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Anti-Cancer Agents in Medicinal Chemistry

Editor-in-Chief

ISSN (Print): 1871-5206
ISSN (Online): 1875-5992

Mini-Review Article

Pharmacological Basis of Breast Cancer Resistance to Therapies - An Overview

Author(s): Stefania Crucitta, Federico Cucchiara, Francesca Sciandra, Annalisa Cerbioni, Lucrezia Diodati, Concetta Rafaniello, Annalisa Capuano, Andrea Fontana, Stefano Fogli, Romano Danesi* and Marzia Del Re

Volume 22, Issue 4, 2022

Published on: 06 January, 2022

Page: [760 - 774] Pages: 15

DOI: 10.2174/1871520621666210804100547

Price: $65

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Abstract

Breast Cancer (BC) is a molecular heterogeneous disease and patients with similar clinico-pathological characteristics often display different response to treatment. Cellular processes, including uncontrolled cell-cycle, constitutive activation of signalling pathways and alterations in DNA-repair mechanisms are the main altered features in breast cancer. These cellular processes play significant roles in the emergence of resistance to therapies. The introduction of target therapies and immunotherapy significantly improved the survival of breast cancer patients. The incorporation of novel biomarkers together with the introduction of new therapeutic options may help to overcome treatment resistance. Molecular profiling promises to help in refine personalized treatment decisions and catalyse the development of further strategies when resistances inevitably occurs. This review provides a summary of genetic and molecular aspects of resistance mechanisms to available treatments for BC patients, and its clinical implications.

Keywords: Breast cancer, target therapy, mechanisms of resistance, chemotherapy, immunotherapy, hormone receptors, human epidermal growth factor receptor 2, triple-negative breast cancer.

Graphical Abstract
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