a Department of Molecular and Cellular Therapeutics , Royal College of Surgeons in Ireland , Dublin 2 , Ireland.
b Department of Physiology and Medical Physics , Royal College of Surgeons in Ireland , Dublin 2 , Ireland.
Expert Rev Mol Diagn. 2016;16(5):541-51. doi: 10.1586/14737159.2016.1156534. Epub 2016 Mar 16.
Breast cancer is the most common cancer in women and great advancements have been made for individualised patient treatment. Through understanding the underlying altered biology in the different subtypes of breast cancer, targeted therapeutics have been developed. Unfortunately, resistance to targeted therapy, intrinsic or acquired, is a recurring theme in cancer treatment. Epigenetic-mediated resistance to targeted therapy has been identified across different types of cancer. In addition, tumorigenesis has also been linked to altered expression of epigenetic modifiers. Due to the reversible nature of epigenetic modifications, epigenetic proteins are appealing as therapeutic targets in both the primary and relapsed/resistant setting. In this review, we will discuss the current state of targetable epigenetic histone modifications and their diagnostic and therapeutic implications in breast cancer.
乳腺癌是女性最常见的癌症,在个体化患者治疗方面取得了重大进展。通过了解不同亚型乳腺癌中潜在的改变生物学特性,已经开发出了靶向治疗药物。不幸的是,靶向治疗的耐药性(包括内在耐药和获得性耐药)是癌症治疗中的一个反复出现的主题。在不同类型的癌症中已经发现了表观遗传介导的靶向治疗耐药性。此外,肿瘤发生也与表观遗传修饰物表达的改变有关。由于表观遗传修饰的可逆性,表观遗传蛋白作为原发性和复发/耐药性疾病的治疗靶点具有吸引力。在这篇综述中,我们将讨论可靶向的表观遗传组蛋白修饰及其在乳腺癌中的诊断和治疗意义。