Treatment FAQ

treatment of triple negative breast cancer when you have the mthfr genetic mutation

by Suzanne Fay Published 2 years ago Updated 2 years ago

MTHFR mutations do not require medical treatment. That said, making dietary and lifestyle changes can often help offset any resulting nutritional deficiencies. For example, people with high homocysteine levels due to folate or vitamin B12 deficiencies can take folic acid or vitamin B12, respectively.

Full Answer

Can MTHFR predict breast cancer?

Breast cancer involves one million new diagnoses each year and regardless of other risk factors, abnormal MTHFR is a known precursor to breast cancer ( 4 ). Gastric cancer — Conflicting data suggests whether C677T polymorphism is associated with the elevated risk of gastric cancer.

What is the MTHFR gene mutation?

The gene mutation MTHFR and its role in cancer. A key component of methylating processes that occur within every cell of the human body is the gene MTHFR (methylenetetrahydrofolate reductase). MTHFR acts comparable to a switch turning biological activities off and on in the body.

How is triple negative breast cancer (TNBC) treated?

Triple-negative breast cancer (TNBC) doesn’t have estrogen or progesterone receptors and also doesn’t make too much of the HER2 protein. Because the cancer cells lack these proteins, hormone therapy and drugs that target HER2 are not helpful, so chemotherapy (chemo) is the main systemic treatment option.

Are new genes linked to triple-negative breast cancer?

A research study identified new genes that may be associated with a higher risk for triple-negative breast cancer. This image is an example of the kind of gel pictures researchers use to understand the order, or sequence, of genes or to look for mutations in genes.

What cancers are associated with MTHFR?

The authors of one systematic review and meta-analysis examined data from 50 studies with 19,260 cases and 26,364 controls. They determined that the MTHFR C677T mutation appears to increase the risk of both breast cancer and ovarian cancer, especially among Asian women.

Does MTHFR cause breast cancer?

Conclusions. In summary, this study provides support that the MTHFR 677TT genotype is associated with a moderately increased risk of postmenopausal breast cancer and with a substantial increase among women with low intakes of folate and vitamin B6.

Which genetic mutation puts a female patient at higher risk of developing breast cancer?

Women who have a BRCA1 or BRCA2 (BRCA1/2) inherited gene mutation have an increased risk of breast cancer [32-38].

What is the survival rate for triple-negative breast cancer?

In general, about 91% of all women with triple-negative breast cancer are still alive 5 years after diagnosis. If the cancer has spread to the lymph nodes near the breast (regional) the 5 year relative survival rate is about 65%. If the cancer has spread to distant places, the 5 year relative survival rate is 12%.

How common is the MTHFR gene mutation?

MTHFR variants are found in people worldwide. In the United States, about 1 in 3 people have at least one MTHFR variant and 1 in 10 people have variants in both copies of the MTHFR gene. What happens when an MTHFR variant is present? The common MTHFR variants cause a minor change in the DNA code.

Does MTHFR cause leukemia?

Genetic polymorphisms in the methylene tetrahydrofolate reductase (MTHFR) gene have been associated with the development of acute leukemias and various malignancies.

Is triple negative breast cancer hereditary?

The higher incidence of TNBC in certain populations such as young women and/or women of African ancestry and a unique pathological phenotype shared between TNBC and BRCA1-deficient tumors suggest that TNBC may be inherited through germline mutations.

Should you get a mastectomy if you have the BRCA gene?

Prophylactic mastectomy can reduce the chances of developing breast cancer in women at high risk of the disease: For women with the BRCA1 or BRCA2 mutation, prophylactic mastectomy reduces the risk of developing breast cancer by 90 to 95 percent.

Which family history most strongly suggests a risk of inherited breast cancer due to BRCA1 mutations?

In the US, mutations in the BRCA genes are more common in people of Ashkenazi Jewish descent than in the general population. Women with a strong family history of breast cancer and/or ovarian cancer may choose to undergo genetic counseling to help estimate their risk for having a mutation in one of the BRCA genes.

