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REVIEW ARTICLE

Prostate and breast cancers in Africa: Prevalence, risk factors, and molecular overview against the background of the world population

Charles Nguli Kimwele1 Catherine Kaingu Kaluwa1 Albert Wafula Nyongesa1 Jakub Piecuch2 Małgorzata Kotula-Balak3 Dorota Gil4 Marta Zarzycka4*
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1 Department of Veterinary Anatomy and Physiology, University of Nairobi, Nairobi, Kenya
2 Chair of Economy and Food Economy, Faculty of Agriculture and Economy, University of Agriculture in Krakow, Mickiewicza , Krakow, Poland
3 Department of Basic Sciences, Faculty of Veterinary Medicine, University of Agriculture in Krakow, Krakow, Poland
4 Chair of Medical Biochemistry, Jagiellonian University Medical College, Kraków, Poland
Received: 16 March 2026 | Revised: 30 June 2026 | Accepted: 2 July 2026 | Published online: 21 July 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Currently, cancer represents an escalating public health crisis in Africa, ranking as the continent’s fifth leading cause of mortality. According to recent GLOBOCAN 2022 estimates, approximately 1.15 million new cancer cases and 754,500 deaths occurred across Africa in that year alone. On a global scale, there were an estimated 20 million new cases and 9.7 million deaths in 2022, with a disproportionate burden falling on underserved regions. Low- and middle-income countries are projected to account for nearly 75% of global cancer deaths, highlighting a stark geographical inequity in access to timely diagnosis and comprehensive care. This review provides an inclusive presentation of the two most prevalent reproductive malignancies in Africa: prostate cancer in men and breast cancer in women. Set against the backdrop of the continent’s unique socioeconomic landscape, the article explores the complex interplay of prevalence and risk factors, ranging from genetic and phenotypic predispositions to environmental and epigenetic influences. Recognizing the diverse healthcare landscape in Africa, this work addresses the accessibility of conventional medicine while evaluating the supervised integration of potential herbal agents as complementary therapies. This review identifies barriers to effective disease management and discusses the current and future cancer burden across the African continent for non-specialist readers and those seeking to understand oncological care in Africa. Ultimately, the findings underscore an urgent need for targeted policy-making and strategic investment in prevention. Prioritizing timely screening and strengthening treatment infrastructure are essential steps for authorities to mitigate the surging cancer burden and maintain the health of African populations.

Graphical abstract
Keywords
Africa
Breast cancer
Sex hormone signaling
Unconventional cancer medicine
Prostate cancer
Funding
This work was supported by a grant for scientific activation from the Rector of UA to MK-B (grant no.:A 818/2024).
Conflict of interest
The authors declare that they have no conflict of interest.
References
  1. Omoto Y, Iwase H. Clinical significance of estrogen receptor β in breast and prostate cancer from biological aspects. Cancer Sci. 2015;106(4):337-343. doi: 10.1111/cas.12613
  2. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-249. doi: 10.3322/caac.21660
  3. Ferlay J, Colombet M, Soerjomataram I, et al. Cancer statistics for the year 2020: An overview. Int J Cancer. 2021;149:778-789. doi: 10.1002/ijc.33588
  4. Torre LA, Islami F, Siegel RL, et al. Global Cancer in Women: Burden and Trends. Cancer Epidemiol Biomarkers Prev. 2017;26(4):444-457. doi: 10.1158/1055-9965.EPI-16-0858
  5. Culp MB, Soerjomataram I, Efstathiou JA, Bray F, Jemal A. Recent Global Patterns in Prostate Cancer Incidence and Mortality Rates. Eur Urol. 2020;77(1):38-52. doi: 10.1016/j.eururo.2019.08.005
  6. Gore M, Puranik A, Indurkar A, et al. Cancer of Reproductive System: Receptors and Targeting Strategies. In: Targeted Intracellular Drug Delivery by Receptor Mediated Endocytosis. Vol. 39. Springer; 2019:109-140. doi: 10.1007/978-3-030-29168-6_4
  7. Del Pup L, Mantovani A, Cavaliere C, et al. Carcinogenetic mechanisms of endocrine disruptors in female cancers (Review). Oncol Rep. 2016;36(2):603-612. doi: 10.3892/or.2016.4886
  8. Anorlu RI, Amaeshi LC, Okunade KS, et al. Cancer: a looming public health crisis in Africa-a call to accelerate equitable access to medicines. Oncologist. 2026;31(5):oyag089. doi: 10.1093/oncolo/oyag089
