Cheng Xuan, Zhao Jian-Xiong, Dong Feng, Cao Xu-Chen
The First Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China.
Key Laboratory of Cancer Prevention and Therapy, Tianjin, China.
Front Oncol. 2021 Nov 4;11:759577. doi: 10.3389/fonc.2021.759577. eCollection 2021.
Distant metastasis is the principal cause of mortality for breast cancer patients. Targeting specific mutations that have been acquired during the evolution process of advanced breast cancer is a potential means of enhancing the clinical efficacy of treatment strategies. In metastatic breast cancer, is the most prevalent mutation of the SWI/SNF complex, which regulates DNA repair, recombination, and gene transcription. The low expression of is associated with poor disease-free survival and overall survival of patients with luminal A or HER2-rich breast cancer. In addition, plays a prominent role in maintaining luminal characteristics and has an advantage for identifying responses to treatment, including endocrine therapies, HDAC inhibitors and CDK4/6 inhibitors. The therapeutic vulnerabilities initiated by alterations encourage us to explore new approaches to cope with mutant-related drug resistance or metastasis. In this review, we describe the mutation profiles of ARID1A in metastatic breast cancer and the structure and function of ARID1A and the SWI/SNF complex as well as discuss the potential mechanisms of ARID1A-mediated endocrine resistance and therapeutic potential.
远处转移是乳腺癌患者死亡的主要原因。针对晚期乳腺癌进化过程中获得的特定突变是提高治疗策略临床疗效的一种潜在手段。在转移性乳腺癌中, 是SWI/SNF复合物最常见的突变,该复合物调节DNA修复、重组和基因转录。 的低表达与腔面A型或富含HER2的乳腺癌患者的无病生存期和总生存期较差有关。此外, 在维持腔面特征方面发挥着重要作用,并且在识别对包括内分泌疗法、HDAC抑制剂和CDK4/6抑制剂在内的治疗反应方面具有优势。 改变引发的治疗脆弱性促使我们探索应对 突变相关耐药性或转移的新方法。在本综述中,我们描述了转移性乳腺癌中ARID1A的突变谱以及ARID1A和SWI/SNF复合物的结构和功能,并讨论了ARID1A介导的内分泌耐药性的潜在机制和治疗潜力。