Targeting Dormant Tumor Cells: A Promising Strategy to Prevent Breast Cancer Recurrence
Highlight
- Breast cancer recurrence is often driven by dormant disseminated tumor cells (DTCs) persisting in bone marrow and other niches.
- Preclinical mouse models identified autophagy and mTOR signaling as key regulators of tumor cell dormancy and reactivation.
- Inhibition of autophagy with hydroxychloroquine (HCQ) and mTOR signaling with everolimus (EVE) decreased residual tumor cell burden and improved recurrence-free survival (RFS) in a duration-dependent manner.
- The CLEVER phase 2 trial demonstrated that targeting dormant DTCs with HCQ, EVE, or their combination is safe, feasible, and leads to significant reductions or clearance of DTCs in breast cancer survivors within 5 years of diagnosis.
Study Background and Disease Burden
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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.