Abstract
Purpose of Review
This review aims to explore the multifaceted landscape of breast cancer, focusing on the crucial role of genetic and genomic studies in understanding its heterogeneity and guiding personalized treatment strategies. It seeks to address the genetic underpinnings of breast cancer and the potential for developing targeted therapies.
Recent Findings
Recent advancements in genome-wide analysis and next-generation sequencing technologies have significantly advanced our understanding of the genetic complexities of breast cancer. Key discoveries include gene copy number alterations, mutational signatures, and intricate patterns of intra-tumoral heterogeneity. Specific genetic aberrations, such as the “kataegis” phenomenon and mutations in the integrin signaling pathway, have been identified, providing new avenues for therapeutic intervention. These findings highlight the diversity of breast cancer subtypes, including triple-negative breast cancer (TNBC), and underscore the importance of personalized medicine.
Summary
The review concludes that dissecting the genomic landscape of breast cancer reveals significant genetic diversity and potential targets for therapy. Identifying specific genetic alterations holds promise for developing targeted therapies, emphasizing the necessity of personalized medicine in breast cancer care. Despite challenges in integrating these genetic insights into clinical practice, the potential for more effective and tailored treatment approaches is substantial. Future research should focus on overcoming these challenges to fully realize the benefits of personalized medicine for breast cancer patients.


Similar content being viewed by others
Data Availability
No datasets were generated or analysed during the current study.
References
Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A, Breast, Cancer—Epidemiology. Risk factors, classification, prognostic markers, and current treatment Strategies—An updated review. Cancers. 2021;13:4287. https://doi.org/10.3390/cancers13174287.
Rahman WT, Helvie MA. Breast cancer screening in average and high-risk women. Best Pract Res Clin Obstet Gynecol. 2022;83:3–14. https://doi.org/10.1016/j.bpobgyn.2021.11.007.
Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. Cancer J Clin. 2007;57(1):43–66. https://doi.org/10.3322/canjclin.57.1.43.
Standring S, editor. Gray’s Anatomy E-Book: Gray’s Anatomy E-Book. Elsevier Health Sciences; 2021, p. 22.
Zhu W, Nelson CM. Adipose and mammary epithelial tissue engineering. Biomatter. 2013;3(3):e24630. https://doi.org/10.4161/biom.24630.
Javed A, Lteif A. Development of the human breast. In: Seminars in plastic surgery (Vol. 27, No. 01). Thieme Medical Publishers; 2013. pp. 005–012. https://doi.org/10.1055/s-0033-1343989.
Johnson MC, Cutler ML. Anatomy and physiology of the breast. In: Jatoi I, Rody A, editors. Management of breast diseases. Cham: Springer; 2016. https://doi.org/10.1007/978-3-319-46356-8_1.
Al-Shami K, Awadi S, Alsheikh AM, Al-Sharif S, Ala’Bereshy R, Al-Eitan SF, Banikhaled SH, Al-Qudimat A, Al-Zoubi RM, Al Zoubi MS. Estrogens and the risk of breast cancer: a narrative review of literature. Heliyon. https://doi.org/10.1016/j.heliyon.2023.e20224.
Yue W, Wang JP, Li Y, Fan P, Liu G, Zhang N, Conaway M, Wang H, Korach KS, Bocchinfuso W, Santen R. Effects of estrogen on breast cancer development: role of estrogen receptor independent mechanisms. Int J Cancer. 2010;127(8):1748–57. https://doi.org/10.1002/ijc.25207.
Zhou Z, Qiao JX, Shetty A, et al. RETRACTED ARTICLE: regulation of estrogen receptor signaling in breast carcinogenesis and breast cancer therapy. Cell Mol Life Sci. 2014;71:1549. https://doi.org/10.1007/s00018-013-1376-3.
Ercan C, van Diest PJ, Vooijs M. Mammary development and breast cancer: the role of stem cells. Curr Mol Med. 2011;11:270–85. https://doi.org/10.2174/156652411795678007.