Is triple negative the worst type of breast cancer?

Triple-negative breast cancer has worse overall survival and cause-specific survival than non-triple-negative breast cancer. Breast Cancer Res Treat.

What does triple-negative breast cancer feed on?

Triple-Negative Breast Cancers Depend on Fat as Fuel, Research Shows.

Where does triple-negative breast cancer spread first?

Route of first metastasis correlated significantly with survival of TNBC patients with brain metastases being the poorest survival indicator, followed by metastases to liver, pleura, bone, and lung.

What is triple negative breast cancer?

What Is Triple-Negative Breast Cancer? Triple-negative breast cancer is a kind of breast cancer that does not have any of the receptors that are commonly found in breast cancer. Think of cancer cells as a house. The front door may have three kinds of locks, called receptors —. One is for the female hormone estrogen.

What to do if you have a higher risk of breast cancer?

The counselor may recommend that you get a genetic test. If you have a higher risk of getting breast cancer, your doctor may talk about ways to manage your risk. You may also have a higher risk of getting other cancers such as ovarian cancer, and your family may have a higher risk.

What is the procedure to remove a lump from breast?

Often, patients first need to have the lump removed (a lumpectomy) or the entire breast removed (a mastectomy ). Then they have chemotherapy treatments to target any cancer cells that can’t be seen—cells remaining in the breast or that may have spread into other parts of the body.

Does chemotherapy kill cancer cells?

Cells from the cancerous lump may have spread somewhere else in your body. The goal of chemotherapy is to kill those cancer cells wherever they may be. Chemotherapy lowers the chance that your cancer will grow or come back.

Is chemotherapy effective for triple negative breast cancer?

So doctors have fewer keys for treatment. Fortunately, chemotherapy is still an effective option. Think of a cancer cell as a house.

What to do if TNBC has metastasized?

Ask if the cancer has metastasized. If your TNBC is resistant to chemotherapy or has metastasized, look into clinical trials. Be sure you know and weigh all of your treatment options. If your cancer hasn't metastasized, ask if you need surgery or chemo first.

What are the three receptors in breast cancer?

Triple-negative breast cancer: 5 things you should know. When doctors diagnose breast cancer, they look for three types of receptors -- estrogen receptor , progesterone receptor and human epidermal growth factor receptor 2 (HER2) -- expressed in the breast cancer. These are what cause most breast cancers to grow.

What is the best treatment for cancer?

In most cases, chemotherapy is the most effective option. Often, women undergo chemo, then surgery -- either a lumpectomy or mastectomy. Some also undergo radiation therapy.

Is TNBC one disease?

We know TNBC isn't one disease, but right now it's treated as one. In the next phase, we'll be able to look at biomarkers to divide triple-negative cases based on disease characteristics. We'll use that to choose the best treatment for each patient.

Can breast cancer be treated without receptors?

They're also what our doctors typically target when treating breast cancer. But some breast cancer patients lack these receptors. When this happens, the breast cancer is called triple-negative. And, without any receptors, it can be more challenging to treat.

Can you get triple negative breast cancer if you don't have BRCA1?

Triple-negative patients are more likely to have a BRCA1 or BRCA2 gene mutation compared to non-TNBC patients. But you can still develop triple-negative breast cancer even if you don't have the BRCA1 or BRCA2 mutation. We're still trying to understand the link between triple-negative breast cancer and BRCA. How is triple-negative breast cancer ...

How many triple negative breast cancers are positive?

About 10 to 15% of triple-negative breast cancers in Caucasians test positive for mutations in the BRCA1 gene. In the African American population, about 35% test positive. Until recently, BRCA1 was the only gene linked to TNBC. In the past, researchers weren’t able to find other breast cancer risk genes, because the technology was too complicated ...

How many people have triple negative breast cancer?

