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UID:672@biocityturku.fi
DTSTART;TZID=Europe/Helsinki:20241002T150000
DTEND;TZID=Europe/Helsinki:20241002T160000
DTSTAMP:20240923T053735Z
URL:https://biocityturku.fi/events/fican-west-guest-lecture-tilley/
SUMMARY:FICAN West Guest Lecture\, Tilley
DESCRIPTION:2nd October at 15:00\nOn-site event\nin Medisiina D 8th  floor
 \, Reseptori\n\nProfessor Wayne D Tilley\, Director\, Dame Roma Mitchell C
 ancer Research Laboratories (DRMCRL)\, Adelaide Medical School\, the Unive
 rsity of Adelaide\, Australia\nExploiting sex hormone cross-talk as an alt
 ernative endocrine therapy for ER+ breast cancers\n\nIn case you wanted to
  have a 1:1 researcher discussion with Wayne Tilley on Tuesday October 1st
 \, please reply by Wed Sept 25 to mertor@utu.fi.\n\n \n\nProfessor Wayne 
 Tilley is the Inaugural Director of the Dame Roma Mitchell Cancer Research
  Laboratories (DRMCRL)\, Adelaide Medical School\, the University of Adela
 ide (2002-current). He was one of the first to clone the human androgen re
 ceptor and is internationally recognized for his subsequent research on th
 e role of sex hormones (estrogens\, progestogens and androgens) in hormone
 -dependent cancers\, in particular breast and prostate cancer.\n\nProf Til
 ley received the 2016 Endocrine Society of Australia Senior Plenary Award 
 for outstanding research in the field of endocrinology and presented the o
 pening plenary lecture at the International Congress of Endocrinology in B
 eijing. In 2023 he was awarded the Rob Sutherland Translational Award by B
 reast Cancer Trials Australia in recognition of excellence in scientific a
 nd translational research and achievements and contributions to improved p
 atient outcomes.\n\nHe has convened multiple conferences on sex-hormone ac
 tion and hormone-dependent cancers\, including the Fusion Nuclear Receptor
  and International Breast Cancer Society meetings\, Gordon Research Confer
 ence on Hormone-Dependent Cancers\, and the International PacRim Breast an
 d Prostate Cancer meeting series.\n\n&nbsp\;\n\nSeminar Abstract by profes
 sor Tilley\n\nEndocrine therapies that target the estrogen receptor (ER) a
 re the cornerstone of treatment for ER+ breast cancer\, but treatment-resi
 stant\, metastatic disease develops in ~30% of cases and causes &gt\;60% o
 f breast cancer related deaths. These endocrine therapy-resistant breast c
 ancers almost invariably remain dependent on ER\, so research and drug dev
 elopment has largely remained focused on achieving more effective eliminat
 ion of ER signalling\, most recently via drugs that degrade ER (selective 
 ER degraders\, SERDs). Our laboratory has been investigating the stimulati
 on of other sex hormone receptors as an alternative endocrine therapeutic 
 strategy to treat ER+ breast cancers. Historically\, treatment with androg
 enic (testosterone propionate\, fluoxymesterone) or progestogenic (medroxy
 -progesterone acetate\, megestrol) drugs was associated with disease regre
 ssion in up to 30% of patients with advanced breast cancer in the absence 
 of knowing the sex hormone receptor status of the tumour or a biomarker of
  response. Despite the clinical benefit of these alternative endocrine app
 roaches\, such therapies were discontinued with the advent of anti-estroge
 nic drugs in the 1980’s\, in particular tamoxifen and later\, aromatase 
 inhibitors (AIs).\n\nUsing contemporary pre-clinical models\, we have esta
 blished that both the androgen receptor (AR) and progesterone receptor (PR
 ) can function as tumour suppressors in ER+ breast cancer (Hickey et al\, 
 Nature Medicine 2021\; Mohammed et al\, Nature 2015). These preclinical st
 udies have been validated by recent clinical studies demonstrating that ag
 onist activation of either the AR or PR has efficacy in women with ER+ bre
 ast cancer. Selective AR modulators (SARMs) have a high specificity for bi
 nding to AR\, act in a tissue-selective manner\, and do not cause virilisi
 ng effects in women. Enobosarm (GTx-024) is a non-steroidal SARM that dura
 bly inhibits in-vivo growth of ER+ breast cancer (Hickey et al\, Nature Me
 dicine 2021). We recently reported (Palmieri et al\, Lancet Oncology 2024)
  that enobosarm has anti-tumour activity in patients with ER+\, HER- negat
 ive advanced breast cancer\, indicating that AR activation can result in c
 linical benefit\, and supporting further clinical investigation of selecti
 ve AR activation strategies. Additionally\, Burrell et al (SABCS\, 2023) r
 eported the clinical activity of megestrol\, a PR agonist\, in early-stage
  ER+ breast cancer. In the latter study\, megestrol enhanced the antitumor
  effect of an AI\, and alleviated hot flashes associated with AI treatment
 .\n\nOur most recent preclinical studies indicate that AR agonism is effec
 tive in the context of disease sensitive to or resistant to standard-of-ca
 re endocrine therapies\, with or without inhibition of cyclin-dependent ki
 nase (CDK) 4/6. We have also found that a viable surrogate biomarker of ho
 rmonal therapy in the breast\, namely background parenchymal enhancement (
 BPE)\, can be significantly reduced by AR agonism with a female-tailored d
 ose of testosterone\, whilst having very good tolerability. This finding p
 aves the way for a trial to test AR agonism as a primary preventative stra
 tegy for breast cancer.\n\nIn this seminar\, I will discuss the above-ment
 ioned findings and our recent work to further elucidate the mechanisms of 
 AR and PR mediated tumour suppression in ER+ breast cancer.\n\n&nbsp\;\n\n
 Note also the FoS seminar on same day at 12:00 on a closely related topic\
 , by Prof. Carlos L. Arteaga. https://biocityturku.fi/events-archive/front
 iers-of-science-prof/
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CATEGORIES:Other events
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DTSTART:20240331T040000
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