Mechanisms of hormonal therapy resistance in breast cancer

Verfasser / Beitragende:
[Shin-ichi Hayashi, Mariko Kimura]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/2(2015-04-01), 262-267
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-015-0788-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10147-015-0788-5 
245 0 0 |a Mechanisms of hormonal therapy resistance in breast cancer  |h [Elektronische Daten]  |c [Shin-ichi Hayashi, Mariko Kimura] 
520 3 |a Abstract : Whilst estrogen receptor (ER)-positive breast cancers are preferentially treated with hormone therapy, approximately one-third of them relapse. The mechanisms of refractoriness have been investigated by numerous studies but have not been fully clarified. Hormonal therapy resistance, particularly aromatase inhibitor (AI) resistance, may be related to the acquisition of alternative intracellular ER signaling. We have been investing the mechanisms using cancer specimens and cell lines by monitoring the transcription activity of ERs. AI refractory specimens showed diverse ER activity in the adenovirus estrogen receptor element-green fluorescent protein (ERE-GFP) assay and varied sensitivity to anti-estrogens, indicating the existence of multiple resistant mechanisms. We established six different types of cell lines mimicking AI resistance from ERE-GFP-introduced ER-positive cell lines. They revealed that multiple and alternative ER activating pathways were involved in the resistance, such as phosphorylation-dependent or androgen metabolite-dependent mechanisms. The response to fulvestrant and mammalian target of rapamycin inhibitor also varied among individual resistant cell lines. These results indicate that further subclassification of ER-positive breast cancer is extremely important to decide the therapeutic management of not only hormonal therapy but also new molecular target therapy. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Estrogen receptor  |2 nationallicence 
690 7 |a Aromatase inhibitor  |2 nationallicence 
690 7 |a Hormonal therapy  |2 nationallicence 
690 7 |a Androgen  |2 nationallicence 
690 7 |a mTOR  |2 nationallicence 
700 1 |a Hayashi  |D Shin-ichi  |u Department of Molecular and Functional Dynamics, and Center for Regulatory Epigenomics and Diseases, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan  |4 aut 
700 1 |a Kimura  |D Mariko  |u Department of Molecular and Functional Dynamics, and Center for Regulatory Epigenomics and Diseases, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 262-267  |x 1341-9625  |q 20:2<262  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-015-0788-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-015-0788-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hayashi  |D Shin-ichi  |u Department of Molecular and Functional Dynamics, and Center for Regulatory Epigenomics and Diseases, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kimura  |D Mariko  |u Department of Molecular and Functional Dynamics, and Center for Regulatory Epigenomics and Diseases, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 262-267  |x 1341-9625  |q 20:2<262  |1 2015  |2 20  |o 10147