Out of 100 people with breast cancer about 15 will have triple-negative breast cancer (TNBC). It’s one of the most challenging types of breast cancer to treat due to several things: TNBC tends to be more aggressive than other common types of breast cancer. Women usually don’t learn they have it until the cancer has already spread to other parts ...

What is the TNBC technology?

The technology looks at multiple genes at once, looking for mutations that could be linked to breast cancer. The team studied how often mutations occurred in people with TNBC compared with a control group of people who didn’t have cancer. This was the first study to find mutated genes that are linked to an increased risk for TNBC.

What age can you get TNBC?

A diagnosis of TNBC at age 60 or younger . A diagnosis of breast cancer at age 50 or younger. Additional guidelines to test patients for genes other than BRCA1 or BRCA2 may become available as more breast cancer risk genes are found.

Why can't researchers find other genes for breast cancer?

In the past, researchers weren’t able to find other breast cancer risk genes, because the technology was too complicated to check the genes in large numbers of people, Couch says. “We used to check one gene at a time, which was very time consuming.

What are the genes that cause breast cancer?

They are: BARD1, BRCA1, BRCA2, PALB2, and RAD51D. Women who carried any of these gene mutations had a more than 20% lifetime risk for any type of breast cancer. By comparison, women in the general population have about a 12% —or 1 in 8—lifetime risk of getting breast cancer. “That means,” Couch says, “doctors should consider ...

Why do we need to be tested for BRCA1?

Current guidelines from the National Comprehensive Cancer Network (NCCN) recommend that people be tested for BRCA1 and BRCA2 , if they have an increased risk for breast cancer due to multiple reasons including a personal or family history of cancer such as: A family history of breast or ovarian cancer.

Why does MTHFR mutation go up?

This is mostly because your body won’t be able to support itself nutritionally. for example, If you have a heterozygous MTHFR mutation in C677T.

What are the mutations in the COMT gene?

COMT gene mutations. Certain COMT gene mutations can push a person into a much higher risk of developing estrogen dominance type cancers. Most of which belong to the group of cancers involved in breast cancers. Liver genes – There are many different genes in your liver.

What happens if you don't make enough GcMAF?

If you don’t make enough GcMAF you have a percentage disadvantage against certain types of cancer development.

What are the genes that cause cancer?

Some of these gene mutations include GGT, GSTM, GSTP, GPX, NOS, SOD.

What happens if you have a mutation in your liver?

When you have active gene mutations in your liver. This can prevent the proper detoxification of known cancer-causing carcinogenic. Once your liver becomes impaired it can’t detoxify properly which leads to an overwhelmed organ.

Is MTHFR a real threat?

MTHFR, cancer risk, cancer treatments and genetic cancer prevention. For many people, these days having or getting cancer is a real-life threat. Cancer numbers continuing to go up and many people finding that they have certain risk factors. That could potentially cause them to get cancer. While we know that the causes of cancer are many ...

What are the two common types of MTHFR mutations?

There are two common types, or variants, of MTHFR mutation: C677T and A1298C. Mutations in MTHFR genes occur in approximately 25% of people of Hispanic descent and 10–15% of North American Caucasians.

What is the MTHFR gene?

Outlook. Methylenetetrahydrofolate reductase, or MTHFR, is an enzyme that breaks down the amino acid homocysteine. The MTHFR gene that codes for this enzyme has the potential to mutate, which can either interfere with the enzyme’s ability to function normally or completely inactivate it. People have two MTHFR genes, ...

What are the health problems caused by MTHFR mutations?

These mutations in rare occasions lead to high levels of homocysteine in the blood, which may contribute to numerous health conditions, such as: birth abnormalities. glaucoma. mental health disorders. certain types of cancer. In this article, we look at MTHFR mutations in more detail, including related health conditions, diagnosis, ...

What are the conditions associated with MTHFR?

Conditions that researchers have associated with MTHFR gene mutations include: homocystinemia, which is the term for abnormally high levels of homocysteine in the blood or urine. ataxia, a neurological condition that affects coordination. peripheral neuropathy, a neurological condition that damages the nerves.

