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Developmental windows of breast cancer risk provide opportunities for targeted chemoprevention.

Abstract
The magnitude of the breast cancer problem implores researchers to aggressively investigate prevention strategies. However, several barriers currently reduce the feasibility of breast cancer prevention. These barriers include the inability to accurately predict future breast cancer diagnosis at the individual level, the need for improved understanding of when to implement interventions, uncertainty with respect to optimal duration of treatment, and negative side effects associated with currently approved chemoprevention therapies. None-the-less, the unique biology of the mammary gland, with its postnatal development and conditional terminal differentiation, may permit the resolution of many of these barriers. Specifically, lifecycle-specific windows of breast cancer risk have been identified that may be amenable to risk-reducing strategies. Here, we argue for prevention research focused on two of these lifecycle windows of risk: postpartum mammary gland involution and peri-menopause. We provide evidence that these windows are highly amenable to targeted, limited duration treatments. Such approaches could result in the prevention of postpartum and postmenopausal breast cancers, correspondingly.
AuthorsHolly A Martinson, Traci R Lyons, Erin D Giles, Virginia F Borges, Pepper Schedin
JournalExperimental cell research (Exp Cell Res) Vol. 319 Issue 11 Pg. 1671-8 (Jul 01 2013) ISSN: 1090-2422 [Electronic] United States
PMID23664839 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S., Review)
CopyrightCopyright © 2013 The Authors. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Antineoplastic Agents
Topics
  • Animals
  • Antineoplastic Agents (therapeutic use)
  • Breast Neoplasms (etiology, pathology, prevention & control)
  • Cell Transformation, Neoplastic (drug effects)
  • Disease Progression
  • Drug Design
  • Female
  • Humans
  • Risk Factors

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