Terapias dirigidas en combinación con hormonoterapia en cáncer de mama avanzado HER2- negativo - page 12

Molecular Characteristics of Breast
Cancer Subtypes
Subtype
Luminal A
Luminal B
Basal-like
HER2-enriched
TP53 pathway
TP53
mut (12%)
MDM2
gain (14%)
TP53
mut (32%)
MDM2
gain (31%)
TP53
mut
(84%)
MDM2
gain (14%)
TP53
mut (75%)
MDM2
gain (30%)
PIK3CA/PTEN
pathway
PIK3CA
mut (49%)
PTEN
mut/loss (13%)
INPP4B
loss (9%)
PIK3CA
mut (32%)
PTEN
mut/loss (24%)
INPP4B
loss (16%)
PIK3CA
mut (7%)
PTEN
mut/loss (35%)
INPP4B
loss (30%)
PIK3CA
mut (42%)
PTEN
mut/loss (19%)
INPP4B
loss (30%)
RB1 pathway
Cyclin D1 amp (29%)
CDK4
gain (14%)
Low expression of
CDK2NC
High expression of
RB1
Cyclin D1 amp (58%)
CDK4
gain (25%)
RB1
mut/loss (20%)
Cyclin E1 amp (9%)
High expression of
CDKN2A
Low expression of
RB1
Cyclin D1 amp (38%)
CDK4
gain (24%)
Molecular analysis of breast cancers provides insight into
signaling pathways that are frequently dysregulated in different subtypes, which can
guide drug development
amp, amplification; CDK4, cyclin-dependent kinase 4; CDK2NC, cyclin-dependent kinase inhibitor; INPP4B, inositol phosphatase-4-phosphatase type II; MDM2, mouse double minute 2
homolog; mut, mutation; PIK3CA, phosphatidylinositol 3-kinase catalytic subunit alpha; PTEN, phosphatase and tensin homolog; RB1, retinoblastoma 1; TP53, tumor protein 53.
The Cancer Genomic Atlas Network.
Nature
2012;490:61–70.
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