[Molecular aspects of different mechanisms of tamoxifen resistance].

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Date publication

janvier 1997

Journal

Bulletin du cancer

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BARBERI-HEYOB Muriel, Pr MERLIN Jean-Louis


Tous les auteurs :
Bachmann-Moisson N, Barberi-Heyob M, Merlin JL

Résumé

Tamoxifen is the most currently used antiestrogen in the endocrine treatment of breast cancer. However, despite a small proportion of estrogen receptor positive tumors presenting de novo resistance to treatment, numerous tumors develop acquired resistance after a first phase of response. Many mechanisms have been proposed, but none could be identified as a real explanation of these phenomena of resistance. The hypotheses suggested are related to the series of events implied in the transduction of the signal following the ligand binding to estrogen receptor and concerning several levels: (1) loss or mutation of the estrogen receptor; (2) modification in estrogen receptor associated parameters; (3) alteration in the estrogen response element; (4) high levels of antiestrogen binding sites; (5) alteration of metabolism or availability of tamoxifen. The tamoxifen resistance certainly concerns several of these mechanism. Therefore, it is necessary to go on studying these mechanisms and to elucidate the connections existing between all of them.

Mots clés

Antineoplastic Agents, Hormonal, chemistry, Biological Availability, Breast Neoplasms, chemistry, Drug Resistance, Neoplasm, Estrogen Antagonists, metabolism, Female, Gene Expression, Humans, Molecular Biology, Mutation, Receptors, Estrogen, analysis, Signal Transduction, genetics, Tamoxifen, chemistry

Référence

Bull Cancer. 1997 Jan;84(1):69-75