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Saturday 15 July 2023

Combination Therapy for ER+ Breast Carcinoma

Combination Therapy for ER+ Breast Cancer



Combination Therapy Shows Promising for Advanced ER+ Breast Cancer Treatment


Breast cancer is a difficult disease to treat, especially when it has reached an advanced stage and is estrogen receptor positive (ER+). But researchers at Dartmouth Cancer Center may have found a possible solution. The team led by Todd W. Miller conducted a study that suggested that a combination of estrogen and a PARP inhibitor could be an effective treatment for this type of cancer.

Estrogen has been used as a breast carcinoma treatment since the 1950s, and approximately 30% of patients with advanced endocrine resistant ER+ breast cancer experience anticancer effects from estrogen therapy. Despite its proven efficacy, the treatment is not widely used, in part because its mechanism of action is unclear.


Miller's work sheds light on how estrogen can damage cancer cells by reactivating the estrogen receptor in these cells. This recombination causes damage to the cells. By combining estrogen therapy with a PARP inhibitor, the damage to cancer cells can be intensified. PARP inhibitors suppress the repair of DNA damage in cancer cells, causing more damage to their DNA.


The findings of this study were published in Clinical Cancer Research, a journal of the American Association for Cancer Research. The study showed that estrogen therapy induces receptor-dependent DNA damage in ER+ breast cancer and this damage is enhanced by PARP inhibition.

A clinical trial will be conducted to ensure the safety and efficacy of this new treatment strategy. If fortunate, this could provide a new treatment option for patients with advanced ER-positive breast malignancy. Miller believes that, thanks to their ability to enhance the therapeutic effects of estrogen, PARP inhibitors will be widely used to treat more patients in the future.

In the next stage of clinical trials,is  to test the safety and effectiveness of this combination therapy. If the results are positive, it could revolutionize the treatment options available for patients with advanced ER+ breast carcinoma. This is particularly important given the limited treatment options available for advanced ER+ breast cancer.


Breast cancer is the most common cancer among women worldwide, and ER+ breast cancer accounts for a significant proportion of these cases. This means that finding effective treatment options for this subtype of breast cancer is crucial.


The potential to combine estrogen therapy with a PARP inhibitor is exciting because it targets cancer cells in many ways. Estrogen damages cancer cells by re-activating the estrogen receptor, while a PARP inhibitor prevents cells from repairing DNA damage. This combination may lead to more effective treatment outcomes for patients with advanced ER+ breast cancer.

While the study by Miller and his team is an important step forward, more research is needed to fully understand the mechanism of action and potential side effects of this combination therapy. Clinical research will provide valuable information on the safety and efficacy of this treatment strategy.


In conclusion, the combination of estrogen therapy and a PARP inhibitor shows promise as an effective treatment for advanced ER+ breast cancer. This approach targets cancer cells in multiple ways, potentially leading to improved outcomes for patients. The upcoming clinical trial will provide more information on the safety and efficacy of this combination therapy. If successful, it could offer a new treatment option for patients with limited options for advanced ER+ breast cancer.



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