Multidrug-resistant breast cancer: current perspectives

Heather L Martin,1 Laura Smith,2 Darren C Tomlinson11BioScreening Technology Group, Leeds Institutes of Molecular Medicine, University of Leeds, Leeds, UK; 2Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UKAbstract: Breast cancer is the most common cancer in women worldwide, a...

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Autores principales: Martin HL, Smith L, Tomlinson DC
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:cf782eab03c54343a1797a388524479b2021-12-02T01:31:24ZMultidrug-resistant breast cancer: current perspectives1179-1314https://doaj.org/article/cf782eab03c54343a1797a388524479b2014-01-01T00:00:00Zhttp://www.dovepress.com/multidrug-resistant-breast-cancer-current-perspectives-a15476https://doaj.org/toc/1179-1314 Heather L Martin,1 Laura Smith,2 Darren C Tomlinson11BioScreening Technology Group, Leeds Institutes of Molecular Medicine, University of Leeds, Leeds, UK; 2Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UKAbstract: Breast cancer is the most common cancer in women worldwide, and resistance to the current therapeutics, often concurrently, is an increasing clinical challenge. By understanding the molecular mechanisms behind multidrug-resistant breast cancer, new treatments may be developed. Here we review the recent advances in this understanding, emphasizing the common mechanisms underlying resistance to both targeted therapies, notably tamoxifen and trastuzumab, and traditional chemotherapies. We focus primarily on three molecular mechanisms, the phosphatidylinositide 3-kinase/Akt pathway, the role of microRNAs in gene silencing, and epigenetic alterations affecting gene expression, and discuss how these mechanisms can interact in multidrug resistance. The development of therapeutics targeting these mechanisms is also addressed.Keywords: PI3K/Akt, epigenetics, miRNA, ER, HER2, triple negativeMartin HLSmith LTomlinson DCDove Medical PressarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol 2014, Iss default, Pp 1-13 (2014)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Martin HL
Smith L
Tomlinson DC
Multidrug-resistant breast cancer: current perspectives
description Heather L Martin,1 Laura Smith,2 Darren C Tomlinson11BioScreening Technology Group, Leeds Institutes of Molecular Medicine, University of Leeds, Leeds, UK; 2Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UKAbstract: Breast cancer is the most common cancer in women worldwide, and resistance to the current therapeutics, often concurrently, is an increasing clinical challenge. By understanding the molecular mechanisms behind multidrug-resistant breast cancer, new treatments may be developed. Here we review the recent advances in this understanding, emphasizing the common mechanisms underlying resistance to both targeted therapies, notably tamoxifen and trastuzumab, and traditional chemotherapies. We focus primarily on three molecular mechanisms, the phosphatidylinositide 3-kinase/Akt pathway, the role of microRNAs in gene silencing, and epigenetic alterations affecting gene expression, and discuss how these mechanisms can interact in multidrug resistance. The development of therapeutics targeting these mechanisms is also addressed.Keywords: PI3K/Akt, epigenetics, miRNA, ER, HER2, triple negative
format article
author Martin HL
Smith L
Tomlinson DC
author_facet Martin HL
Smith L
Tomlinson DC
author_sort Martin HL
title Multidrug-resistant breast cancer: current perspectives
title_short Multidrug-resistant breast cancer: current perspectives
title_full Multidrug-resistant breast cancer: current perspectives
title_fullStr Multidrug-resistant breast cancer: current perspectives
title_full_unstemmed Multidrug-resistant breast cancer: current perspectives
title_sort multidrug-resistant breast cancer: current perspectives
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/cf782eab03c54343a1797a388524479b
work_keys_str_mv AT martinhl multidrugresistantbreastcancercurrentperspectives
AT smithl multidrugresistantbreastcancercurrentperspectives
AT tomlinsondc multidrugresistantbreastcancercurrentperspectives
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