The Role of Aromatase Inhibitors in Breast Cancer Treatment

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 952

Special Issue Editor


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Guest Editor
Department of Pharmacology & Chemical Biology, Baylor College of Medicine, Baylor Plaza, Houston, TX 77030, USA
Interests: breast cancer; vitro anticancer; enzyme; novel inhibitors

Special Issue Information

Dear Colleagues,

Aromatase inhibitors play a crucial role in breast cancer treatment by blocking the enzyme aromatase, which is responsible for estrogen production. Estrogen fuels the growth of hormone receptor-positive breast cancers, and these inhibitors help reduce estrogen levels, inhibiting cancer cell proliferation. Often used in postmenopausal women, aromatase inhibitors are a key component of hormone therapy, complementing other treatments to improve outcomes and reduce the risk of cancer recurrence.

Dr. Chandra Bhushan Mishra
Guest Editor

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Keywords

  • aromatase inhibitors
  • breast cancer
  • enzyme aromatase
  • estrogen

Published Papers (1 paper)

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Research

13 pages, 1661 KiB  
Article
Subtype-Specific Survival of Young Women with Breast Cancer and Its Interaction with the Germline BRCA Status
by Anna Maria Hage, Pimrapat Gebert, Jens-Uwe Blohmer, Elham Hedayati, Dorothee Speiser and Maria Margarete Karsten
Cancers 2024, 16(4), 738; https://doi.org/10.3390/cancers16040738 - 10 Feb 2024
Viewed by 806
Abstract
Data are scarce on the role of pathogenic germline variants in BRCA1 and BRCA2 (gBRCAm) in subtype-specific survival in young women who develop breast cancer under the age of 40. This retrospective, real-world cohort study assessed the distant disease-free survival (DDFS) and overall [...] Read more.
Data are scarce on the role of pathogenic germline variants in BRCA1 and BRCA2 (gBRCAm) in subtype-specific survival in young women who develop breast cancer under the age of 40. This retrospective, real-world cohort study assessed the distant disease-free survival (DDFS) and overall survival (OS) of young women diagnosed with breast cancer between 2008 and 2019 while taking into consideration the interaction of clinical subtypes and the gBRCA status. Among 473 women, HR+/Her2− was the most common subtype (49.0%), followed by TNBC (31.3%), HR+/Her2+ (13.7%), and Her2+/HR− (5.9%). The gBRCA status was known for 319 cases (gBRCAwt (wild-type – without pathogenic variants in BRCA1 or BRCA2): 204, gBRCA1m: 83, gBRCA2m: 31, 1 patient with both). The distribution of clinical subtypes varied depending on the gBRCA status (p < 0.001). In survival analysis with a median follow-up of 43 months, the unadjusted DDFS and OS were worse for gBRCAwt TNBC compared to both HR+ subtypes, but not for gBRCAm TNBC patients. T-stage, nodal involvement, and the gBRCA status were identified as significant for survival in TNBC. In TNBC, gBRCAm was associated with better DDFS and OS than gBRCAwt (5-year DDFS 81.4% vs. 54.3%, p = 0.012 and 5-year OS 96.7% vs. 62.7%, p < 0.001). In contrast, in HR+/Her2− patients, gBRCAm patients showed a tendency for worse survival, though not statistically significant. Subtype-specific survival in young women with breast cancer needs to be evaluated in interaction with the gBRCA status. For TNBC, gBRCAm is of favorable prognostic value for overall survival, while patients with gBRCAwt TNBC need to be considered to have the highest risk for adverse survival outcomes. Full article
(This article belongs to the Special Issue The Role of Aromatase Inhibitors in Breast Cancer Treatment)
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