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Critical research gaps and translational priorities for the successful prevention and treatment of breast cancer

Eccles, SA, Aboagye, EO, Ali, S, Anderson, AS, Armes, Jo, Berditchevski, F, Blaydes, JP, Brennan, K, Brown, NJ, Bryant, HE , Bundred, NJ, Burchell, JM, Campbell, AM, Carroll, JS, Clarke, RB, Coles, CE, Cook, GJR, Cox, A, Curtin, NJ, Dekker, LV, Silva, IDS, Duffy, SW, Easton, DF, Eccles, DM, Edwards, DR, Edwards, J, Evans, DG, Fenlon, DF, Flanagan, JM, Foster, C, Gallagher, WM, Garcia-Closas, M, Gee, JMW, Gescher, AJ, Goh, V, Groves, AM, Harvey, AJ, Harvie, M, Hennessy, BT, Hiscox, S, Holen, I, Howell, SJ, Howell, A, Hubbard, G, Hulbert-Williams, N, Hunter, MS, Jasani, B, Jones, LJ, Key, TJ, Kirwan, CC, Kong, A, Kunkler, IH, Langdon, SP, Leach, MO, Mann, DJ, Marshall, JF, Martin, LA, Martin, SG, Macdougall, JE, Miles, DW, Miller, WR, Morris, JR, Moss, SM, Mullan, P, Natrajan, R, O'Connor, JPB, O'Connor, R, Palmieri, C, Pharoah, PDP, Rakha, EA, Reed, E, Robinson, SP, Sahai, E, Saxton, JM, Schmid, P, Smalley, MJ, Speirs, V, Stein, R, Stingl, J, Streuli, CH, Tutt, ANJ, Velikova, G, Walker, RA, Watson, CJ, Williams, KJ, Young, LS and Thompson, AM (2013) Critical research gaps and translational priorities for the successful prevention and treatment of breast cancer Breast Cancer Research, 15 (5), ARTN R92.

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Abstract

Introduction

Breast cancer remains a significant scientific, clinical and societal challenge. This gap analysis has reviewed and critically assessed enduring issues and new challenges emerging from recent research, and proposes strategies for translating solutions into practice.

Methods

More than 100 internationally recognised specialist breast cancer scientists, clinicians and healthcare professionals collaborated to address nine thematic areas: genetics, epigenetics and epidemiology; molecular pathology and cell biology; hormonal influences and endocrine therapy; imaging, detection and screening; current/novel therapies and biomarkers; drug resistance; metastasis, angiogenesis, circulating tumour cells, cancer ‘stem’ cells; risk and prevention; living with and managing breast cancer and its treatment. The groups developed summary papers through an iterative process which, following further appraisal from experts and patients, were melded into this summary account.

Results

The 10 major gaps identified were: (1) understanding the functions and contextual interactions of genetic and epigenetic changes in normal breast development and during malignant transformation; (2) how to implement sustainable lifestyle changes (diet, exercise and weight) and chemopreventive strategies; (3) the need for tailored screening approaches including clinically actionable tests; (4) enhancing knowledge of molecular drivers behind breast cancer subtypes, progression and metastasis; (5) understanding the molecular mechanisms of tumour heterogeneity, dormancy, de novo or acquired resistance and how to target key nodes in these dynamic processes; (6) developing validated markers for chemosensitivity and radiosensitivity; (7) understanding the optimal duration, sequencing and rational combinations of treatment for improved personalised therapy; (8) validating multimodality imaging biomarkers for minimally invasive diagnosis and monitoring of responses in primary and metastatic disease; (9) developing interventions and support to improve the survivorship experience; (10) a continuing need for clinical material for translational research derived from normal breast, blood, primary, relapsed, metastatic and drug-resistant cancers with expert bioinformatics support to maximise its utility. The proposed infrastructural enablers include enhanced resources to support clinically relevant in vitro and in vivo tumour models; improved access to appropriate, fully annotated clinical samples; extended biomarker discovery, validation and standardisation; and facilitated cross-discipline working.

