The significance of cholesterol and its metabolite, 27-hydroxycholesterol in breast cancer.

Abstract:

:Although significant advances in the treatment of breast cancer have been made, in particular in the use of endocrine therapy, de novo and aquired resistance to therapy, and metastatic recurrence continue to be major clinical problems. Given the high prevalence of breast cancer, new life-style or chemotherapeutic approaches are required. In this regard, cholesterol has emerged as a risk factor for the onset of breast cancer, and elevated cholesterol is associated with a poor prognosis. While treatment with cholesterol lowering medication is not associated with breast cancer risk, it does appear to be protective against recurrence. Importantly, the cholesterol axis represents a potential target for both life-style and pharmacological intervention. This review will outline the clinical and preclinical data supporting a role for cholesterol in breast cancer pathophysiology. Specific focus is given to 27-hydroxycholesterol (27-OHC; (3β,25R)-Cholest-5-ene-3,26-diol)), a primary metabolite of cholesterol that has recently been defined as an endogenous Selective Estrogen Receptor Modulator. Future perspectives and directions are discussed.

journal_name

Mol Cell Endocrinol

authors

Nelson ER

doi

10.1016/j.mce.2017.09.021

subject

Has Abstract

pub_date

2018-05-05 00:00:00

pages

73-80

eissn

0303-7207

issn

1872-8057

pii

S0303-7207(17)30506-3

journal_volume

466

pub_type

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