  9. Mahase E. Cancer overtakes CVD to become leading cause of death in high income countries. BMJ. 2019;366:l5368. doi: 10.1136/bmj.l5368
  10. Bray F, Laversanne M, Weiderpass E, Soerjomataram I. The ever-increasing importance of cancer as a leading cause of premature death worldwide. Cancer. 2021;127(16):3029-3030. doi: 10.1002/cncr.33587
  11. Bray F, Laversanne M, Sung H, et al. Global Cancer Statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263. doi: 10.3322/caac.21834
  12. Cook MB, McGlynn KA, Devesa SS, Freedman ND, Anderson WF. Sex disparities in cancer mortality and survival. Cancer Epidemiol Biomarkers Prev. 2011;20(8):1629-1637. doi: 10.1158/1055-9965.EPI-11-0246
  13. He Y, Su Y, Zeng J, et al. Cancer-specific survival after diagnosis in men versus women: A pan-cancer analysis. MedComm (2020). 2022;3(3):e145. doi: 10.1002/mco2.145
  14. Freihat O, Sipos D, Kovacs A. Global burden and projections of breast cancer incidence and mortality to 2050: a comprehensive analysis of GLOBOCAN data. Front Public Health. 2025;13:1622954. doi: 10.3389/fpubh.2025.1622954
  15. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A. Global cancer statistics, 2012. CA Cancer J Clin. 2015;65(2):87-108. doi: 10.3322/caac.21262
  16. Althuis MD, Dozier JM, Anderson WF, Devesa SS, Brinton LA. Global trends in breast cancer incidence and mortality 1973–1997. Int J Epidemiol. 2005;34(2):405-412. doi: 10.1093/ije/dyh414
  17. Chlebowski RT, Manson JE, Anderson GL, et al. Estrogen plus progestin and breast cancer incidence and mortality in the Women’s Health Initiative Observational Study. J Natl Cancer Inst. 2013;105(8):526-535. doi: 10.1093/jnci/djt043
  18. Colditz GA, Sellers TA, Trapido E. Epidemiology -identifying the causes and preventability of cancer? Nat Rev Cancer. 2006;6(1):75-83. doi: 10.1038/nrc1784
  19. Michou V, Zervoudis S, Eskitzis P, et al. Exercise Interventions in Breast Cancer: Molecular Mechanisms, Physical Benefits, and Practical Recommendations. Medicina. 2025;61(7):1167. doi: 10.3390/medicina61071167
  20. Pace LE, Keating NL. A systematic assessment of benefits and risks to guide breast cancer screening decisions. JAMA. 2014;311(13):1327-1335. doi: 10.1001/jama.2014.1398
  21. Anderson BO, Cazap E, El Saghir NS, et al. Optimisation of breast cancer management in low-resource and middle-resource countries: executive summary of the Breast Health Global Initiative consensus, 2010. Lancet Oncol. 2011;12(4):387-398. doi: 10.1016/S1470-2045(11)70031-6
  22. Bray F, Jemal A, Grey N, Ferlay J, Forman D. Global cancer transitions according to the Human Development Index (2008–2030): a population-based study. Lancet Oncol. 2012;13(8):790-801. doi: 10.1016/S1470-2045(12)70211-5
  23. Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197-2223. doi: 10.1016/S0140-6736(12)61689-4
  24. Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095-2128. doi: 10.1016/S0140-6736(12)61728-0
  25. Center MM, Jemal A, Lortet-Tieulent J, et al. International variation in prostate cancer incidence and mortality rates. Eur Urol. 2012;61(6):1079-1092. doi: 10.1016/j.eururo.2012.02.054
  26. Rebbeck TR, Jaffe JM, Walker AH, Wein AJ, Malkowicz SB. Modification of clinical presentation of prostate tumors by a novel genetic variant in CYP3A4. J Natl Cancer Inst. 1998;90(16):1225-1229. doi: 10.1093/jnci/90.16.1225
  27. Zhang J, Dhakal IB, Zhao Z, Li L. Trends in mortality from cancers of the breast, colon, prostate, esophagus, and stomach in East Asia: role of nutrition transition. Eur J Cancer Prev. 2012;21(5):480-489. doi: 10.1097/CEJ.0b013e328351c732
  28. Draisma G, Etzioni R, Tsodikov A, et al. Lead time and overdiagnosis in prostate-specific antigen screening: importance of methods and context. J Natl Cancer Inst. 2009;101(6):374-383. doi: 10.1093/jnci/djp001
  29. Farmer P, Frenk J, Knaul FM, et al. Expansion of cancer care and control in countries of low and middle income: a call to action. Lancet. 2010;376(9747):1186-1193. doi: 10.1016/s0140-6736(10)61152-x
  30. Sasco AJ. Cancer and globalization. Biomed Pharmacother. 2008;62(6):110-121. doi: 10.1016/j.biopha.2007.10.015
  31. Franceschi S, Wild CP. Meeting the global demands of epidemiologic transition -The indispensable role of cancer prevention. Mol Oncol. 2013;7(1):1-13. doi: 10.1016/j.molonc.2012.10.010
  32. Boyle P, Levin B, eds. World Cancer Report 2008. Accessed March, 31 2009. https://publications.iarc.who.int/Non-Series-Publications/World-Cancer-Reports/World-Cancer-Report-2008.
