The Genomic Landscape of Intrinsic and Acquired Resistance to Cyclin-Dependent Kinase 4/6 Inhibitors in Patients with Hormone Receptor-Positive Metastatic Breast Cancer

激素受体阳性转移性乳腺癌患者对细胞周期蛋白依赖性激酶 4/6 抑制剂的内在和获得性耐药的基因组图谱

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作者:Seth A Wander #, Ofir Cohen #, Xueqian Gong #, Gabriela N Johnson, Jorge E Buendia-Buendia, Maxwell R Lloyd, Dewey Kim, Flora Luo, Pingping Mao, Karla Helvie, Kailey J Kowalski, Utthara Nayar, Adrienne G Waks, Stephen H Parsons, Ricardo Martinez, Lacey M Litchfield, Xiang S Ye, Chunping Yu, Valerie

Significance

We identified eight distinct mechanisms of resistance to CDK4/6i present in 66% of resistant tumors profiled. Most of these have a therapeutic strategy to overcome or prevent resistance in these tumors. Taken together, these findings have critical implications related to the potential utility of precision-based approaches to overcome resistance in many patients with HR+ metastatic breast cancer.This article is highlighted in the In This Issue feature, p. 1079.

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