Contents
Special Issue Topic

Endocrine Resistant Breast Cancer

Guest Editors

Dr. Simon Langdon E-Mail

Reader, School of Medicine, University of Edinburgh, Edinburgh, UK

Research Keywords: ovarian cancer; breast cancer; estrogen signaling; HER signaling; DNA repair

Dr. Valerie Speirs E-Mail

Professor and Chair in Molecular Oncology, Institute of Medical Sciences, University of Aberdeen, Aberdeen, UK

Research Keywords: oestrogen receptor biology; endocrine resistant breast cancer; male breast cancer; in vitro models; biomarker

About the Special lssue

The majority of breast cancers are estrogen receptor alpha (ERa) positive and most will initially respond to endocrine therapy. Current therapies to treat ERa-positive disease include aromatase inhibitors, selective estrogen receptor modulators (SERMs) and selective estrogen down-regulators (SERDs). However, resistance to these treatments will develop in many cancers and can be present either at the outset (de novo resistance) or develop on treatment (acquired resistance). Experimental and clinical investigations have demonstrated multiple mechanisms that can give rise to resistance and a range of therapeutic agents such as CDK4/6 inhibitors and other signalling inhibitors have been developed to circumvent these. Resistance mechanisms include changes in ER status (e.g. loss and mutation) and the involvement of compensatory pathways bypassing the dependence on estrogen activation particularly growth factor activation.

In this issue, we welcome Reviews and Original Articles encompassing experimental laboratory research studies of endocrine resistance through to clinical investigations in breast cancer.

Keywords: Breast cancer; resistance; endocrine; estrogen

Published Articles

Open Access Review
Endocrine therapy resistance: what we know and future directions
Endocrine resistance is a major hurdle in the treatment of estrogen receptor (ER)-positive breast cancer. When abnormally regulated, molecular signals responsible for cellular proliferation, as well
Published: August 31, 2022 Explor Target Antitumor Ther. 2022;3:480–496
3074 46 7
Open Access Review
Exploring new pathways in endocrine-resistant breast cancer
The most common breast cancer (BC) subtypes are hormone-dependent, being either estrogen receptor-positive (ER+), progesterone receptor-positive (PR+), or both, and altogether comprise the luminal subtype. The mainstay of treatment for luminal BC is endocrine therapy (ET), which includes several agents that act either directly targeting ER action or suppressing estrogen production. Over the years, ET has proven efficacy in reducing mortality and improving clinical outcomes in metastatic and nonmetastatic BC. However, the development of ET resistance promotes cancer survival and progression and hinders the use of endocrine agents. Several mechanisms implicated in endocrine resistance have now been extensively studied. Based on the current clinical and pre-clinical data, the present article briefly reviews the well-established pathways of ET resistance and continues by focusing on the three most recently uncovered pathways, which may mediate resistance to ET, namely receptor activator of nuclear factor kappa Β ligand (RANKL)/receptor activator of nuclear factor kappa Β (RANK), nuclear factor kappa Β (NFκB), and Notch. It additionally overviews the evidence underlying the approval of combined therapies to overcome ET resistance in BC, while highlighting the relevance of future studies focusing on putative mediators of ET resistance to uncover new therapeutic options for the disease.
Published: June 20, 2022 Explor Target Antitumor Ther. 2022;3:337–361
3031 50 2
Open Access Review
In vitro breast cancer models for studying mechanisms of resistance to endocrine therapy
The development of endocrine resistance is a common reason for the failure of endocrine therapies in hormone receptor-positive breast cancer. This review provides an overview of the different types
Published: June 01, 2022 Explor Target Antitumor Ther. 2022;3:297–320
3852 102 6
Open Access Perspective
Endocrine resistant breast cancer: brain metastasis
Endocrine resistant breast cancer metastasis continues to serve as a significant clinical challenge with high morbidity and mortality for patients. As the number of breast cancer cases continues to
Published: April 26, 2022 Explor Target Antitumor Ther. 2022;3:240–251
2699 44 9
Open Access Original Article
The importance of targeting signalling mechanisms of the SLC39A family of zinc transporters to inhibit endocrine resistant breast cancer
Aim: Zinc is a key secondary messenger that can regulate multiple signalling pathways within cancer cells, thus its levels need to be strictly controlled. The Zrt, Irt-like protein (ZIP, SLC39A)
Published: April 26, 2022 Explor Target Antitumor Ther. 2022;3:224–239
3490 87 2
Open Access Review
Role of PI3K/Akt/mTOR pathway in mediating endocrine resistance: concept to clinic
The majority of breast cancers express the estrogen receptor (ER) and for this group of patients, endocrine therapy is the cornerstone of systemic treatment. However, drug resistance is common and a
Published: April 24, 2022 Explor Target Antitumor Ther. 2022;3:172–199
4546 101 13
Open Access Original Article
Collateral-resistance to estrogen and HER-activated growth is associated with modified AKT, ERα, and cell-cycle signaling in a breast cancer model
Aim: A model of progressively endocrine-resistant breast cancer was investigated to identify changes that can occur in signaling pathways after endocrine manipulation. Methods: The MCF7 breas
Published: February 28, 2022 Explor Target Antitumor Ther. 2022;3:97–116
2434 70 1
Open Access Review
Interface between obesity with dysfunctional metabolism and inflammation, and the triple-negative breast cancer in African American women
Obesity has dramatically increased over the past fifty years. In the last decade, it has been noted that augmented body mass, metabolic abnormalities, and the relevant “obese”
Published: December 31, 2021 Explor Target Antitumor Ther. 2021;2:602–616
2418 56 1
Open Access Review
Clinical aspect, pathogenesis and therapy options of alopecia induced by hormonal therapy for breast cancer
Adjuvant hormonal therapy is one of the most important treatments of hormone-receptor-positive breast cancer and includes selective estrogen receptor modulators, aromatase inhibitors, and luteinizin
Published: October 31, 2021 Explor Target Antitumor Ther. 2021;2:490–495
2575 38 3
Open Access Review
Role of estrogen receptor coregulators in endocrine resistant breast cancer
Breast cancer (BC) is the most ubiquitous cancer in women. Approximately 70–80% of BC diagnoses are positive for estrogen receptor (ER) alpha (ERα). The steroid ho
Published: August 30, 2021 Explor Target Antitumor Ther. 2021;2:385–400
4776 107 16