Feng Y, et al. Breast cancer development and progression: risk factors, cancer stem cells, signaling pathways, genomics, and molecular pathogenesis. Genes Dis. 2018;5(2):77–106. https://doi.org/10.1016/j.gendis.2018.05.001.
Giancotti FG. Mechanisms governing metastatic dormancy and reactivation. Cell 2013;155(4):750–764. https://doi.org/10.1016/j.cell.2013.10.029.
Alvarado M, Ozanne E, Esserman L. Overdiagnosis and overtreatment of breast cancer. American Society of Clinical Oncology. Educational Book. 2012;32(1):e40–5. https://doi.org/10.14694/EdBook_AM.2012.32.30.
Hophan SL, Odnokoz O, Liu H, Luo Y, Khan S, Gradishar W, Zhou Z, Badve S, Torres MA. Yong Wan, Ductal carcinoma in situ of breast: From molecular etiology to therapeutic management. Endocrinology 2022;163(4):bqac027, https://doi.org/10.1210/endocr/bqac027.
Chen W, Guimei Wang, and, Zhang G. Insights into the transition of ductal carcinoma in situ to invasive ductal carcinoma: morphology, molecular portraits, and the tumor microenvironment. Cancer Biology Med. 2022;19:1487. https://doi.org/10.20892/j.issn.2095-3941.2022.0440.
Piri L, Welcsh M-C, King. BRCA1 and BRCA2 and the genetics of breast and ovarian cancer. Human Mol Genet. 2001;10(7):705–713, https://doi.org/10.1093/hmg/10.7.705.
Mylavarapu S, Das A, Roy M. Role of BRCA mutations in the modulation of response to platinum therapy. Front Oncol. 2018;8:16. https://doi.org/10.3389/fonc.2018.00016.
Blondeaux E, Arecco L, Punie K, Graffeo R, Toss A, De Angelis C, Trevisan L, Buzzatti G, Linn SC, Dubsky P, Cruellas M. Germline TP53 pathogenic variants and breast cancer: a narrative review. Cancer Treat Rev. 2023;114:102522. https://doi.org/10.1016/j.ctrv.2023.102522.
Chubb D, Broderick P, Dobbins S, et al. Rare disruptive mutations and their contribution to the heritable risk of colorectal cancer. Nat Commun. 2016;7:11883. https://doi.org/10.1038/ncomms11883.
Ayal B, Gussow EV, Koonin N, Auslander. Identification of combinations of somatic mutations that predict cancer survival and immunotherapy benefit. NAR Cancer. 2021;3:zcab017. https://doi.org/10.1093/narcan/zcab017.
Gasparyan M, Lo MC, Jiang H, Lin CC, Sun D. Combined p53-and PTEN-deficiency activates expression of mesenchyme homeobox 1 (MEOX1) required for growth of triple-negative breast cancer. J Biol Chem. 2020;295(34):12188–202. https://doi.org/10.1074/jbc.RA119.010710.
Yuan T, Cantley L. PI3K pathway alterations in cancer: variations on a theme. Oncogene. 2008;27:5497–510. https://doi.org/10.1038/onc.2008.245.
Buocikova V, Rios-Mondragon I, Pilalis E, Chatziioannou A, Miklikova S, Mego M, Pajuste K, Rucins M, Yamani NE, Longhin EM, et al. Epigenetics in breast Cancer therapy—new strategies and future nanomedicine perspectives. Cancers. 2020;12:3622. https://doi.org/10.3390/cancers12123622.
Kanwal R, Gupta S. Epigenetic modifications in cancer. Clin Genet. 2012;81(4):303–11. https://doi.org/10.1111/j.1399-0004.2011.01809.x.
McCabe MT, Brandes JC, Vertino PM. Cancer DNA methylation: molecular mechanisms and clinical implications. Clin Cancer Res. 2009;15(12):3927–37.
Kulis M, Esteller M. DNA methylation and cancer. Adv Genet. 2010;70:27–56. https://doi.org/10.1200/JCO.2004.07.151.
