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Drug Target Strategies in Breast Cancer Treatment: Recent Developments

机译:乳腺癌治疗中的药物靶向策略:最新进展

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Breast cancer (BC) is the leading cause of death among women all over the world. Estrogen receptor (ER) based therapy is one of the major approaches to target BC and is associated with various problems such as primary as well as secondary resistance. ER signaling is a complex pathway as many factors are involved; including several types of ERs and their associated co-regulators. Increasing understanding of ER signals results in new approaches targeting towards BCs. In this context, ER co-regulators have been explored and many modulators of ER co-regulators have been found out. EGFR and mTOR pathways also have significant impact on BC endocrine therapy because of the complex crosstalk mechanism which is responsible for primary and secondary resistance. Triple negative breast cancer (TNBC) is majorly associated with BRCA mutations. Currently there is no approved targeted therapy available in such form of cancer. Although PARP inhibitors seem to be suitable candidates for it. The present review is focused on the current scenario of ER, EGFR, as well as mTOR signaling target therapy. We have also discussed the current status of PARP inhibitors in BC chemotherapy.
机译:乳腺癌(BC)是全世界女性死亡的主要原因。基于雌激素受体(ER)的治疗是靶向BC的主要方法之一,并且与各种问题(例如原发性和继发性耐药)相关。 ER信号传导是一个复杂的途径,因为涉及许多因素。包括几种类型的ER及其相关的调节器。对ER信号的日益了解导致针对BC的新方法。在这种情况下,已经探索了ER协同调节剂,并且发现了许多ER协同调节剂。 EGFR和mTOR途径对BC内分泌治疗也有重要影响,因为复杂的串扰机制负责原发性和继发性耐药。三阴性乳腺癌(TNBC)主要与BRCA突变有关。当前,尚无以这种癌症形式获得批准的靶向治疗。尽管PARP抑制剂似乎是适合的候选药物。目前的审查集中在ER,EGFR,以及mTOR信号靶治疗的当前方案。我们还讨论了BC化疗中PARP抑制剂的现状。

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