» Articles » PMID: 36831661

Targeted Therapy and Mechanisms of Drug Resistance in Breast Cancer

Overview
Journal Cancers (Basel)
Publisher MDPI
Specialty Oncology
Date 2023 Feb 25
PMID 36831661
Authors
Affiliations
Soon will be listed here.
Abstract

Breast cancer is the most common cause of cancer-related death in women worldwide. Multidrug resistance (MDR) has been a large hurdle in reducing BC death rates. The drug resistance mechanisms include increased drug efflux, enhanced DNA repair, senescence escape, epigenetic alterations, tumor heterogeneity, tumor microenvironment (TME), and the epithelial-to-mesenchymal transition (EMT), which make it challenging to overcome. This review aims to explain the mechanisms of resistance in BC further, identify viable drug targets, and elucidate how those targets relate to the progression of BC and drug resistance.

Citing Articles

The Adaptation of MCF-7 Breast Cancer Spheroids to the Chemotherapeutic Doxorubicin: The Dynamic Role of Phase I Drug Metabolizing Enzymes.

Crispim D, Ramos C, Esteves F, Kranendonk M Metabolites. 2025; 15(2).

PMID: 39997761 PMC: 11857127. DOI: 10.3390/metabo15020136.


Investigating the role of exosomal long non-coding RNAs in drug resistance within female reproductive system cancers.

Shirani N, Abdi N, Chehelgerdi M, Yaghoobi H, Chehelgerdi M Front Cell Dev Biol. 2025; 13:1485422.

PMID: 39925739 PMC: 11802832. DOI: 10.3389/fcell.2025.1485422.


Metabolomics integrated genomics approach: Understanding multidrug resistance phenotype in MCF-7 breast cancer cells exposed to doxorubicin and ABCA1/EGFR/PI3k/PTEN crosstalk.

Kadry M, Abd-Ellatef G, Ammar N, Hassan H, Hussein N, Kamel N Toxicol Rep. 2025; 14:101884.

PMID: 39886047 PMC: 11780168. DOI: 10.1016/j.toxrep.2024.101884.


Bilosomal Co-Encapsulated Tamoxifen and Propranolol for Potentiated Anti-Breast Cancer Efficacy: In Vitro and In Vivo Investigation.

Elebyary T, Sultan A, Abu-Risha S, El Maghraby G, Amin M Pharmaceutics. 2025; 17(1).

PMID: 39861770 PMC: 11768151. DOI: 10.3390/pharmaceutics17010123.


Design, synthesis, , and studies of novel isatin-hybrid hydrazones as potential triple-negative breast cancer agents.

Munir I, Batool Z, Khan F, Hussain J, Khan A, Mali S RSC Adv. 2025; 15(2):948-965.

PMID: 39807200 PMC: 11726183. DOI: 10.1039/d4ra07650h.


References
1.
Tzeng H, Yang L, Chen K, Wang Y, Liu Y, Pan S . The pan-PI3K inhibitor GDC-0941 activates canonical WNT signaling to confer resistance in TNBC cells: resistance reversal with WNT inhibitor. Oncotarget. 2015; 6(13):11061-73. PMC: 4484439. DOI: 10.18632/oncotarget.3568. View

2.
Lu Y, Im S, Colleoni M, Franke F, Bardia A, Cardoso F . Updated Overall Survival of Ribociclib plus Endocrine Therapy versus Endocrine Therapy Alone in Pre- and Perimenopausal Patients with HR+/HER2- Advanced Breast Cancer in MONALEESA-7: A Phase III Randomized Clinical Trial. Clin Cancer Res. 2021; 28(5):851-859. PMC: 9377723. DOI: 10.1158/1078-0432.CCR-21-3032. View

3.
Lukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanislawek A . Breast Cancer-Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review. Cancers (Basel). 2021; 13(17). PMC: 8428369. DOI: 10.3390/cancers13174287. View

4.
Riabov V, Gudima A, Wang N, Mickley A, Orekhov A, Kzhyshkowska J . Role of tumor associated macrophages in tumor angiogenesis and lymphangiogenesis. Front Physiol. 2014; 5:75. PMC: 3942647. DOI: 10.3389/fphys.2014.00075. View

5.
Condorelli R, Spring L, OShaughnessy J, Lacroix L, Bailleux C, Scott V . Polyclonal RB1 mutations and acquired resistance to CDK 4/6 inhibitors in patients with metastatic breast cancer. Ann Oncol. 2017; 29(3):640-645. DOI: 10.1093/annonc/mdx784. View