MUC1 is a potential target to overcome trastuzumab resistance in breast cancer therapy
Aysooda Hosseinzadeh1, Parnaz Merikhian1, Nazanin Naseri1
1Recombinant Proteins Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, South Gandi, Vanak Squar, 1517964311, Tehran, Iran.
Abstract:
Although resistance is its major obstacle in cancer therapy, trastuzumab is the most successful agent in treating epidermal growth factor receptor 2 positive (HER2 +) breast cancer (BC). Some patients show resistance to trastuzumab, and scientists want to circumvent this problem. This review elaborately discusses possible resistance mechanisms to trastuzumab and introduces mucin 1 (MUC1) as a potential target efficient for overcoming such resistance. MUC1 belongs to the mucin family, playing the oncogenic/mitogenic roles in cancer cells and interacting with several other oncogenic receptors and pathways, such as HER2, β-catenin, NF-κB, and estrogen receptor (ERα). Besides, it has been established that MUC1- Cytoplasmic Domain (MUC1-CD) accelerates the development of resistance to trastuzumab and that silencing MUC1-C proto-oncogene is associated with increased sensitivity of HER2+ cells to trastuzumab-induced growth inhibitors. We mention why targeting MUC1 can be useful in overcoming trastuzumab resistance in cancer therapy.
Insights
Mucin 1 (MUC1) is identified as a key factor in trastuzumab resistance for HER2-positive breast cancer. Targeting MUC1 shows promise for overcoming this resistance and improving cancer therapy outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Trastuzumab is a successful treatment for HER2-positive breast cancer.
- Therapeutic resistance remains a significant challenge in cancer treatment.
- Understanding resistance mechanisms is crucial for developing effective therapies.
Purpose of the Study:
- To review mechanisms of trastuzumab resistance in breast cancer.
- To explore Mucin 1 (MUC1) as a potential therapeutic target.
- To discuss how targeting MUC1 can overcome trastuzumab resistance.
Main Methods:
- Literature review of resistance mechanisms to trastuzumab.
- Analysis of MUC1's role in cancer cell signaling pathways.
- Evaluation of MUC1 as a target for overcoming resistance.
Main Results:
- MUC1, particularly MUC1-Cytoplasmic Domain (MUC1-CD), accelerates trastuzumab resistance.
- Silencing MUC1 increases sensitivity of HER2+ cells to trastuzumab.
- MUC1 interacts with oncogenic pathways like HER2, β-catenin, and NF-κB.
Conclusions:
- MUC1 plays a significant role in trastuzumab resistance.
- Targeting MUC1 presents a viable strategy to circumvent resistance.
- Further research into MUC1-targeted therapies could improve breast cancer treatment.
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