Francesco Schettini, MD, PhD, Hospital Clínic de Barcelona, Barcelona, Spain, comments on the preliminary analysis of molecular and genomic changes in breast cancer tumors before and after CDK4/6 inhibitor and endocrine therapy. In patients with paired biopsies, a significant shift toward the HER2-enriched subtype and reduced expression of proliferation- and estrogen-related genes was observed. These findings suggest phenotypic changes may underlie resistance mechanisms, potentially influencing responses to chemotherapy versus endocrine-based strategies. This interview took place at the 2024 San Antonio Breast Cancer Symposium (SABCS) congress in San Antonio, TX.
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