Epigenetics as a Therapeutic Target in Breast Cancer
Open accessAbstract
Epigenetics refers to alterations in gene expression due to modifications in histone acetylation and DNA methylation at the promoter regions of genes. Unlike genetic mutations, epigenetic alterations are not due to modifications in the gene primary nucleotide sequence. The importance of epigenetics in the initiation and progression of breast cancer has led many investigators to incorporate this novel and exciting field in breast cancer drug development. Several drugs that target epigenetic alterations, including inhibitors of histone deacetylase (HDAC) and DNA methyltransferase (DNMT), are currently approved for treatment of hematological malignancies and are available for clinical investigation in solid tumors. In this manuscript, we review the critical role of epigenetics in breast cancer including the potential for epigenetic alterations to serve as biomarkers determining breast cancer prognosis and response to therapy. We highlight initial promising results to date with use of epigenetic modifiers in patients with breast cancer and the ongoing challenges involved in the successful establishment of these agents for the treatment of breast cancer.
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Epigenetic modification alters gene expression leading to endocrine therapy resistance and may be reversed by epigenetic modifiers such as histone deacetylase (HDAC) inhibitors.
“Epigenetic modification alters gene expression leading to endocrine therapy resistance and may be reversed by epigenetic modifiers such as histone deacetylase (HDAC) inhibitors.6-8”
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Connolly, R. M., Jankowitz, R. C., Zahnow, C. A., et al. (2013) · Cancer Research · doi:10.1158/1538-7445.am2013-4666 · Cited by 15 · see citing works
Self-citationYardley, D. A., Ismail-Khan, R., & Klein, P. (2011) · Cancer Research · doi:10.1158/0008-5472.sabcs11-pd01-04 · Cited by 10 · see citing works
Connolly, R., Jankowitz, R., Andreopoulou, E., et al. (2011) · Cancer Research · doi:10.1158/0008-5472.sabcs11-ot3-01-06 · Cited by 8 · see citing works
Self-citationStearns, V., Jacobs, L. K., Tsangaris, T. N., et al. (2010) · Journal of Clinical Oncology · doi:10.1200/jco.2010.28.15_suppl.3097 · Cited by 4 · see citing works
Self-citationConnolly, R. M., Leal, J. P., Goetz, M. P., et al. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2012.30.15_suppl.10509 · Cited by 4 · see citing works
Self-citationOrdentlich, P. (2011) · Molecular Cancer Therapeutics · doi:10.1158/1535-7163.targ-11-pr-6 · Cited by 3 · see citing works
Flagged first, then by citations
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Entinostat: a promising treatment option for patients with advanced breast cancer
Connolly, R. M., Rudek, M. A., & Piekarz, R. (2017) · Future Oncology · doi:10.2217/fon-2016-0526 · Cited by 148 · see citing works
Self-citationConnolly, R. M., Zhao, F., Miller, K. D., Lee, M.-J., Piekarz, R. L., Smith, K. L., Brown-Glaberman, U. A., Winn, J. S., Faller, B. A., Onitilo, A. A., et al. (2021) · Journal of Clinical Oncology · doi:10.1200/jco.21.00944 · Cited by 125 · see citing works
Self-citationBrglez, V., Pucer, A., Pungerčar, J., Lambeau, G., & Petan, T. (2014) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2014.01.182 · Cited by 35 · see citing works
- Authors
- Connolly, R., & Stearns, V.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Stearns, Vered
- ORCID
- Stearns, Vered
- Venue
- Journal of Mammary Gland Biology and Neoplasia
- Published
- 2012-07-27
- Volume
- 17
- Issue
- 3-4
- Pages
- 191-204
- ISSN
- 1083-3021 (ISSN-L)
- 1573-7039
- PMC
- PMC3515719
- OpenAlex
- W2074336595
- Cited by
- 117
- References
- 98
- Citations by year
- 2026: 3 · 2025: 3 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 13 · 2019: 8 · 2018: 11 · 2017: 7 · 2016: 17 · 2015: 18 · 2014: 11 · 2013: 9 · 2012: 5
- FWCI
- 1.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Mammary Gland Biology and Neoplasia (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P50CA088843)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Histone Deacetylase Inhibitors Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Chromatin Dynamics
- Keywords
- epigenetics, breast cancer, histone deacetylase inhibitors, hypomethylating agents, histone acetylation, DNA methylation, epigenetic biomarkers, prognosis, treatment response, epigenetic regulators, drug development
- MeSH terms
- Antineoplastic Agents, Breast Neoplasms, Female, Humans, DNA Methylation, Epigenesis, Genetic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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