Breast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, 510120, China.
Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, 510120, China.
Adv Exp Med Biol. 2017;1026:1-25. doi: 10.1007/978-981-10-6020-5_1.
Breast cancer is one of the world's leading causes of death in women. Although tumor initiation and progression are predominantly driven by somatic or acquired (epi) genetic alterations that govern signaling abnormalities, growing evidence suggests that the inflammatory microenvironments of cancer also play a role. Molecular characterization of breast cancer biology is essential for high-efficient management of this disease in clinical practice. Translating basic research into clinically valuable biomarkers for diagnosis, prognosis, and prediction of response to treatment and into precisely targeted therapies is crucial for the development of precision medicine in breast cancer. Such a process is known as "from bench to bedside." In this chapter, we will present an overview of breast cancer pathogenesis and selected translational advances in multistage clinical settings and aim to illustrate the dawning of precision medicine implementation in managing human breast malignancies.
乳腺癌是全球女性死亡的主要原因之一。尽管肿瘤的发生和发展主要由体细胞或获得性(表观遗传)基因突变驱动,这些突变会导致信号异常,但越来越多的证据表明,癌症的炎症微环境也发挥了作用。对乳腺癌生物学的分子特征进行分析对于在临床实践中高效管理这种疾病至关重要。将基础研究转化为用于诊断、预后以及预测对治疗的反应的临床有价值的生物标志物,并转化为精确靶向治疗,对于乳腺癌精准医学的发展至关重要。这个过程被称为“从实验室到病床”。在本章中,我们将概述乳腺癌发病机制以及多阶段临床环境中的选定转化进展,并旨在说明在管理人类乳腺癌方面实施精准医学的曙光。