2004
DOI: 10.1677/erc.1.00776
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Mechanisms of tamoxifen resistance

Abstract: The anti-oestrogen tamoxifen is the most commonly used treatment for patients with oestrogenreceptor (ER)-positive breast cancer. Although many patients benefit from tamoxifen in the adjuvant and metastatic settings, resistance is an important clinical problem. The target of tamoxifen in vivo is the ER. Over the last decade many advances have been made in our understanding of the biology of the ER which may help to explain how resistance to tamoxifen develops. Such mechanisms may include changes in the express… Show more

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Cited by 552 publications
(483 citation statements)
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“…Anti-ER therapy is one of the common used treatments in the cancer clinics. However, long-term anti-ER treatment results in drug resistance that may be likely due to activation EGFR signaling pathways (19)(20)(21). Thus, a strategy that dual blockade of EGFR and ER pathways is an important issue in antibreast cancer drug development.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Anti-ER therapy is one of the common used treatments in the cancer clinics. However, long-term anti-ER treatment results in drug resistance that may be likely due to activation EGFR signaling pathways (19)(20)(21). Thus, a strategy that dual blockade of EGFR and ER pathways is an important issue in antibreast cancer drug development.…”
Section: Discussionmentioning
confidence: 99%
“…For ERapositive breast cancer, anti-ER treatment strategies involve selective estrogen receptor modulators (SERMs), selective estrogen receptor downregulators, and disruption of estrogen synthesis (16)(17)(18). However, the long-term anti-ER treatment results in drug resistance due to activation of HER2/EGFR growth factor receptor pathway (19)(20)(21).…”
Section: Introductionmentioning
confidence: 99%
“…Tamoxifen is the most widely used anti-oestrogen, with approximately 50% of women having ER-positive breast disease benefiting from this treatment [28,29]. However, acquisition of resistance to such therapies frequently arises and, in such cases, the identification of novel targets that promote a resistant phenotype may themselves prove useful targets through which the development of resistance and the associated tumour re-growth and spread may be delayed or prevented.…”
Section: Discussionmentioning
confidence: 99%
“…Since 1973, antiestrogen preparations of tamoxifen (TAM) have been widely used in endocrine therapy for breast cancer, and TAM is considered the standard treatment for estrogen receptor (ER)-positive patients until now. Unfortunately, approximately 40% of patients relapse after endocrine therapies [3]. Therefore, an essential understanding of the biological mechanism of antiestrogen resistance, especially the comprehension of TFs (transcription factors) regulation differences at transcriptional regulation level, will greatly promote the development of new drug targets discovery or novel treatment methods for breast cancer.…”
Section: Introductionmentioning
confidence: 99%