on: June 9, 2023
Pharmacological Basis of Breast Cancer Resistance to Therapies - An Overview
Stefania Crucitta1, Federico Cucchiara1, Francesca Sciandra1
1Unit of Clinical Pharmacology and Pharmacogenetics, Department of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.
Abstract:
Breast Cancer (BC) is a molecular heterogeneous disease and patients with similar clinico-pathological characteristics often display different response to treatment. Cellular processes, including uncontrolled cell-cycle, constitutive activation of signalling pathways and alterations in DNA-repair mechanisms are the main altered features in breast cancer. These cellular processes play significant roles in the emergence of resistance to therapies. The introduction of target therapies and immunotherapy significantly improved the survival of breast cancer patients. The incorporation of novel biomarkers together with the introduction of new therapeutic options may help to overcome treatment resistance. Molecular profiling promises to help in refine personalized treatment decisions and catalyse the development of further strategies when resistances inevitably occurs. This review provides a summary of genetic and molecular aspects of resistance mechanisms to available treatments for BC patients, and its clinical implications.
Insights
Breast cancer (BC) is a complex disease with varied treatment responses. Understanding molecular resistance mechanisms is key to improving patient outcomes with targeted therapies and immunotherapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer (BC) exhibits molecular heterogeneity, leading to diverse patient responses to treatment.
- Key altered cellular processes in BC include uncontrolled cell-cycle, signaling pathway activation, and DNA-repair defects, contributing to therapeutic resistance.
Purpose of the Study:
- To review the genetic and molecular mechanisms of resistance to breast cancer treatments.
- To discuss the clinical implications of these resistance mechanisms.
Main Methods:
- Literature review focusing on genetic and molecular aspects of breast cancer resistance.
- Analysis of current therapeutic strategies, including targeted therapies and immunotherapy.
- Examination of the role of biomarkers and molecular profiling.
Main Results:
- Molecular profiling aids in personalized treatment decisions for breast cancer.
- Understanding resistance mechanisms is crucial for developing new therapeutic strategies.
- Novel biomarkers and therapeutic options are essential to overcome treatment resistance.
Conclusions:
- Personalized treatment strategies informed by molecular profiling are vital for managing breast cancer.
- Continued research into resistance mechanisms will enhance the efficacy of targeted therapies and immunotherapies for breast cancer patients.
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