  33. Ofori B, Fosu K, Aikins A, et al. The intersection of culture and prostate cancer care in Sub-Saharan Africa: a systematic review. Afr J Urol. 2025;31:41. doi: 10.1186/s12301-025-00512-y
  34. World Health Organization. Cancer: Fact Sheets. Geneva: WHO; 2026. Accessed July 3, 2026. https://www.who.int/ news-room/fact-sheets/detail/cancer.
  35. Baade PD, Youlden DR, Krnjacki LJ. International epidemiology of prostate cancer: Geographical distribution and secular trends. Mol Nutr Food Res. 2009;53(2):171-184. doi: 10.1002/mnfr.200700511
  36. Adebamowo CA, Akarolo-Anthony S. Cancer in Africa: opportunities for collaborative research and training. Afr J Med Med Sci. 2009;38(Suppl 2):5-13.
  37. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424. doi: 10.3322/caac.21492
  38. Morhason-Bello IO, Odedina F, Rebbeck TR, et al. Challenges and opportunities in cancer control in Africa: a perspective from the African Organisation for Research and Training in Cancer. Lancet Oncol. 2013;14:e142-e151. doi: 10.1016/S1470-2045(12)70482-5
  39. Parenté A, Gnangnon FHR, Kinsou D, et al. Prognostic factors of breast cancer and survival in Sub-Saharan Africa: A systematic review and meta-analysis. Bull Cancer. 2025;112(9):1024-1034. doi: 10.1016/j.bulcan.2025.05.009
  40. Ly M, Antoine M, Dembélé AK, et al. High incidence of triple-negative tumors in sub-saharan Africa: a prospective study of breast cancer characteristics and risk factors in Malian women seen in a Bamako university hospital. Oncology. 2012;83(5):257-263. doi: 10.1159/000341541
  41. Gakwaya A, Kigula-Mugambe JB, Kavuma A, et al. Cancer of the breast: 5-year survival in a tertiary hospital in Uganda. Br J Cancer. 2008;99(1):63-67. doi: 10.1038/sj.bjc.6604435
  42. Vanderpuye V, Grover S, Hammad N, et al. An update on the management of breast cancer in Africa. Infect Agent Cancer. 2017;12:13. doi: 10.1186/s13027-017-0124-y
  43. Kizub DA, Naik S, Abogan AA, et al. Access to and affordability of World Health Organization essential Medicines for Cancer in Sub-Saharan Africa: examples from Kenya, Rwanda, and Uganda. Oncologist. 2022;27(11):958-970. doi: 10.1093/oncolo/oyac143
  44. Sharma R, Aashima, Nanda M, et al. Mapping Cancer in Africa: A Comprehensive and Comparable Characterization of 34 Cancer Types Using Estimates from GLOBOCAN 2020. Front Public Health. 2022;10:839835. doi: 10.3389/fpubh.2022.839835
  45. Marais B, Klopper G, John J. Prostate cancer perspective: Africa versus the world. S Afr Med J. 2024;114(4):e1950. doi: 10.7196/SAMJ.2024.v114i4.1950
  46. Awuah WA, Ng JC, Mehta A, et al. The African cancer burden: what is the potential role of modern oncology innovation in reducing the continent’s rapidly rising mortality? Postgrad Med J. 2023;99(1175):941-945. doi: 10.1093/postmj/qgad043
  47. Cortesi L, Rugo HS, Jackisch C. An Overview of PARP Inhibitors for the Treatment of Breast Cancer. Target Oncol. 2021;16(3):255-282. doi: 10.1007/s11523-021-00796-4
  48. McCormack VA, dos Santos Silva I. Breast density and parenchymal patterns as markers of breast cancer risk: a meta-analysis. Cancer Epidemiol Biomarkers Prev. 2006;15(6):1159-1169. doi: 10.1158/1055-9965.EPI-06-0034
  49. Fackenthal JD, Zhang J, Zhang B, et al. High prevalence of BRCA1 and BRCA2 mutations in unselected Nigerian breast cancer patients. Int J Cancer. 2012;131(5):1114-1123. doi: 10.1002/ijc.27326
