BOSTON--Researchers at Dana-Farber Cancer Institute have discovered a gene activity signature that predicts a high risk of cancer recurrence in certain breast tumors that have been treated with commonly used chemotherapy drugs.
Despite their resistance to drugs of the anthracycline class, the breast cancers bearing this gene signature will probably still be vulnerable to other types of chemotherapy agents, say scientists in a letter to be published in Nature Medicine on its Web site and later in a print edition. Thus, the findings could lead to a genetic test of breast cancers to help physicians choose the best initial treatment for an individual patient.
With this guidance, physicians could avoid the current trial-and-error approach that in some cases exposes patients to the toxic side effects of a cancer drug that is destined to be ineffective. The new report underscores the potential of personalized cancer care, in which knowing the specific molecular features of a patient's cancer helps direct the course of care.
The investigators from the Dana-Farber Women's Cancers Program undertook the studies to search for molecular traits in tumors that cause some patients to suffer recurrences in the wake of breast cancer surgery despite post-surgery, or "adjuvant," chemotherapy, while other patients do well for many years.
Led by Andrea Richardson, MD, PhD, and Zhigang Charles Wang, MD, PhD, the investigators identified two genes that, when abnormally active, enabled cancer cells to resist the effects of drugs called anthracyclines. This class of agents includes doxorubicin, daunorubicin, and epirubicin, which are often used as adjuvant therapy in breast cancer.
The scientists probed stored breast tumor specimens from 85 patients and found the gene signature associated with drug resistance in about 1 in 5 samples, according to the report. Clinical records on file showed that those patients had poorer o
|Contact: Bill Schaller|
Dana-Farber Cancer Institute