Cheng Y, He C, Wang M, et al. Targeting epigenetic regulators for cancer therapy: mechanisms and advances in clinical trials. Sig Transduct Target Ther. 2019;4:62. https://doi.org/10.1038/s41392-019-0095-0.
Jacot W, Lopez-Crapez E, Mollevi C, Boissière-Michot F, Simony-Lafontaine J, Ho-Pun-Cheung A, Chartron E, Theillet C, Lemoine A, Saffroy R, et al. BRCA1 promoter hypermethylation is associated with good prognosis and chemosensitivity in triple-negative breast cancer. Cancers. 2020;12:828. https://doi.org/10.3390/cancers12040828.
Ades F, Tryfonidis K, Zardavas D. The past and future of breast cancer treatment—from the papyrus to individualised treatment approaches. Ecancermedicalscience. 2017;11. https://doi.org/10.3332/ecancer.2017.746.
Mutebi M, Anderson BO, Duggan C, Adebamowo C, Agarwal G, Ali Z, Bird P. Breast cancer treatment: a phased approach to implementation. Cancer 126(S10):2365–78. https://doi.org/10.1002/cncr.32910.
Tilsed CM, Fisher SA, Nowak AK, Lake RA, Lesterhuis WJ. Cancer chemotherapy: insights into cellular and tumor microenvironmental mechanisms of action. Front Oncol. 2022;12:960317. https://doi.org/10.3389/fonc.2022.960317.
Asaoka M, Gandhi S, Ishikawa T, Takabe K. Neoadjuvant chemotherapy for breast cancer: past, present, and future. Breast Cancer: Basic Clin Res. 2020;14. https://doi.org/10.1177/1178223420980377.
Gambardella V, Tarazona N, Cejalvo JM, Lombardi P, Huerta M, Roselló S, Fleitas T, Roda D, Cervantes A. Personalized medicine: recent progress in Cancer Therapy. Cancers. 2020;12:1009. https://doi.org/10.3390/cancers12041009.
Rakha EA, Tse GM, Quinn CM. An update on the pathological classification of breast cancer. Histopathology. 2023;82(1):5–16. https://doi.org/10.1111/his.14786.
Jögi A, Vaapil M, Johansson M, Påhlman S. Cancer cell differentiation heterogeneity and aggressive behavior in solid tumors. Ups J Med Sci. 2012;117(2):217–24. https://doi.org/10.3109/03009734.2012.659294.
Giuliano AE, Edge SB, Hortobagyi GN. Eighth edition of the AJCC cancer staging manual: breast cancer. Ann Surg Oncol. 2018;25:1783–5. https://doi.org/10.1245/s10434-018-6486-6.
Riggio AI, Varley KE, Welm AL. The lingering mysteries of metastatic recurrence in breast cancer. Br J Cancer. 2021;124:13–26. https://doi.org/10.1038/s41416-020-01161-4.
Mouttet D, Laé M, Caly M, Gentien D, Carpentier S, Peyro-Saint-Paul H, Vincent-Salomon A, Rouzier R, Sigal-Zafrani B, Sastre-Garau X, Reyal F. Estrogen-receptor, progesterone-receptor and HER2 status determination in invasive breast cancer. Concordance between immuno-histochemistry and MapQuant™ microarray based assay. PLoS ONE. 2016;11(2):e0146474. https://doi.org/10.1371/journal.pone.0146474.
Zattarin E, Leporati R, Ligorio F, Lobefaro R, Vingiani A, Pruneri G, Vernieri C. Hormone receptor loss in breast cancer: molecular mechanisms, clinical settings, and therapeutic implications. Cells. 2020;9:2644. https://doi.org/10.3390/cells9122644.
Cuyún, Carter, Gebra, et al. Prognostic factors in hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2–) advanced breast cancer: a systematic literature review. Cancer Manage Res. 2021;6537–66. https://doi.org/10.2147/CMAR.S300869.
