Endocrine resistance in breast cancer: Current status and a perspective on the roles of miRNAs (Review)

被引:16
|
作者
Zhou, Jichun [1 ]
Teng, Rongyue [1 ]
Wang, Qinchuan [1 ]
Xu, Chenpu [1 ]
Guo, Jufeng [1 ]
Yuan, Chao [1 ]
Shen, Jianguo [1 ]
Hu, Wenxian [1 ]
Wang, Linbo [1 ]
Xie, Shuduo [1 ]
机构
[1] Zhejiang Univ, Sch Med, Sir Run Run Shaw Hosp, Dept Surg Oncol, Hangzhou 310016, Zhejiang, Peoples R China
基金
中国国家自然科学基金;
关键词
miRNAs; breast cancer; endocrine resistance; ESTROGEN-RECEPTOR-ALPHA; MICRORNA EXPRESSION; POSTMENOPAUSAL WOMEN; GENE-EXPRESSION; TAMOXIFEN RESISTANCE; AROMATASE INHIBITORS; DOWN-REGULATION; TUMOR INVASION; SMALL RNAS; THERAPY;
D O I
10.3892/ol.2013.1405
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Current endocrine therapies for females with estrogen receptor-positive breast cancer have facilitated substantial improvements in outcomes. The effectiveness of endocrine therapy is limited by either initial de novo resistance or acquired endocrine resistance. Multiple mechanisms responsible for endocrine resistance have been proposed, including deregulation of various components of the estrogen receptor (ER) pathway, alterations in cell cycle and cell survival signaling molecules, and the activation of escape pathways. Dysregulation of miRNA expression has been associated with experimental and clinical endocrine therapy resistance. miRNAs are pivotal to understanding the complex biological mechanism of endocrine resistance, and may serve as novel candidate predictive and prognostic surrogates and therapeutic targets. This review focuses on current progress concerning the roles of miRNAs in endocrine resistance, and discusses the challenges and opportunities for implementing miRNA-based assays and treatment for patients with endocrine-resistant breast cancer.
引用
收藏
页码:295 / 305
页数:11
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