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Author Spotlight: Exploring Salidroside's Molecular Mechanisms in Breast Cancer Treatment
Published on: June 9, 2023
ARID1A Mutation in Metastatic Breast Cancer: A Potential Therapeutic Target
Xuan Cheng1,2,3,4, Jian-Xiong Zhao1,2,3,4, Feng Dong5,6
1The First Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China.
Abstract:
Distant metastasis is the principal cause of mortality for breast cancer patients. Targeting specific mutations that have been acquired during the evolution process of advanced breast cancer is a potential means of enhancing the clinical efficacy of treatment strategies. In metastatic breast cancer, ARID1A is the most prevalent mutation of the SWI/SNF complex, which regulates DNA repair, recombination, and gene transcription. The low expression of ARID1A is associated with poor disease-free survival and overall survival of patients with luminal A or HER2-rich breast cancer. In addition, ARID1A plays a prominent role in maintaining luminal characteristics and has an advantage for identifying responses to treatment, including endocrine therapies, HDAC inhibitors and CDK4/6 inhibitors. The therapeutic vulnerabilities initiated by ARID1A alterations encourage us to explore new approaches to cope with ARID1A mutant-related drug resistance or metastasis. In this review, we describe the mutation profiles of ARID1A in metastatic breast cancer and the structure and function of ARID1A and the SWI/SNF complex as well as discuss the potential mechanisms of ARID1A-mediated endocrine resistance and therapeutic potential.
Insights
Mutations in ARID1A, a key gene in breast cancer, are linked to poor survival and drug resistance. Understanding ARID1A function offers new therapeutic strategies for metastatic breast cancer patients.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Distant metastasis is the primary cause of breast cancer mortality.
- Targeting specific mutations in advanced breast cancer can improve treatment efficacy.
- ARID1A mutations are prevalent in metastatic breast cancer and affect SWI/SNF complex function.
Purpose of the Study:
- To review ARID1A mutation profiles in metastatic breast cancer.
- To elucidate the structure and function of ARID1A and the SWI/SNF complex.
- To discuss ARID1A's role in endocrine resistance and its therapeutic potential.
Main Methods:
- Literature review of ARID1A mutations in metastatic breast cancer.
- Analysis of SWI/SNF complex function and ARID1A's role in gene regulation.
- Exploration of mechanisms underlying ARID1A-mediated drug resistance.
Main Results:
- Low ARID1A expression correlates with poor survival in luminal A and HER2-rich breast cancer.
- ARID1A is crucial for maintaining luminal characteristics and predicting treatment response.
- ARID1A alterations present therapeutic vulnerabilities and potential drug resistance.
Conclusions:
- ARID1A mutations are significant in metastatic breast cancer, impacting survival and treatment response.
- Further research into ARID1A is needed to overcome drug resistance and metastasis.
- Targeting ARID1A pathways may offer novel therapeutic strategies for breast cancer.
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