Goldberg J, Pastorello RG, Vallius T, Davis J, Cui YX, Agudo J, Waks AG, Keenan T, McAllister SS, Tolaney SM, Mittendorf EA. The immunology of hormone receptor positive breast cancer. Front Immunol. 2021;12:674192. https://doi.org/10.3389/fimmu.2021.674192.
Chlebowski RT, et al. Predicting risk of breast cancer in postmenopausal women by hormone receptor status. JNCI: J Natl Cancer Inst. 2007;99:1695–705. https://doi.org/10.1093/jnci/djm224.
Rakha EA, Reis-Filho JS, Baehner F, et al. Breast cancer prognostic classification in the molecular era: the role of histological grade. Breast Cancer Res. 2010;12:207. https://doi.org/10.1186/bcr2607.
Kamel HFM, Hiba Saeed A, Bagader Al-Amodi. Exploitation of gene expression and cancer biomarkers in paving the path to era of personalized medicine. Genom Proteom Bioinform. 2017;15(4):220–35. https://doi.org/10.1016/j.gpb.2016.11.005.
Karagiannis GS, Goswami S, Jones JG, Oktay MH, Condeelis JS. Signatures of breast cancer metastasis at a glance. J Cell Sci. 2016;129(9):1751–8. https://doi.org/10.1242/jcs.183129.
Bie Y, Zhang Z, Wang X. Adjuvant chemo-radiotherapy in the sandwich method for high risk endometrial cancer—a review of literature. BMC Womens Health. 2015;15:50. https://doi.org/10.1186/s12905-015-0207-0.
Colombo PE, Milanezi F, Weigelt B, et al. Microarrays in the 2010s: the contribution of microarray-based gene expression profiling to breast cancer classification, prognostication and prediction. Breast Cancer Res. 2011;13:212. https://doi.org/10.1186/bcr2890.
Prat A, Parker JS, Karginova O, et al. Phenotypic and molecular characterization of the claudin-low intrinsic subtype of breast cancer. Breast Cancer Res. 2010;12:R68. https://doi.org/10.1186/bcr2635.
Fragomeni SM, Sciallis A, Jeruss JS. Molecular subtypes and local-regional control of breast cancer. Surg Oncol Clin. 2018;27(1):95–120. https://doi.org/10.1016/j.soc.2017.08.005.
Prekovic S, et al. Luminal breast cancer identity is determined by loss of glucocorticoid receptor activity. EMBO Mol Med. 2023;15:e17737. https://doi.org/10.15252/emmm.202317737.
Garrido-Castro AC, Lin NU, Polyak K. Insights into molecular classifications of triple-negative breast cancer: improving patient selection for treatment. Cancer Discov. 2019;9(2):176–98. https://doi.org/10.1158/2159-8290.CD-18-1177.
Dias K, Dvorkin-Gheva A, Hallett RM, Wu Y, Hassell J, Pond GR, Levine M, Whelan T, Bane AL. Claudin-low breast cancer; clinical & pathological characteristics. PLoS ONE. 2017;12(1):e0168669. https://doi.org/10.1371/journal.pone.0168669.
Cho N. Molecular subtypes and imaging phenotypes of breast cancer. Ultrasonography. 2016;35(4):281–8. https://doi.org/10.14366/usg.16030.
Guarneri V, de Azambuja E. Anthracyclines in the treatment of patients with early breast cancer. ESMO Open. 2022;7(3). https://doi.org/10.1016/j.esmoop.2022.100461.
Bergamino MA et al. HER2-enriched subtype and novel molecular subgroups drive aromatase inhibitor resistance and an increased risk of relapse in early ER+/HER2 + breast cancer. EBioMedicine. 2022;83. https://doi.org/10.1016/j.ebiom.2022.104205.
Rej RK, Roy J, Allu SR. Therapies for the treatment of advanced/metastatic estrogen receptor-positive breast cancer: current situation and future directions. Cancers. 2024;16:552. https://doi.org/10.3390/cancers16030552.
de Gregorio A, Janni W, Friedl TWP, et al. The impact of anthracyclines in intermediate and high-risk HER2-negative early breast cancer—a pooled analysis of the randomised clinical trials PlanB and SUCCESS C. Br J Cancer. 2022;126:1715–24. https://doi.org/10.1038/s41416-021-01690-6.
