Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancer

Immunohistochemical (IHC) tissue profiling is a standard practice in the management of metastatic breast cancer (mBC), that enables the identification of distinct biological phenotypes based on hormone receptors' expression. Luminal-like tumors primarily benefit from a first line treatment stra...

Full description

Saved in:
Bibliographic Details
Main Authors: Brenno Pastò, Riccardo Vida, Arianna Dri, Lorenzo Foffano, Serena Della Rossa, Lorenzo Gerratana, Fabio Puglisi
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Breast
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0960977624001905
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823856922633175040
author Brenno Pastò
Riccardo Vida
Arianna Dri
Lorenzo Foffano
Serena Della Rossa
Lorenzo Gerratana
Fabio Puglisi
author_facet Brenno Pastò
Riccardo Vida
Arianna Dri
Lorenzo Foffano
Serena Della Rossa
Lorenzo Gerratana
Fabio Puglisi
author_sort Brenno Pastò
collection DOAJ
description Immunohistochemical (IHC) tissue profiling is a standard practice in the management of metastatic breast cancer (mBC), that enables the identification of distinct biological phenotypes based on hormone receptors' expression. Luminal-like tumors primarily benefit from a first line treatment strategy combining endocrine therapy and cyclin-dependent kinase 4/6 inhibitors. However, IHC analyses necessitate invasive procedures and may encounter technical and interpretational challenges. In the current era of precision medicine, liquid biopsy holds potential to provide clinicians with additional insights into disease biology, including mechanisms underlying endocrine resistance and disease progression. Several liquid-based biomarkers are entering clinical practice and hold prognostic and predictive values in Luminal-like mBC, while many others are currently being investigated. The present work aims to summarize the current evidence regarding the clinical meanings of hormone receptors and their downstream molecular pathways, alongside their implications for therapeutic decision-making in Luminal-like mBC.
format Article
id doaj-art-9cc2b42dae034a0f8f3736a37d1eabac
institution Kabale University
issn 1532-3080
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Breast
spelling doaj-art-9cc2b42dae034a0f8f3736a37d1eabac2025-02-12T05:30:35ZengElsevierBreast1532-30802025-02-0179103859Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancerBrenno Pastò0Riccardo Vida1Arianna Dri2Lorenzo Foffano3Serena Della Rossa4Lorenzo Gerratana5Fabio Puglisi6Department of Medicine (DMED), University of Udine, 33100, Udine, Italy; Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081, Aviano, ItalyDepartment of Medicine (DMED), University of Udine, 33100, Udine, Italy; Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081, Aviano, ItalyDepartment of Medicine (DMED), University of Udine, 33100, Udine, Italy; Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081, Aviano, ItalyDepartment of Medicine (DMED), University of Udine, 33100, Udine, Italy; Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081, Aviano, ItalyDepartment of Medicine (DMED), University of Udine, 33100, Udine, Italy; Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081, Aviano, ItalyDepartment of Medicine (DMED), University of Udine, 33100, Udine, Italy; Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081, Aviano, Italy; Corresponding author. Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Via Franco Gallini 2, 33081, Aviano (PN), Italy.Department of Medicine (DMED), University of Udine, 33100, Udine, Italy; Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, 33081, Aviano, ItalyImmunohistochemical (IHC) tissue profiling is a standard practice in the management of metastatic breast cancer (mBC), that enables the identification of distinct biological phenotypes based on hormone receptors' expression. Luminal-like tumors primarily benefit from a first line treatment strategy combining endocrine therapy and cyclin-dependent kinase 4/6 inhibitors. However, IHC analyses necessitate invasive procedures and may encounter technical and interpretational challenges. In the current era of precision medicine, liquid biopsy holds potential to provide clinicians with additional insights into disease biology, including mechanisms underlying endocrine resistance and disease progression. Several liquid-based biomarkers are entering clinical practice and hold prognostic and predictive values in Luminal-like mBC, while many others are currently being investigated. The present work aims to summarize the current evidence regarding the clinical meanings of hormone receptors and their downstream molecular pathways, alongside their implications for therapeutic decision-making in Luminal-like mBC.http://www.sciencedirect.com/science/article/pii/S0960977624001905Metastatic breast cancerHormone receptorsImmunohistochemistryLiquid biopsyBiomarkersEndocrine resistance
spellingShingle Brenno Pastò
Riccardo Vida
Arianna Dri
Lorenzo Foffano
Serena Della Rossa
Lorenzo Gerratana
Fabio Puglisi
Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancer
Breast
Metastatic breast cancer
Hormone receptors
Immunohistochemistry
Liquid biopsy
Biomarkers
Endocrine resistance
title Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancer
title_full Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancer
title_fullStr Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancer
title_full_unstemmed Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancer
title_short Beyond Hormone Receptors: liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision-making in Luminal-like metastatic breast cancer
title_sort beyond hormone receptors liquid biopsy tools to unveil new clinical meanings and empower therapeutic decision making in luminal like metastatic breast cancer
topic Metastatic breast cancer
Hormone receptors
Immunohistochemistry
Liquid biopsy
Biomarkers
Endocrine resistance
url http://www.sciencedirect.com/science/article/pii/S0960977624001905
work_keys_str_mv AT brennopasto beyondhormonereceptorsliquidbiopsytoolstounveilnewclinicalmeaningsandempowertherapeuticdecisionmakinginluminallikemetastaticbreastcancer
AT riccardovida beyondhormonereceptorsliquidbiopsytoolstounveilnewclinicalmeaningsandempowertherapeuticdecisionmakinginluminallikemetastaticbreastcancer
AT ariannadri beyondhormonereceptorsliquidbiopsytoolstounveilnewclinicalmeaningsandempowertherapeuticdecisionmakinginluminallikemetastaticbreastcancer
AT lorenzofoffano beyondhormonereceptorsliquidbiopsytoolstounveilnewclinicalmeaningsandempowertherapeuticdecisionmakinginluminallikemetastaticbreastcancer
AT serenadellarossa beyondhormonereceptorsliquidbiopsytoolstounveilnewclinicalmeaningsandempowertherapeuticdecisionmakinginluminallikemetastaticbreastcancer
AT lorenzogerratana beyondhormonereceptorsliquidbiopsytoolstounveilnewclinicalmeaningsandempowertherapeuticdecisionmakinginluminallikemetastaticbreastcancer
AT fabiopuglisi beyondhormonereceptorsliquidbiopsytoolstounveilnewclinicalmeaningsandempowertherapeuticdecisionmakinginluminallikemetastaticbreastcancer