Research on breast cancer
A considerable part of the current knowledge on breast carcinomas is
based on in vivo and in vitro studies performed with breast cancer cell
(BCC) lines. These provide an unlimited source of homogenous
self-replicating material, free of contaminating stromal cells, and
often easily cultured in simple standard media. The first line
described, BT-20, was established in 1958. Since then, and despite
sustained work in this area, the number of permanent lines obtained has
been strikingly low (about 100). Indeed, attempts to culture BCC from
primary tumors have been largely unsuccessful. This poor efficiency was
often due to technical difficulties associated with the extraction of
viable tumor cells from their surrounding stroma. Most of the available
BCC lines issued from metastatic tumors, mainly from pleural effusions.
Effusions provided generally large numbers of dissociated, viable tumor
cells with little or no contamination by fibroblasts and other tumor
stroma cells. Many of the currently used BCC lines were established in
the late 1970s. A very few of them, namely MCF-7,
T-47D, and MDA-MB-231, account for more than two-thirds of all
abstracts reporting studies on mentioned BCC lines, as concluded from a Medline-based survey.
Treatments are constantly evaluated in randomized, controlled trials,
to evaluate and compare individual drugs, combinations of drugs, and
surgical and radiation techniques. The latest research is reported
annually at scientific meetings such as that of the American Society of Clinical Oncology, San Antonio Breast Cancer Symposium, and the St. Gallen Oncology Conference in St. Gallen, Switzerland.
These studies are reviewed by professional societies and other
organizations, and formulated into guidelines for specific treatment
groups and risk category.
NFAT transcription factors are implicated in breast cancer, more
specifically in the process of cell motility at the basis of metastasis
formation. Indeed NFAT1 (NFATC2) and NFAT5 are pro-invasive and
pro-migratory in breast carcinoma and NFAT3 (NFATc4) is an inhibitor of cell motility. NFAT1 regulates the expression of the TWEAKR and its ligand TWEAK with the Lipocalin 2 to increase breast cancer cell invasion and NFAT3 inhibits Lipocalin 2 expression to blunt the cell invasion.
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