Bhattacharyya G, Shankar, et al. Overview of breast cancer and implications of overtreatment of early-stage breast cancer: an Indian perspective. JCO Global Oncol. 2020;6:789–98. https://doi.org/10.1200/GO.20.00033.
Ashok Kumar, Prashanth, et al. Adjuvant chemotherapy in premenopausal patients with hormone-positive breast cancer with a recurrence score of 16–25: a retrospective analysis using the National Cancer Database. JCO Precision Oncol. 2024;8:e2300390. https://doi.org/10.1200/PO.23.0039.
Zheng W. Molecular classification of Endometrial Cancer and the 2023 FIGO staging: exploring the challenges and opportunities for pathologists. Cancers. 2023;15:4101. https://doi.org/10.3390/cancers15164101.
Yordanova M, Hassan S. The role of the 21-Gene recurrence Score® assay in hormone receptor-positive, node-positive breast cancer: the Canadian experience. Curr Oncol. 2022;29:2008–20. https://doi.org/10.3390/curroncol29030163.
Metzger-Filho O et al. Genomic Grade Index (GGI): feasibility in routine practice and impact on treatment decisions in early breast cancer. PLoS ONE. 2013;8(8):e66848. https://doi.org/10.1371/journal.pone.0066848.
Zhao Y, Evelien Schaafsma, and, Cheng C. Gene signature-based prediction of triple‐negative breast cancer patient response to neoadjuvant chemotherapy. Cancer Med. 2020;9:6281–95. https://doi.org/10.1002/cam4.3284.
Kay C, Martinez-Perez C, Dixon JM, Turnbull AK. The role of nodes and nodal assessment in diagnosis, treatment and prediction in ER+, node-positive breast Cancer. J Pers Med. 2023;13:1476. https://doi.org/10.3390/jpm13101476.
Wang J, Li B, Luo M, et al. Progression from ductal carcinoma in situ to invasive breast cancer: molecular features and clinical significance. Sig Transduct Target Ther. 2024;9:83. https://doi.org/10.1038/s41392-024-01779-3.
Goutsouliak K, Veeraraghavan J, Sethunath V, et al. Towards personalized treatment for early stage HER2-positive breast cancer. Nat Rev Clin Oncol. 2020;17:233–50. https://doi.org/10.1038/s41571-019-0299-9.
Sun J, et al. Lapatinib combined with neoadjuvant paclitaxel-trastuzumab-based chemotherapy in patients with human epidermal growth factor receptor 2-positive breast cancer: a meta-analysis of randomized controlled trials. Oncol Lett. 2015;9(3):1351–8. https://doi.org/10.3892/ol.2015.2848.
Alba E, Albanell J, de la Haba J, et al. Trastuzumab or lapatinib with standard chemotherapy for HER2-positive breast cancer: results from the GEICAM/2006-14 trial. Br J Cancer. 2014;110:1139–47. https://doi.org/10.1038/bjc.2013.831.
Swain SM, Shastry M, Hamilton E. Targeting HER2-positive breast cancer: advances and future directions. Nat Rev Drug Discov. 2023;22:101–26. https://doi.org/10.1038/s41573-022-00579-0.
Bruzas S, Gluz O, Harbeck N, et al. Gene signatures in patients with early breast cancer and relapse despite pathologic complete response. npj Breast Cancer. 2022;8:42. https://doi.org/10.1038/s41523-022-00403-3.
Cardoso F, et al. 70-gene signature as an aid to treatment decisions in early-stage breast cancer. N Engl J Med. 2016;375:717–29. https://doi.org/10.1056/NEJMoa1602253.
Harbeck N, Penault-Llorca F, Cortes J, et al. Breast cancer. Nat Rev Dis Primers. 2019;5:66. https://doi.org/10.1038/s41572-019-0111-2.
