MONDAY, June 16 (HealthDay News) -- Researchers have identified
a new group of compounds that might one day be added to the
armamentarium of therapies designed to fight estrogen-fueled breast
cancer.
"This is a potential new approach to treating hormonally
sensitive tumors," said Dr. Len Lichtenfeld, deputy chief medical
officer of the American Cancer Society. "If it proves to work with
a lot of further research, then it does have potential as an
important part of cancer research."
The study, by researchers from the University of North Carolina,
Chapel Hill, the University of Colorado Health Sciences Center,
Denver, and the University of Illinois, Urbana-Champaign, was
presented Monday at the annual meeting of the Endocrine Society, in
San Francisco.
The molecule, called TPBM, and related drugs may have a role in
treating patients who have become resistant to other hormone-based
therapies, such as tamoxifen.
"We have a large number of people who have estrogen
receptor-positive breast cancer who respond wonderfully to hormone
therapy. But, sometimes, after one or two years, the hormone
therapy stops working," said Dr. Jay Brooks, chairman of
hematology/oncology at Ochsner Health System in Baton Rouge, La.
"[Then] we'll switch to something else. That works for about a year
before the cancer progresses. So what is it that's happening in
those cancer cells that they become resistant? Perhaps there is
another mechanism in which we can try to keep cells in response,
and this would perhaps be one of them."
Some two-thirds of all breast cancers are estrogen
receptor-positive and therefore respond to hormonal treatments such
as tamoxifen or the newer aromatase inhibitors.
Tamoxifen blocks estrogen receptors on breast cancer cells,
while aromatase inhibitors interfere with the body's ability to
produce estrogen.
But almost all cancers in this category eventually become
resistant to tamoxifen and, in some cases, tamoxifen may even turn
the tables and start acting like estrogen, thereby fueling tumor
growth.
Through extensive laboratory testing, the study authors
identified a group of compounds related to TPBM that interfered
with estrogen's effect on breast cancer cells via a different
pathway. The molecules work by affecting the way estrogen receptors
interact with a woman's DNA, the researchers said.
TPBM has the advantage of being "highly specific" and therefore
much less likely to have any unwanted effects on other cells. It
also works against tamoxifen when tamoxifen starts fueling tumor
growth, the researchers said.
"As we look forward with all of our research and our
capabilities, we'll hopefully continue to discover new ways to
exploit hormone sensitivity," Lichtenfeld said. "This may be the
next pathway, although we can't say that for sure... Hormonal
approaches to breast cancer continue to add, literally, years to
lives."
More information
For more on treating breast cancer, visit the
National Cancer Institute.