What happens if you test positive for MTHFR?

Women who test positive for an MTHFR mutation may have an increased risk of preeclampsia, blood clots, recurrent miscarriages, or giving birth to a baby with congenital disabilities. Multiple studies have been done to determine relationship between the mutation and pregnancy complications, but the data is insufficient in their conclusions.

Does MTHFR affect everyone?

Having an MTHFR mutation does not affect everyone in the same way. People who have one or more MTHFR variants may have higher-than-normal levels of homocysteine in their blood or urine.

Can a mutation in MTHFR occur in both genes?

Mutations can occur in one or both genes. Having a parent or close relative with an MTHFR gene mutation can increase a person’s risk of inheriting the same variant. People who have two parents with mutations have an increased risk of having a homozygous MTHFR mutation.

Which two genes are most commonly linked to increased cancer risk involving MTHFR?

Two genes are most commonly linked to increased cancer risk involving MTHFR. Polymorphism C677T and A1298C are dependent on every individual’s genetic makeup and their genetic prevalence within ethnic groups.

What is the function of MTHFR?

Improve your body’s methylating abilities. A key component of methylating processes that occur within every cell of the human body is the gene MTHFR (methylenetetrahydrofolate reductase). MTHFR acts comparable to a switch turning biological activities off and on in the body. This concept is known as epigenetics and is vastly opposite ...

What is the process of transferring methyl groups to amino acids, enzymes, DNA and proteins to body tissue?

Methylation involves transferring methyl groups to amino acids, enzymes, DNA and proteins to body tissue. It is a critical metabolic process essential for living and involves a series of reactions that pass along these methyls “on / off” switches. Genes which suppress tumors can be inactivated by DNA methylation .

What is hypomethylation?

This phenomenon known as hypomethylation was first recognized in 1983. However, the negative effects on the body when the demand for methyl groups is higher than what is available has not been understood since the 21st century. Hypomethylation significantly increases carcinogenic tissue growth and cancer metastasis.

How to reduce the risk of cancer?

Reduce your risk of developing cancer by improving your body’s natural methylation processes. It is recommended to regularly detoxify all of the organs and the body. Managing stress is also critical because chronic stress depletes methyl groups from required biological functions.

Does folate help with breast cancer?

Breast cancer — Studies have shown that breast cancer risks reduce with increased folate consumption. When optimal levels of folate are included in one’s diet, breast cancer risk significantly reduces. Polymorphism C677T may even be linked with the age of menstruation and the childbearing of a woman's first child.

Does disrupting the MTHFR gene cause cancer?

Disrupting the MTHFR gene can directly increase the likelihood of cancer development. When the levels of molecules that function as precursors to methionine conversion are above normal, the biological pathways of converting homocysteine into methionine are adversely impacted.

Stages I-III Triple-Negative Breast Cancer

  • Surgery first: If the early-stage TNBC tumor is small enough to be removed by surgery, then breast-conserving surgery or a mastectomy with a check of the lymph nodes may be done In certain cases, such as with a large tumor or if the lymph nodes are found to have cancer, radiation may follow surgery. You might also be given chemo after surgery (adjuvant chemotherapy) to re…
See more on cancer.org

Stage IV Triple-Negative Breast Cancer

  • Chemois often used first when the cancer has spread to other parts of the body (stage IV). Common chemo drugs used include anthracyclines, taxanes, capecitabine, gemcitabine, eribulin, and others. Chemo drugs might be used alone or in combination. For women with TNBC who have a BRCA mutation and whose cancer no longer responds to common breast cancer chemo drugs…
See more on cancer.org

Recurrent Triple-Negative Breast Cancer

  • If TNBC comes back (recurs) locally, cannot be removed with surgery, and makes the PD-L1 protein, immunotherapywith the drug pembrolizumab along with chemotherapy is an option. Other treatments might be options as well, depending on the situation. If the cancer recurs in other parts of the body, options might include chemotherapy or the antibody-dr...
See more on cancer.org

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