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Systems Biology of Metabolic Regulation by Estrogen Receptor Signaling in Breast Cancer
Published on: March 17, 2016
Navigating the complexities of epigenetic dysregulation in breast cancer and its implication in therapeutic
Swathy Ravindran1,2, Ravindran Vini3, Arumugam Rajavelu4
1Cancer Research Program, Rajiv Gandhi Centre for Biotechnology (BRIC-RGCB), Thycaud PO, Thiruvananthapuram, Kerala, 695014, India.
Abstract:
Breast cancer represents a multifaceted and heterogeneous condition characterized by both genetic and epigenetic alterations. Among these, epigenetic modifications-such as DNA methylation, histone modifications, chromatin remodeling, and noncoding RNAs-play pivotal roles in tumor initiation, progression, therapeutic resistance, and immune evasion. These alterations contribute to dysregulation of estrogen signalling, endocrine therapy resistance, and metabolic rewiring, posing challenges for conventional treatment strategies. Notably, our previous findings reveal that 27-hydroxycholesterol, an endogenous selective estrogen modulator, can induce epigenetic changes in (ER)-positive breast cancer cells. This review provides a comprehensive overview of the landscape of epigenetic dysregulation in breast cancer, emphasizing its impact on disease progression and therapeutic resistance. It details the intricate interplay between epigenetic players and the tumor immune microenvironment, which plays a crucial role in shaping treatment responses. In addition, the review highlights the on-going clinical trials and suggests addressing the gaps present in dissecting pathways of epigenetic reprogramming in breast cancer evolution and therapy outcomes. Unraveling these mechanisms reinstates opportunities for potential therapies targeting epigenetic pathways along with the conventional medicine, which is required in transformation of clinical management of breast cancer and potential enhancement of the patient's lifespan.
Insights
Epigenetic changes drive breast cancer progression and treatment resistance. Understanding these mechanisms, including the role of 27-hydroxycholesterol, offers new therapeutic targets for improved patient outcomes.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Breast cancer is a complex disease driven by genetic and epigenetic alterations.
- Epigenetic modifications (DNA methylation, histone modifications, noncoding RNAs) are crucial in tumor initiation, progression, and treatment resistance.
- Endogenous compounds like 27-hydroxycholesterol can influence these epigenetic changes.
Purpose of the Study:
- To provide a comprehensive overview of epigenetic dysregulation in breast cancer.
- To highlight the impact of epigenetics on disease progression, therapeutic resistance, and immune evasion.
- To identify gaps in understanding epigenetic reprogramming and suggest future research directions.
Main Methods:
- Literature review of epigenetic mechanisms in breast cancer.
- Analysis of the interplay between epigenetic factors and the tumor immune microenvironment.
- Examination of current clinical trials and therapeutic strategies.
Main Results:
- Epigenetic alterations contribute to estrogen signaling dysregulation, endocrine therapy resistance, and metabolic rewiring.
- The tumor immune microenvironment is significantly shaped by epigenetic players.
- 27-hydroxycholesterol has been shown to induce epigenetic changes in ER-positive breast cancer cells.
Conclusions:
- Epigenetic reprogramming is central to breast cancer evolution and therapy response.
- Targeting epigenetic pathways offers potential for novel combination therapies.
- Further research is needed to fully elucidate epigenetic mechanisms for improved clinical management and patient survival.
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