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Clinical target sequencing for precision medicine of breast cancer

  • Junko Tsuchida
  • Jami Rothman
  • Kerry-Ann McDonald
  • Masayuki NagahashiEmail author
  • Kazuaki TakabeEmail author
  • Toshifumi Wakai
Review Article
  • 60 Downloads

Abstract

Precision medicine can be defined as the customization of medical treatment based on the individual genetic profile, which enables one to identify patients who respond to therapies while sparing side effects for those who do not. Breast cancer patients have been treated based on subtyping, which is considered a prototype of precision medicine. Furthermore, the development of multigene panel testing has resulted in a paradigm shift in the treatment of breast cancer. The knowledge generated from the Human Genome Project, and subsequently The Cancer Genome Atlas, has provided the concept of precision medicine, in which cancer patients can be sub-classified based on actionable driver mutations that can be selectively targeted by molecular targeted drugs and treated by appropriate molecular targeted therapies. Development of next-generation sequencing has both dramatically advanced genomic sequencing technology and revealed actionable driver mutations for individual cancer patients when applied to a clinical setting. Clinical target sequencing by next-generation sequencing enables one to formulate treatment strategies, not only by selecting a subgroup of patients who are expected to experience more effectiveness of each drug, but also by revealing patients with drug resistance based on their actionable driver mutations.

Keywords

Precision medicine Breast cancer Next-generation sequencing Targeted therapy Clinical target sequencing Drug resistance 

Notes

Acknowledgements

This project was supported by funding from Denka Co., Ltd. This work was supported by the Japan Society for the Promotion of Science (JSPS) Grant-in-Aid for Scientific Research Grant Numbers 16K19888 for J.T., 18K19576 for M.N., and 16K15610 for T.W. M.N. was also supported by Takeda Science Foundation. K.T. was supported by NIH/NCI grant R01CA160688 and Susan G. Komen Investigator Initiated Research Grant IIR12222224. J.T. and M.N. were supported by Tohoku Cancer Professional Training Promotion Plan.

Compliance with ethical standards

Conflict of interest

The authors declare no potential conflicts of interest.

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Copyright information

© Japan Society of Clinical Oncology 2019

Authors and Affiliations

  1. 1.Division of Digestive and General SurgeryNiigata University Graduate School of Medical and Dental SciencesNiigataJapan
  2. 2.Breast Surgery, Department of Surgical OncologyRoswell Park Comprehensive Cancer CenterBuffaloUSA
  3. 3.Department of Surgery, Jacobs School of Medicine and Biomedical SciencesUniversity at Buffalo, The State University of New YorkBuffaloUSA

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