Guo L, Kong D, Liu J, et al. Breast cancer heterogeneity and its implication in personalized precision therapy. Exp Hematol Oncol. 2023;12:3. https://doi.org/10.1186/s40164-022-00363-1.
Malhotra GK, et al. Histological, molecular and functional subtypes of breast cancers. Cancer Biol Ther. 2010;10(10):955–60. https://doi.org/10.4161/cbt.10.10.13879.
Zagami P, Carey LA. Triple negative breast cancer: pitfalls and progress. NPJ Breast Cancer. 2022;8:95. https://doi.org/10.1038/s41523-022-00468-0.
Sharma P. Biology and management of patients with triple-negative breast cancer. Oncologist. 2016;21(9):1050–1062. https://doi.org/10.1634/theoncologist.2016-0067.
Yin L, Duan JJ, Bian XW, et al. Triple-negative breast cancer molecular subtyping and treatment progress. Breast Cancer Res. 2020;22:61. https://doi.org/10.1186/s13058-020-01296-5.
Chang C-M, et al. Interleukin-10: a double-edged sword in breast cancer. Tzu Chi Med J. 2021;33(3):203–11. https://doi.org/10.4103/tcmj.tcmj_162_20.
Wang X. Explore genomic profiles for triple-negative breast cancer to discover drug targets. Oncogenomics (2019): 423–440. https://doi.org/10.1016/B978-0-12-811785-9.00030-2.
Ortiz Valdez, Eric et al. Characterization of triple negative breast cancer gene expression profiles in Mexican patients. Mol Clin Oncol. 2023;18(1):1–11. https://doi.org/10.3892/mco.2022.2601.
Feng J, Wang L, Zhang K, et al. Identification and panoramic analysis of drug response-related genes in triple negative breast cancer using as an example NVP-BEZ235. Sci Rep. 2023;13:5984. https://doi.org/10.1038/s41598-023-32757-4.
Paik S, et al. A multigene assay to predict recurrence of tamoxifen-treated, node-negative breast cancer. N Engl J Med. 2004;351:2817–26. https://doi.org/10.1056/NEJMoa041588.
Van De Vijver MJ et al. A gene-expression signature as a predictor of survival in breast cancer. N Engl J Med. 2002;347(25):1999–2009. https://doi.org/10.1056/NEJMoa021967.
Sotiriou C et al. Gene expression profiling in breast cancer: understanding the molecular basis of histologic grade to improve prognosis. J Natl Cancer Inst 2006;98(4):262–72. https://doi.org/10.1093/jnci/djj052.
Sánchez-Navarro I, Gámez-Pozo A, Pinto Á, et al. An 8-gene qRT-PCR-based gene expression score that has prognostic value in early breast cancer. BMC Cancer. 2010;10:336. https://doi.org/10.1186/1471-2407-10-336.
Yau C, Esserman L, Moore DH, et al. A multigene predictor of metastatic outcome in early stage hormone receptor-negative and triple-negative breast cancer. Breast Cancer Res. 2010;12:R85. https://doi.org/10.1186/bcr2753.
Staaf J, et al. Identification of subtypes in human epidermal growth factor receptor 2–positive breast cancer reveals a gene signature prognostic of outcome. J Clin Oncol. 2010;28:1813–20. https://doi.org/10.1200/JCO.2009.22.8775.
Wang X, Collet L, Rediti M, Debien V, De Caluwé A, Venet D, Romano E, Rothé F, Sotiriou C, Buisseret L. Predictive biomarkers for response to Immunotherapy in Triple negative breast Cancer: promises and challenges. J Clin Med. 2023;12:953. https://doi.org/10.3390/jcm12030953.
Gupta N, Verma VK. Next-generation sequencing and its application: empowering in public health beyond reality. In: Arora P, editor. Microbial technology for the welfare of society. Microorganisms for sustainability. Volume 17. Singapore: Springer; 2019. https://doi.org/10.1007/978-981-13-8844-6_15.
