Biological subtypes of breast cancer: Prognostic and therapeutic implications

被引:756
作者
Yersal, Ozlem [1 ]
Barutca, Sabri [1 ]
机构
[1] Adnan Menderes Univ, Med Fac, Dept Internal Med, Div Med Oncol, TR-09010 Aydin, Turkey
关键词
Breast cancer; Tumor biology; Subtypes; Predictive factors; Prognostic factors;
D O I
10.5306/wjco.v5.i3.412
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Breast cancer is a heterogeneous complex of diseases, a spectrum of many subtypes with distinct biological features that lead to differences in response patterns to various treatment modalities and clinical outcomes. Traditional classification systems regarding biological characteristics may have limitations for patient-tailored treatment strategies. Tumors with similar clinical and pathological presentations may have different behaviors. Analyses of breast cancer with new molecular techniques now hold promise for the development of more accurate tests for the prediction of recurrence. Gene signatures have been developed as predictors of response to therapy and protein gene products that have direct roles in driving the biology and clinical behavior of cancer cells are potential targets for the development of novel therapeutics. The present review summarizes current knowledge in breast cancer molecular biology, focusing on novel prognostic and predictive factors. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
引用
收藏
页码:412 / 424
页数:13
相关论文
共 83 条
[1]   High-throughput protein expression analysis using tissue microarray technology of a large well-characterised series identifies biologically distinct classes of breast cancer confirming recent cDNA expression analyses [J].
Abd El-Rehim, DM ;
Ball, G ;
Pinder, SE ;
Rakha, E ;
Paish, C ;
Robertson, JFR ;
Macmillan, D ;
Blamey, RW ;
Ellis, IO .
INTERNATIONAL JOURNAL OF CANCER, 2005, 116 (03) :340-350
[2]   Proceedings of the First Global Workshop on Breast Cancer: Pathways to the Evaluation and Clinical Development of Novel Agents for Breast Cancer [J].
Albain, Kathy S. ;
Carey, Lisa ;
Gradishar, William J. ;
Gralow, Julie R. ;
Lipton, Allan ;
Rugo, Hope ;
Tripathy, Debu ;
Peck, Susan ;
Abair, Tristin ;
Pegram, Mark .
CLINICAL BREAST CANCER, 2010, 10 (06) :421-439
[3]   Prognostic and predictive value of the 21-gene recurrence score assay in postmenopausal women with node-positive, oestrogen-receptor-positive breast cancer on chemotherapy: a retrospective analysis of a randomised trial [J].
Albain, Kathy S. ;
Barlow, William E. ;
Shak, Steven ;
Hortobagyi, Gabriel N. ;
Livingston, Robert B. ;
Yeh, I-Tien ;
Ravdin, Peter ;
Bugarini, Roberto ;
Boehner, Frederick L. ;
Davidson, Nancy E. ;
Sledge, George W. ;
Winer, Eric P. ;
Hudis, Clifford ;
Ingle, James N. ;
Perez, Edith A. ;
Pritchard, Kathleen I. ;
Shepherd, Lois ;
Gralow, Julie R. ;
Yoshizawa, Carl ;
Allred, D. Craig ;
Osborne, C. Kent ;
Hayes, Daniel F. .
LANCET ONCOLOGY, 2010, 11 (01) :55-65
[4]   Biology, Metastatic Patterns, and Treatment of Patients with Triple-Negative Breast Cancer [J].
Anders, Carey K. ;
Carey, Lisa A. .
CLINICAL BREAST CANCER, 2009, 9 :S73-S81
[5]  
Andre F, 2013, J CLIN ONCOL, V31
[6]  
Barnes Christopher J, 2004, Cancer Treat Res, V119, P1
[7]   The epidermal growth factor receptor family [J].
Bazley, LA ;
Gullick, WJ .
ENDOCRINE-RELATED CANCER, 2005, 12 :S17-S27
[8]   Luminal-B breast cancer and novel therapeutic targets [J].
Ben Tran ;
Bedard, Philippe L. .
BREAST CANCER RESEARCH, 2011, 13 (06)
[9]   Immunohistochemical Surrogate Markers of Breast Cancer Molecular Classes Predicts Response to Neoadjuvant Chemotherapy A Single Institutional Experience With 359 Cases [J].
Bhargava, Rohit ;
Beriwal, Sushil ;
Dabbs, David J. ;
Ozbek, Umut ;
Soran, Atilla ;
Johnson, Ronald R. ;
Brufsky, Adam M. ;
Lembersky, Barry C. ;
Ahrendt, Gretchen M. .
CANCER, 2010, 116 (06) :1431-1439
[10]   Race, breast cancer subtypes, and survival in the Carolina Breast Cancer Study [J].
Carey, Lisa A. ;
Perou, Charles M. ;
Livasy, Chad A. ;
Dressler, Lynn G. ;
Cowan, David ;
Conway, Kathleen ;
Karaca, Gamze ;
Troester, Melissa A. ;
Tse, Chiu Kit ;
Edmiston, Sharon ;
Deming, Sandra L. ;
Geradts, Joseph ;
Cheang, Maggie C. U. ;
Nielsen, Torsten O. ;
Moorman, Patricia G. ;
Earp, H. Shelton ;
Millikan, Robert C. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (21) :2492-2502