Tumor Heterogeneity in Breast Cancer

Author(s):  
Sunil Badve
Entropy ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. 225
Author(s):  
Claudia Cava ◽  
Soudabeh Sabetian ◽  
Isabella Castiglioni

The development of new computational approaches that are able to design the correct personalized drugs is the crucial therapeutic issue in cancer research. However, tumor heterogeneity is the main obstacle to developing patient-specific single drugs or combinations of drugs that already exist in clinics. In this study, we developed a computational approach that integrates copy number alteration, gene expression, and a protein interaction network of 73 basal breast cancer samples. 2509 prognostic genes harboring a copy number alteration were identified using survival analysis, and a protein–protein interaction network considering the direct interactions was created. Each patient was described by a specific combination of seven altered hub proteins that fully characterize the 73 basal breast cancer patients. We suggested the optimal combination therapy for each patient considering drug–protein interactions. Our approach is able to confirm well-known cancer related genes and suggest novel potential drug target genes. In conclusion, we presented a new computational approach in breast cancer to deal with the intra-tumor heterogeneity towards personalized cancer therapy.


Author(s):  
Duman BB ◽  
Cil T

Alteration of biomarkers is well-documented in breast cancer at locoregional recurrence or metastasis attributed to tumor heterogeneity and change in biology. There is some data about discordance between primary and metastatic sites. At the same time hormone, receptor status can change after neoadjuvant treatment and at the time of recurrence. Metastatic breast cancer without progression or recurrence after the targeted chemotherapy combination for planning maintenance therapy in Human epidermal growth factor receptor 2 (HER2) overexpression positive hormone receptors positive or triple-negative patient after chemotherapy. In guidelines, the time of rebiopsy has no exact time, if the time of biopsy is usually after the progression of the tumor. We presented cases in which we detected different hormone receptor statuses from the beginning without progression and before deciding on maintenance therapy. This subject is important for deciding therapy in the aspect of heterogeneous tumors like breast cancer. The important decision of rebiopsy time is debate. In this aspect, these two cases are important examples for these kinds of patients tumor heterogeneity in breast cancer is one of the most widely known entities. We found that two patients, one of whom was estrogen progesterone receptor negative HER2 3 (+++) at the time of diagnosis and the other who was triple negative at the time of diagnosis, had positive hormone receptors in the re-biopsies without progression. We aimed to discuss the tumor heterogeneity and timing of rebiopsy in breast cancer in the light of two cases.


BMC Cancer ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Govindasamy-Muralidharan Karthik ◽  
Mattias Rantalainen ◽  
Gustav Stålhammar ◽  
John Lövrot ◽  
Ikram Ullah ◽  
...  

2019 ◽  
Vol 26 (7) ◽  
pp. 2191-2199 ◽  
Author(s):  
Kerry-Ann McDonald ◽  
Tsutomu Kawaguchi ◽  
Qianya Qi ◽  
Xuan Peng ◽  
Mariko Asaoka ◽  
...  

2019 ◽  
Vol 146 (5) ◽  
pp. 1359-1368 ◽  
Author(s):  
Fei Ma ◽  
Yanfang Guan ◽  
Zongbi Yi ◽  
Lianpeng Chang ◽  
Qiao Li ◽  
...  

2017 ◽  
Vol 44 ◽  
pp. 106-116 ◽  
Author(s):  
Valentina Appierto ◽  
Serena Di Cosimo ◽  
Carolina Reduzzi ◽  
Valentina Pala ◽  
Vera Cappelletti ◽  
...  

2017 ◽  
Vol 28 ◽  
pp. i10
Author(s):  
L.S. Lindström ◽  
C. Yau ◽  
K. Czene ◽  
C. Thompson ◽  
N. Yu ◽  
...  

Author(s):  
Y Ding ◽  
JR Marks ◽  
LM King ◽  
AH Hall ◽  
ER Mardis ◽  
...  

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