  50. Pitt JJ, Riester M, Zheng Y, et al. Characterization of Nigerian breast cancer reveals prevalent homologous recombination deficiency and aggressive molecular features. Nat Commun. 2018;9(1):4181. doi: 10.1038/s41467-018-06616-0
  51. Pegoraro RJ, Moodley M, Rom L, Chetty R, Moodley J. P53 codon 72 polymorphism and BRCA 1 and 2 mutations in ovarian epithelial malignancies in black South Africans. Int J Gynecol Cancer. 2003;13(4):444-449. doi: 10.1046/j.1525-1438.2003.13333.x
  52. Mahfoudh W, Bettaieb I, Ghedira R, et al. Contribution of BRCA1 5382insC mutation in triple negative breast cancer in Tunisia. J Transl Med. 2019;17(1):123. doi: 10.1186/s12967-019-1873-8
  53. Reeves MD, Yawitch TM, van der Merwe NC, van den Berg HJ, Dreyer G, van Rensburg EJ. BRCA1 mutations in South African breast and/or ovarian cancer families: evidence of a novel founder mutation in Afrikaner families. Int J Cancer. 2004;110(5):677-682. doi: 10.1002/ijc.20186
  54. van der Merwe NC, Hamel N, Schneider SR, Apffelstaedt JP, Wijnen JT, Foulkes WD. A founder BRCA2 mutation in non-Afrikaner breast cancer patients of the Western Cape of South Africa. Clin Genet. 2012;81(2):179-184. doi: 10.1111/j.1399-0004.2010.01617.x
  55. Rotimi SO, Rotimi OA, Salhia B. A Review of Cancer Genetics and Genomics Studies in Africa. Front Oncol. 2021;10:606400. doi: 10.3389/fonc.2020.606400
  56. Novillo A, Romero-Lorca A, Gaibar M, et al. Genetic diversity of CYP3A4 and CYP3A5 polymorphisms in North African populations from Morocco and Tunisia. Int J Biol Markers. 2012;27(1):e148-e151. doi: 10.5301/jbm.5000118
  57. Fernandez P, Zeigler-Johnson CM, Spangler E, et al. Androgen metabolism gene polymorphisms, associations with prostate cancer risk and pathological characteristics: a comparative analysis between South African and Senegalese men. Prostate Cancer. 2012;2012:798634. doi: 10.1155/2012/798634
  58. Souiden Y, Mahdouani M, Chaieb K, Bakhrouf A, Mahdouani K. Lack of association of CYP1A1 polymorphism with prostate cancer susceptibility of Tunisian men. Genet Test Mol Biomarkers. 2012;16(6):661-666. doi: 10.1089/gtmb.2011.0212
  59. Souiden Y, Mahdouani M, Chaieb K, Elkamel R, Mahdouani K. CYP17 gene polymorphism and prostate cancer susceptibility in a Tunisian population. Cancer Epidemiol. 2011;35(7):480-484. doi: 10.1016/j.canep.2010.11.008
  60. Fernandez P, De Beer PM, Van der Merwe L, Heyns CF. Genetic variations in androgen metabolism genes and associations with prostate cancer in South African men. S Afr Med J. 2010;100(11):741-745. doi: 10.7196/SAMJ.4104
  61. Chen F, Sheng X, Wang A, et al. Integrating Pathogenic Variants, Polygenic Risk Score, and Family History for Prostate Cancer Risk Estimation in Men of African Ancestry. Eur Urol. 2026;89(5):416-425. doi: 10.1016/j.eururo.2025.09.4161
  62. Akinloye O, Gromoll J, Simoni M. Variation in CAG and GGN repeat lengths and CAG/GGN haplotype in androgen receptor gene polymorphism and prostate carcinoma in Nigerians. Br J Biomed Sci. 2011;68(3):138-142. doi: 10.1080/09674845.2011.11730341
  63. Esteban E, Rodon N, Via M, et al. Androgen receptor CAG and GGC polymorphisms in Mediterraneans: repeat dynamics and population relationships. J Hum Genet. 2006;51(2):129-136. doi: 10.1007/s10038-005-0336-7
  64. Novillo A, Gaibar M, Romero-Lorca A, et al. UDP-glucuronosyltransferase genetic variation in North African populations: a comparison with African and European data. Ann Hum Biol. 2018;45(6-8):516-523. doi: 10.1080/03014460.2018.1559354
