What clinicians need to know about antioestrogen resistance in breast cancer therapy

被引:38
作者
Milano, Amalia [1 ]
Dal Lago, Lissandra [1 ]
Sotiriou, Christos [1 ]
Piccart, Martine [1 ]
Cardoso, Fatima [1 ]
机构
[1] Inst Jules Bordet, Med Oncol & Translat Res Unit, B-1000 Brussels, Belgium
关键词
breast cancer; tamoxifen-resistance; predictive marker; AIB1; HER-2; oestrogen receptor; progesterone receptor; cox-2; cyclin E; UPA/PAI-1;
D O I
10.1016/j.ejca.2006.06.022
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Tamoxifen is the drug most used for early breast cancer treatment in oestrogen receptor (ER) positive patients. Unfortunately, despite high ER tumour levels in a tumour, resistance to endocrine therapy, either de novo or acquired after prolonged treatment, can occur. In this review, we will try to summarise the postulated mechanisms of hormonal-resistance, namely, the role of co-regulators and the crosstalk between the HER-2, IGF-IR, Cox-2 and ER pathways. Other predictive markers of tamoxifen-resistance/response, such as cyclin E and UPA/PAI-1, are also discussed. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2692 / 2705
页数:14
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