Dentro SC, et al. Characterizing genetic intra-tumor heterogeneity across 2,658 human cancer genomes. Cell 184. 2021;8:2239–54. https://doi.org/10.1016/j.cell.2021.03.009.
Lebok P, Kopperschmidt V, Kluth M, et al. Partial PTEN deletion is linked to poor prognosis in breast cancer. BMC Cancer. 2015;15:963. https://doi.org/10.1186/s12885-015-1770-3.
Stephens P, Tarpey P, Davies H, et al. The landscape of cancer genes and mutational processes in breast cancer. Nature. 2012;486:400–4. https://doi.org/10.1038/nature11017.
Shi Y, Jin J, Ji W, et al. Therapeutic landscape in mutational triple negative breast cancer. Mol Cancer. 2018;17:99. https://doi.org/10.1186/s12943-018-0850-9.
Banerji S, Cibulskis K, Rangel-Escareno C, et al. Sequence analysis of mutations and translocations across breast cancer subtypes. Nature. 2012;486:405–9. https://doi.org/10.1038/nature11154.
Xu J, Yang P, Xue S, et al. Translating cancer genomics into precision medicine with artificial intelligence: applications, challenges and future perspectives. Hum Genet. 2019;138:109–24. https://doi.org/10.1007/s00439-019-01970-5.
Arnedos M, Bihan C, Delaloge S, Andre F. Triple-negative breast cancer: are we making headway at least? Therapeutic Adv Med Oncol. 2012;4(4):195–210. https://doi.org/10.1177/1758834012444711.
Ramón y Cajal S, Sesé M, Capdevila C, et al. Clinical implications of intratumor heterogeneity: challenges and opportunities. J Mol Med. 2020;98:161–77. https://doi.org/10.1007/s00109-020-01874-2.
Shah S, Roth A, Goya R, et al. The clonal and mutational evolution spectrum of primary triple-negative breast cancers. Nature. 2012;486:395–9. https://doi.org/10.1038/nature10933.
Veerla S, Staaf J. Kataegis in clinical and molecular subgroups of primary breast cancer. NPJ Breast Cancer. 2024;10:32. https://doi.org/10.1038/s41523-024-00640-8.
Shilova ON, Tsyba DL, Shilov ES. Mutagenic activity of AID/APOBEC deaminases in Antiviral Defense and Carcinogenesis. Mol Biol. 2022;56:46–58. https://doi.org/10.1134/S002689332201006X.
Acknowledgements
We would like to thank all the members of IIITDM Kurnool and Government Medical College and Hospital, Nizamabad, who have given necessary throughputs in drafting the manuscript.
Funding
None.
Author information
Authors and Affiliations
Contributions
K.U: Conceptualization (equal); Data curation (lead); Formal analysis (lead); Investigation (equal); Methodology (equal); Writing-original draft (lead); Writing-review & editing (equal). L.G.P: Methodology (equal), and Writing-review & editing (equal). R.C: Writing-review & editing (equal). E.S.R: Writing-review & editing (equal). D.S.: Conceptualization (equal); Methodology (equal); Formal analysis (lead); Investigation (equal); Writing-review & editing (lead). S.K: Formal analysis (lead); Investigation (equal); Methodology (equal); Writing-original draft (lead); Writing-review & editing (equal).
Corresponding authors
Ethics declarations
The authors declare that the manuscript is prepared by obeying the Ethical Standards as described in the Committee on Publication Ethics (COPE).
Consent for Publication
Not applicable.
Ethical Approval
Not applicable.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Consent of Participation/Informed Consent
Not applicable.
Competing Interests
The authors declare no competing interests.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Umadevi, K., Priyanka, L.G., Clementina, R. et al. An Update and Translational Perspective in Genetics and Genomics of Breast Cancer. Curr Breast Cancer Rep 17, 4 (2025). https://doi.org/10.1007/s12609-024-00567-w
Accepted:
Published:
DOI: https://doi.org/10.1007/s12609-024-00567-w