  65. Benabdelkrim M, Djeffal O, Berredjem H. GSTM1 and GSTT1 polymorphisms and susceptibility to prostate cancer: a case-control study of the Algerian population. Asian Pac J Cancer Prev. 2018;19(10):2853-2858. doi: 10.22034/APJCP.2018.19.10.2853
  66. Fernandez-Santander A, Novillo A, Gaibar M, et al. Cytochrome and sulfotransferase gene variation in north African populations. Pharmacogenomics. 2016;17(13):1415-1423. doi: 10.2217/pgs-2016-0016
  67. Souiden Y, Mahdouani M, Chaieb K, Elkamel R, Mahdouani K. Polymorphisms of glutathione-S-transferase M1 and T1 and prostate cancer risk in a Tunisian population. Cancer Epidemiol. 2010;34(5):598-603. doi: 10.1016/j.canep.2010.06.002
  68. Feng Y, Spezia M, Huang S, 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. doi: 10.1016/j.gendis.2018.05.001
  69. Brinton LA, Figueroa JD, Awuah B, et al. Breast cancer in Sub-Saharan Africa: opportunities for prevention. Breast Cancer Res Treat. 2014;144(3):467-478. doi: 10.1007/s10549-014-2868-z
  70. Bird PA, Hill AG, Houssami N. Poor Hormone Receptor Expression in East African Breast Cancer: Evidence of a Biologically Different Disease? Ann Surg Oncol. 2008;15(7):1983-1988. doi: 10.1245/s10434-008-9900-7
  71. Newman LA, Jenkins B, Chen Y, et al. Hereditary Susceptibility for Triple Negative Breast Cancer Associated with Western Sub-Saharan African Ancestry: Results From an International Surgical Breast Cancer Collaborative. Ann Surg. 2019;270(3):484-492. doi: 10.1097/SLA.0000000000003459
  72. Onyia AF, Nana TA, Adewale EA, et al. Breast Cancer Phenotypes in Africa: A Scoping Review and Meta-Analysis. JCO Glob Oncol. 2023;9:e2300135. doi: 10.1200/GO.23.00135
  73. Haffner MC, Zwart W, Roudier MP, et al. Genomic and phenotypic heterogeneity in prostate cancer. Nat Rev Urol. 2021;18(2):79-92. doi: 10.1038/s41585-020-00400-w
  74. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90. doi: 10.3322/caac.20107
  75. NCD Alliance. Tackling Non-communicable Diseases to Enhance Sustainable Development. NCD Alliance Briefing Paper. Geneva: The NCD Alliance; 2012. Accessed May 2, 2013. https://ncdalliance.org/sites/default/files/NCD%20 Alliance%20-%20NCDs%20and%20Sustainable%20 Development%20Brief_0.pdf
  76. Morgan M, Deoraj A, Felty Q, Roy D. Environmental estrogen-like endocrine disrupting chemicals and breast cancer. Mol Cell Endocrinol. 2017;457:89-102. doi: 10.1016/j.mce.2016.10.003
  77. Anaduaka EG, Uchendu NO, Asomadu RO, Ezugwu AL, Okeke ES, Chidike Ezeorba TP. Widespread use of toxic agrochemicals and pesticides for agricultural products storage in Africa and developing countries: Possible panacea for ecotoxicology and health implications. Heliyon. 2023;9(4):e15173. doi: 10.1016/j.heliyon.2023.e15173
  78. Liang Y, Lu Q, Li W, et al. Reactivation of tumour suppressor in breast cancer by enhancer switching through NamiRNA network. Nucleic Acids Res. 2021;49(15):8556-8572. doi: 10.1093/nar/gkab626
  79. Esteve-Puig R, Bueno-Costa A, Esteller M. Writers, Readers and Erasers of RNA Modifications in Cancer. Cancer Lett. 2020;474:127-137. doi: 10.1016/j.canlet.2020.01.021
  80. Griess B, Klinkebiel D, Kueh A, et al. Association of SOD3 promoter DNA methylation with its down-regulation in breast carcinomas. Epigenetics. 2020;15(12):1325-1335. doi: 10.1080/15592294.2020.1777666
  81. Hahn MA, Hahn T, Lee DH, et al. Methylation of polycomb target genes in intestinal cancer is mediated by inflammation. Cancer Res. 2008;68(24):10280-10289. doi: 10.1158/0008-5472.CAN-08-1957
