Zoledronic acid effectiveness against breast cancer metastases - a role for estrogen in the microenvironment?

Abstract:

:Zoledronic acid (ZA) is an imidazole-containing bisphosphonate that has been extensively studied as an osteoclast inhibitor. ZA decreases bone turnover and has been effective in limiting osteolysis in metastatic cancers, including breast cancer. Recent clinical trials that demonstrated enhancement of disease-free survival by bisphosphonates have prompted interest in bisphosphonates as anti-cancer agents. ZA, for example, increased disease-free survival in postmenopausal and in premenopausal, hormone-suppressed breast cancer patients. Intriguingly, however, there was a lack of an anti-cancer effect of ZA in premenopausal women without ovarian suppression. These observations have prompted the conjecture that anti-cancer effects of ZA are limited to estrogen-poor environments. This review explores possible mechanisms compatible with differences in ZA activity in premenopausal women compared with postmenopausal (or hormone-suppressed) women.

journal_name

Breast Cancer Res

authors

Steinman RA,Brufsky AM,Oesterreich S

doi

10.1186/bcr3223

subject

Has Abstract

pub_date

2012-09-21 00:00:00

pages

213

issue

5

eissn

1465-5411

issn

1465-542X

pii

bcr3223

journal_volume

14

pub_type

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