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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Dove Medical Press
2014
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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) |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Martin HL Smith L Tomlinson DC Multidrug-resistant breast cancer: current perspectives |
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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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1718403042122924032 |