  82. Craddock J, Jiang J, Patrick SM, et al. Alterations in the Epigenetic Machinery Associated with Prostate Cancer Health Disparities. Cancers (Basel). 2023;15(13):3462. doi: 10.3390/cancers15133462
  83. Cupertino SES, Gonçalves ACA, Gusmão Lopes CV, Gradia DF, Beltrame MH. The Current State of Breast Cancer Genetics in Populations of African Ancestry. Genes. 2025;16(2):199. doi: 10.3390/genes16020199
  84. Rosenfield RL. Hirsutism and the variable response of the pilosebaceous unit to androgen. J Investig Dermatol Symp Proc. 2005;10(3):205-208. doi: 10.1111/j.1087-0024.2005.10106.x
  85. Huang P, Chandra V, Rastinejad F. Structural overview of the nuclear receptor superfamily: insights into physiology and therapeutics. Annu Rev Physiol. 2010;72:247-272. doi: 10.1146/annurev-physiol-021909-135917
  86. Edwards DM, Speers C, Wahl DR. Targeting Noncanonical Regulators of the DNA Damage Response to Selectively Overcome Cancer Radiation Resistance. Semin Radiat Oncol. 2022;32(1):64-75. doi: 10.1016/j.semradonc.2021.09.006
  87. Bader DA, Chakraborty B, McDonnell DP, Hirschey MD. Targeting androgen receptor signaling to enhance cancer immunotherapy. Trends Pharmacol Sci. Published online December 3, 2025. doi: 10.1016/j.tips.2025.11.003
  88. Liu Y, Wang J, Horton C, et al. Stromal AR inhibits prostate tumor progression by restraining secretory luminal epithelial cells. Cell Rep. 2022;39:110848. doi: 10.1016/j.celrep.2022.110848
  89. Lonergan PE, Tindall DJ. Androgen receptor signaling in prostate cancer development and progression. J Carcinog. 2011;10:20. doi: 10.4103/1477-3163.83937
  90. Jernberg E, Bergh A, Wikström P. Clinical relevance of androgen receptor alterations in prostate cancer. Endocr Connect. 2017;6(8):R146-R161. doi: 10.1530/EC-17-0118
  91. Bennett CL, Price DK, Kim S, et al. Racial variation in CAG repeat lengths within the androgen receptor gene among prostate cancer patients of lower socioeconomic status. J Clin Oncol. 2002;20(17):3599-3604. doi: 10.1200/JCO.2002.11.085
  92. Hickey TE, Robinson JL, Carroll JS, Tilley WD. Minireview: The androgen receptor in breast tissues: growth inhibitor, tumor suppressor, oncogene? Mol Endocrinol. 2012;26(8):1252-1267. doi: 10.1210/me.2012-1107
  93. Dai C, Ellisen LW. Revisiting Androgen Receptor Signaling in Breast Cancer. Oncologist. 2023;28(5):383-391. doi: 10.1093/oncolo/oyad049
  94. Ghidini A, Bukovec R, Roncari L, Garassino I, Cribiù FM, Petrelli F. The Role of Androgen Receptor and Antiandrogen Therapy in Breast Cancer: A Scoping Review. Curr Oncol. 2026;33(1):41. doi: 10.3390/curroncol33010041
  95. Anestis A, Zoi I, Papavassiliou AG, Karamouzis MV. Androgen Receptor in Breast Cancer-Clinical and Preclinical Research Insights. Molecules. 2020;25(2):358. doi: 10.3390/molecules25020358
  96. Thomas P, Pang Y, Dong J. Membrane androgen receptor characteristics of human ZIP9 (SLC39A) zinc transporter in prostate cancer cells: Androgen-specific activation and involvement of an inhibitory G protein in zinc and MAP kinase signaling. Mol Cell Endocrinol. 2017;447:23-34. doi: 10.1016/j.mce.2017.02.025
  97. Christoforou P, Christopoulos PF, Koutsilieris M. The role of estrogen receptor β in prostate cancer. Mol Med. 2014;20:427. doi: 10.2119/molmed.2014.00105
  98. Cheng G, Weihua Z, Warner M, Gustafsson JA. Estrogen receptors ER alpha and ER beta in proliferation in the rodent mammary gland. Proc Natl Acad Sci U S A. 2004;101(11):3739-3746. doi: 10.1073/pnas.0307864100
