Multigene assays and isolated tumor cells for early breast cancer treatment: time for bionetworks

dc.contributor.authorRoukos, D. H.en
dc.contributor.authorZiogas, D. E.en
dc.contributor.authorKatsios, C.en
dc.date.accessioned2015-11-24T19:03:10Z
dc.date.available2015-11-24T19:03:10Z
dc.identifier.issn1744-8328-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19875
dc.rightsDefault Licence-
dc.subjectAnimalsen
dc.subjectBreast Neoplasms/*genetics/pathology/*therapyen
dc.subjectCell Separation/methods/trendsen
dc.subjectChemotherapy, Adjuvant/methods/*trendsen
dc.subjectFemaleen
dc.subjectGene Expression Profiling/methods/*trendsen
dc.subjectHumansen
dc.subject*Multigene Familyen
dc.subjectTime Factorsen
dc.subjectTreatment Outcomeen
dc.subjectTumor Markers, Biological/chemistry/genetics/*isolation & purificationen
dc.titleMultigene assays and isolated tumor cells for early breast cancer treatment: time for bionetworksen
heal.abstractDespite advances with adjuvant endocrine treatment for hormone receptor-positive tumors and with trastuzumab for HER2-positive disease, overall, over 50% of women with early-stage breast cancer experience recurrence and die of the disease. Biomarkers for tailoring systemic adjuvant treatment to responder patients are needed. The multigene assays, 21-gene recurrence score (Oncotype DX [Genomic Health, CA, USA]) and 70-gene signature (MammaPrint [Agendia, CA, USA]), and the isolated tumor cells in sentinel lymph node(s) represent the latest advances for improving adjuvant chemotherapy decisions. This article evaluates how these new markers, added to current standard factors (age, tumor size, grade, hormone receptor status and HER2 status), could improve early breast cancer treatment decisions. Moreover, emerging evidence from the latest large-scale studies using next-generation DNA-sequencing technology reveals a high heterogeneity and complexity of breast cancer. This assessment now shapes a new research strategy towards completion of a breast cancer causal (driver) mutations catalog and understanding complex genetic interactions and signaling pathway networks. Despite multiple challenges, advances in cancer genomes and systems biology approaches promise the future development of robust biomarkers.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1586/era.10.91-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/20735306-
heal.identifier.secondaryhttp://www.expert-reviews.com/doi/abs/10.1586/era.10.91-
heal.journalNameExpert Rev Anticancer Theren
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2010-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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