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Gefitinib,
a drug marketed as Iressa for treatment of some lung cancers,
may also help some women prevent breast cancer, findings from
animal studies suggest.
The drug prevented
development of estrogen receptor (ER)-negative breast cancer in
a mouse study, raising the possibility that it could prevent a
type of breast cancer for which currently are no preventive drugs.
While tamoxifen
and the newer aromatase agents work to prevent development of
ER-positive tumors, ER-negative breast cancers are not dependent
on estrogen to grow and do not respond to these drugs.
To test whether
gefitinib could inhibit the growth of ER-negative breast cancer
cells, Baylor College of Medicine researchers treated ER-negative
normal, precancerous, and cancerous breast cells with the drug,
and examined its effect on development of ER-negative breast tumors
in transgenic mice.
They reported
in the Journal of the National Cancer Institute that gefitinib
suppressed the growth of ER-negative normal, precancerous and
cancerous breast cells, and mice given a placebo took 230 days
to develop breast cancer while those treated with gefitinib took
310 days.
In an accompanying
editorial, Dr. Dennis J. Slamon of UCLA cautioned that long-term
safety data is not available for gefitinib, and noted that some
patients taking Iressa for nonsmall-cell lung cancer have
developed interstitial lung disease, a rare but potentially dangerous
side effect.
Other
Sources: Journal of the National Cancer Institute
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