  99. Speirs V, Skliris GP, Burdall SE, Carder PJ. Distinct expression patterns of ER alpha and ER beta in normal human mammary gland. J Clin Pathol. 2002;55(5):371-374. doi: 10.1136/jcp.55.5.371
  100. Paruthiyil S, Parmar H, Kerekatte V, Cunha GR, Firestone GL, Leitman DC. Estrogen receptor beta inhibits human breast cancer cell proliferation and tumor formation by causing a G2 cell cycle arrest. Cancer Res. 2004;64(1):423-428. doi: 10.1158/0008-5472.CAN-03-2446
  101. Njale E, Mahugija JAM, Shilla DJ, Dharsee N, Mbare NS. Association between exposure to heavy metals and the risk of breast cancer: A case-control study in Tanzania. Environ Toxicol Pharmacol. 2024;110:104498. doi: 10.1016/j.etap.2024.104498
  102. Matuszczak M, Kiljańczyk A, Marciniak W, et al. Blood molybdenum level as a marker of cancer risk on BRCA1 carriers. Hered Cancer Clin Pract. 2024;22(1):19. doi: 10.1186/s13053-024-00291-7
  103. Clarke M, Collins R, Darby S, et al. Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomised trials. Lancet. 2005;366(9503):2087-2106. doi: 10.1016/S0140-6736(05)67887-7
  104. Bhatla N, Denny L. FIGO cancer report 2018. Int J Gynecol Obstet. 2018;143 Suppl 2:2-3. doi: 10.1002/ijgo.12608
  105. Wilt TJ, Brawer MK, Jones KM, et al. Radical prostatectomy versus observation for localized prostate cancer. N Engl J Med. 2012;367(3):203-213. doi: 10.1056/NEJMoa1113162
  106. Dearnaley D, Syndikus I, Mossop H, et al. Conventional versus hypofractionated high-dose intensity-modulated radiotherapy for prostate cancer: 5-year outcomes of the randomised, non-inferiority, phase 3 CHHiP trial. Lancet Oncol. 2016;17(8):1047-1060. doi: 10.1016/S1470-2045(16)30102-4
  107. Hortobagyi GN. Treatment of breast cancer. N Engl J Med. 1998;339(14):974-984. doi: 10.1056/NEJM199810013391407
  108. Tannock IF, de Wit R, Berry WR, et al. Docetaxel plus prednisone or mitoxantrone plus prednisone for advanced prostate cancer. N Engl J Med. 2004;351(15):1502-1512. doi: 10.1056/NEJMoa040720
  109. de Bono J, Mateo J, Fizazi K, et al. Olaparib for Metastatic Castration-Resistant Prostate Cancer. N Engl J Med. 2020;382(22):2091-2102. doi: 10.1056/NEJMoa1911440
  110. Fizazi K, Tran N, Fein L, et al. Abiraterone acetate plus prednisone in patients with newly diagnosed high-risk metastatic castration-sensitive prostate cancer (LATITUDE): final overall survival analysis of a randomised, double-blind, phase 3 trial. Lancet Oncol. 2019;20(5):686-700. doi: 10.1016/S1470-2045(19)30082-8
  111. Morales J, Li L, Fattah FJ, et al. Review of poly (ADP-ribose) polymerase (PARP) mechanisms of action and rationale for targeting in cancer and other diseases. Crit Rev Eukaryot Gene Expr. 2014;24(1):15-28. doi: 10.1615/CritRevEukaryotGeneExpr.2013006875
  112. Bourlon MT, Valdez P, Castro E. Development of PARP inhibitors in advanced prostate cancer. Ther Adv Med Oncol. 2024;16:17588359231221337. doi: 10.1177/17588359231221337
  113. Slamon DJ, Leyland-Jones B, Shak S, et al. Use of chemotherapy plus a monoclonal antibody against HER2 for metastatic breast cancer that overexpresses HER2. N Engl J Med. 2001;344(2001):783-792. doi: 10.1056/NEJM200103153441101
  114. Kantoff PW, Higano CS, Shore ND, et al. Sipuleucel-T immunotherapy for castration-resistant prostate cancer. N Engl J Med. 2010;363(5):411-422. doi: 10.1056/NEJMoa1001294
  115. Degu A, Mekonnen AN, Njogu PM. A Systematic Review of the Treatment Outcomes among Prostate Cancer Patients in Africa. Cancer Invest. 2022;40(8):722-732. doi: 10.1080/07357907.2022.2091777
