[Androgen receptor-positive triple negative breast cancer: From biology to therapy].

Cancer du sein triple négatif exprimant le récepteur aux androgènes : de la biologie à la thérapeutique.

Journal

Bulletin du cancer
ISSN: 1769-6917
Titre abrégé: Bull Cancer
Pays: France
ID NLM: 0072416

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 28 11 2019
revised: 24 12 2019
accepted: 26 12 2019
pubmed: 9 3 2020
medline: 7 5 2020
entrez: 9 3 2020
Statut: ppublish

Résumé

A subgroup of androgen receptor-expressing tumors represents approximately 30 % of all triple negative tumors. The androgen receptor and its signaling pathways have a central biological role in this tumor entity. These triple negative androgen receptor-positive tumors occur in older patients and do not appear to have a better prognosis compared to other triple negative tumors. In addition to androgen receptor-expression, these tumors are genomically characterized by a high frequency of PIK3CA activating mutation. Three clinical trials reported efficacy data for anti-androgens (bicalutamide, abiraterone acetate and enzalutamide) based on strong preclinical rationale. These trials report clinical benefit rates in about one in five patients. These encouraging but still limited results make a case for the identification of predictive response factors and therapeutic combinations to improve response rates. This review will provide an update on the biological and clinical knowledge of this tumoral subgroup that opens the way to non-cytotoxic anti-androgen therapies.

Identifiants

pubmed: 32145961
pii: S0007-4551(20)30115-6
doi: 10.1016/j.bulcan.2019.12.012
pii:
doi:

Substances chimiques

AR protein, human 0
Androgen Antagonists 0
Anilides 0
Benzamides 0
Nitriles 0
Receptors, Androgen 0
Tosyl Compounds 0
Phenylthiohydantoin 2010-15-3
enzalutamide 93T0T9GKNU
bicalutamide A0Z3NAU9DP
Class I Phosphatidylinositol 3-Kinases EC 2.7.1.137
PIK3CA protein, human EC 2.7.1.137
Abiraterone Acetate EM5OCB9YJ6

Types de publication

Journal Article Review

Langues

fre

Sous-ensembles de citation

IM

Pagination

506-516

Informations de copyright

Copyright © 2020 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

Auteurs

Thomas Grellety (T)

Centre hospitalier de la Côte Basque, service d'oncologie médicale, 13, avenue de l'Interne Jacques-Loeb, 64100 Bayonne, France; Institut Bergonié, département d'oncologie médicale, 229, cours de l'Argonne, 33076 Bordeaux, France. Electronic address: tgrellety@ch-cotebasque.fr.

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Classifications MeSH