Conclusions

With resources to conduct further high-quality targeted research focusing on the gaps identified, increased knowledge translating into improved clinical care should be achievable within five years.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Eccles, SAUNSPECIFIEDUNSPECIFIED
Aboagye, EOUNSPECIFIEDUNSPECIFIED
Ali, SUNSPECIFIEDUNSPECIFIED
Anderson, ASUNSPECIFIEDUNSPECIFIED
Armes, Jojo.armes@surrey.ac.ukUNSPECIFIED
Berditchevski, FUNSPECIFIEDUNSPECIFIED
Blaydes, JPUNSPECIFIEDUNSPECIFIED
Brennan, KUNSPECIFIEDUNSPECIFIED
Brown, NJUNSPECIFIEDUNSPECIFIED
Bryant, HEUNSPECIFIEDUNSPECIFIED
Bundred, NJUNSPECIFIEDUNSPECIFIED
Burchell, JMUNSPECIFIEDUNSPECIFIED
Campbell, AMUNSPECIFIEDUNSPECIFIED
Carroll, JSUNSPECIFIEDUNSPECIFIED
Clarke, RBUNSPECIFIEDUNSPECIFIED
Coles, CEUNSPECIFIEDUNSPECIFIED
Cook, GJRUNSPECIFIEDUNSPECIFIED
Cox, AUNSPECIFIEDUNSPECIFIED
Curtin, NJUNSPECIFIEDUNSPECIFIED
Dekker, LVUNSPECIFIEDUNSPECIFIED
Silva, IDSUNSPECIFIEDUNSPECIFIED
Duffy, SWUNSPECIFIEDUNSPECIFIED
Easton, DFUNSPECIFIEDUNSPECIFIED
Eccles, DMUNSPECIFIEDUNSPECIFIED
Edwards, DRUNSPECIFIEDUNSPECIFIED
Edwards, JUNSPECIFIEDUNSPECIFIED
Evans, DGUNSPECIFIEDUNSPECIFIED
Fenlon, DFUNSPECIFIEDUNSPECIFIED
Flanagan, JMUNSPECIFIEDUNSPECIFIED
Foster, CUNSPECIFIEDUNSPECIFIED
Gallagher, WMUNSPECIFIEDUNSPECIFIED
Garcia-Closas, MUNSPECIFIEDUNSPECIFIED
Gee, JMWUNSPECIFIEDUNSPECIFIED
Gescher, AJUNSPECIFIEDUNSPECIFIED
Goh, VUNSPECIFIEDUNSPECIFIED
Groves, AMUNSPECIFIEDUNSPECIFIED
Harvey, AJUNSPECIFIEDUNSPECIFIED
Harvie, MUNSPECIFIEDUNSPECIFIED
Hennessy, BTUNSPECIFIEDUNSPECIFIED
Hiscox, SUNSPECIFIEDUNSPECIFIED
Holen, IUNSPECIFIEDUNSPECIFIED
Howell, SJUNSPECIFIEDUNSPECIFIED
Howell, AUNSPECIFIEDUNSPECIFIED
Hubbard, GUNSPECIFIEDUNSPECIFIED
Hulbert-Williams, NUNSPECIFIEDUNSPECIFIED
Hunter, MSUNSPECIFIEDUNSPECIFIED
Jasani, BUNSPECIFIEDUNSPECIFIED
Jones, LJUNSPECIFIEDUNSPECIFIED
Key, TJUNSPECIFIEDUNSPECIFIED
Kirwan, CCUNSPECIFIEDUNSPECIFIED
Kong, AUNSPECIFIEDUNSPECIFIED
Kunkler, IHUNSPECIFIEDUNSPECIFIED
Langdon, SPUNSPECIFIEDUNSPECIFIED
Leach, MOUNSPECIFIEDUNSPECIFIED
Mann, DJUNSPECIFIEDUNSPECIFIED
Marshall, JFUNSPECIFIEDUNSPECIFIED
Martin, LAUNSPECIFIEDUNSPECIFIED
Martin, SGUNSPECIFIEDUNSPECIFIED
Macdougall, JEUNSPECIFIEDUNSPECIFIED
Miles, DWUNSPECIFIEDUNSPECIFIED
Miller, WRUNSPECIFIEDUNSPECIFIED
Morris, JRUNSPECIFIEDUNSPECIFIED
Moss, SMUNSPECIFIEDUNSPECIFIED
Mullan, PUNSPECIFIEDUNSPECIFIED
Natrajan, RUNSPECIFIEDUNSPECIFIED
O'Connor, JPBUNSPECIFIEDUNSPECIFIED
O'Connor, RUNSPECIFIEDUNSPECIFIED
Palmieri, CUNSPECIFIEDUNSPECIFIED
Pharoah, PDPUNSPECIFIEDUNSPECIFIED
Rakha, EAUNSPECIFIEDUNSPECIFIED
Reed, EUNSPECIFIEDUNSPECIFIED
Robinson, SPUNSPECIFIEDUNSPECIFIED
Sahai, EUNSPECIFIEDUNSPECIFIED
Saxton, JMUNSPECIFIEDUNSPECIFIED
Schmid, PUNSPECIFIEDUNSPECIFIED
Smalley, MJUNSPECIFIEDUNSPECIFIED
Speirs, VUNSPECIFIEDUNSPECIFIED
Stein, RUNSPECIFIEDUNSPECIFIED
Stingl, JUNSPECIFIEDUNSPECIFIED
Streuli, CHUNSPECIFIEDUNSPECIFIED
Tutt, ANJUNSPECIFIEDUNSPECIFIED
Velikova, GUNSPECIFIEDUNSPECIFIED
Walker, RAUNSPECIFIEDUNSPECIFIED
Watson, CJUNSPECIFIEDUNSPECIFIED
Williams, KJUNSPECIFIEDUNSPECIFIED
Young, LSUNSPECIFIEDUNSPECIFIED
Thompson, AMUNSPECIFIEDUNSPECIFIED
Date : 1 October 2013
Identification Number : 10.1186/bcr3493
Copyright Disclaimer : © 2013 Eccles et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords : Science & Technology, Life Sciences & Biomedicine, Oncology, ONCOLOGY, RANDOMIZED CONTROLLED-TRIAL, CIRCULATING TUMOR-CELLS, QUALITY-OF-LIFE, EPITHELIAL-MESENCHYMAL TRANSITION, ESTROGEN-RECEPTOR-BETA, ADJUVANT MULTINATIONAL TRIAL, MAMMARY-GLAND DEVELOPMENT, ONCOLOGY DRUG DEVELOPMENT, TRANSGENIC MOUSE MODELS, RISK PREDICTION MODEL
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 10:03
Last Modified : 07 Dec 2017 10:49
URI: http://epubs.surrey.ac.uk/id/eprint/826202

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