Impact of Molecular Profiling on Therapy Management in Breast Cancer

Author:

Ultimescu Flavia12,Hudita Ariana34ORCID,Popa Daniela Elena5,Olinca Maria16ORCID,Muresean Horatiu Alin1,Ceausu Mihail6ORCID,Stanciu Diana Iuliana3,Ginghina Octav78,Galateanu Bianca3ORCID

Affiliation:

1. OncoTeam Diagnostic S.A., 010719 Bucharest, Romania

2. Doctoral School of Medicine, “Carol Davila” University of Medicine and Pharmacy Bucharest, 050474 Bucharest, Romania

3. Faculty of Biology, University of Bucharest, 050095 Bucharest, Romania

4. Research Institute of the University of Bucharest, University of Bucharest, 050663 Bucharest, Romania

5. Faculty of Pharmacy, “Carol Davila” University of Medicine and Pharmacy Bucharest, 020956 Bucharest, Romania

6. Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy Bucharest, 050474 Bucharest, Romania

7. Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy Bucharest, 010221 Bucharest, Romania

8. Department of Surgery 3, “Prof. Dr. Al. Trestioreanu” Institute of Oncology Bucharest, 022328 Bucharest, Romania

Abstract

Breast cancer (BC) remains the most prevalent cancer among women and the leading cause of cancer-related mortality worldwide. The heterogeneity of BC in terms of histopathological features, genetic polymorphisms, and response to therapies necessitates a personalized approach to treatment. This review focuses on the impact of molecular profiling on therapy management in breast cancer, emphasizing recent advancements in next-generation sequencing (NGS) and liquid biopsies. These technologies enable the identification of specific molecular subtypes and the detection of blood-based biomarkers such as circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and tumor-educated platelets (TEPs). The integration of molecular profiling with traditional clinical and pathological data allows for more tailored and effective treatment strategies, improving patient outcomes. This review also discusses the current challenges and prospects of implementing personalized cancer therapy, highlighting the potential of molecular profiling to revolutionize BC management through more precise prognostic and therapeutic interventions.

Funder

Ministry of Research, Innovation, and Digitization, CNCS UEFISCDI

Publisher

MDPI AG

Reference192 articles.

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