  116. Cassell A, Yunusa B, Jalloh M, et al. A Review of Localized Prostate Cancer: An African Perspective. World J Oncol. 2019;10(4-5):162-171. doi: 10.14740/wjon1221
  117. Sharma K, Mayer T, Li S, et al. Advancing oncology drug therapies for sub-Saharan Africa. PLOS Glob Public Health. 2023;3:e0001653. doi: 10.1371/journal.pgph.0001653
  118. Cassell A, Yunusa B, Jalloh M, et al. Management of Advanced and Metastatic Prostate Cancer: A Need for a Sub-Saharan Guideline. J Oncol. 2019;2019:1785428. doi: 10.1155/2019/1785428
  119. Bosland MC, Shittu OB, Ikpi EE, Akinloye O. Potential New Approaches for Prostate Cancer Management in Resource-Limited Countries in Africa. Ann Glob Health. 2023;89(1):14. doi: 10.5334/aogh.3994
  120. Wireko AA, Wellington J, Adebusoye FT, Tenkorang PO, Ahmad AO, Abdul-Rahman T. Breast cancer in Africa: an extensive surgical burden of paramount importance -letter to the editor. Int J Surg. 2023;109(3):651-652. doi: 10.1097/JS9.0000000000000253
  121. Cameron D, Piccart-Gebhart MJ, Gelber RD, et al. 11 years’ follow-up of trastuzumab after adjuvant chemotherapy in HER2-positive early breast cancer: final analysis of the HERceptin Adjuvant (HERA) trial. Lancet. 2017;389(10176):1195-1205. doi: 10.1016/S0140-6736(16)32616-2
  122. Piccart-Gebhart MJ, Procter M, Leyland-Jones B, et al. Trastuzumab after adjuvant chemotherapy in HER2-positive breast cancer. N Engl J Med. 2005;353(16):1659-1672. doi: 10.1056/NEJMoa052306
  123. Sayed S, Moloo Z, Wasike R, et al. Is breast cancer from Sub Saharan Africa truly receptor poor? Prevalence of ER/PR/ HER2 in breast cancer from Kenya. Breast. 2014;23(5):591-596. doi: 10.1016/j.breast.2014.06.006
  124. Mohammed SI, Harford JB. Sorting reality from what we think we know about breast cancer in Africa. PLoS Med. 2014;11:e1001721. doi: 10.1371/journal.pmed.1001721
  125. Galukande M, Wabinga H, Mirembe F, Karamagi C, Asea A. Molecular breast cancer subtypes prevalence in an Indigenous Sub-Saharan African population. Pan Afr Med J. 2014;17:249. doi: 10.11604/pamj.2014.17.249.330
  126. Ssentongo P, Lewcun JA, Candela X, et al. Regional, racial, gender, and tumor biology disparities in breast cancer survival rates in Africa: A systematic review and meta-analysis. PLoS ONE. 2019;14:e0225039. doi: 10.1371/journal.pone.0225039
  127. Yang T, Li W, Huang T, Zhou J. Immunotherapy Targeting PD-1/PD-L1 in Early-Stage Triple-Negative Breast Cancer. J Pers Med. 2023;13(3):526. doi: 10.3390/jpm13030526
  128. WHO Traditional Medicine Strategy: 2014-2023. World Health Organization. 2013. Accessed May 15, 2013. https:// www.who.int/publications/i/item/9789241506096
  129. Tai J, Cheung S, Chan E, Hasman D. In vitro culture studies of Sutherlandia frutescens on human tumor cell lines. J Ethnopharmacol. 2004;93(1):9-19. doi: 10.1016/j.jep.2004.02.028
  130. Greenwell M, Rahman PK. Medicinal Plants: Their Use in Anticancer Treatment. Int J Pharm Sci Res. 2015;6(10):4103-4112. doi: 10.13040/IJPSR.0975-8232.6(10).4103-12
  131. Hlengwa N, Masilela C, Mtambo TR, et al. In Vitro Hepatic Models to Assess Herb–Drug Interactions: Approaches and Challenges. Pharmaceuticals. 2023;16(3):409. doi: 10.3390/ph16030409
  132. Ochwang’i DO, Kimwele CN, Oduma JA, Gathumbi PK, Mbaria JM, Kiama SG. Medicinal plants used in treatment and management of cancer in Kakamega County, Kenya. J Ethnopharmacol. 2014;151(3):1040-1055. doi: 10.1016/j.jep.2013.11.051
  133. Albrecht CF, Theron EJ, Kruger PB. Morphological characterisation of the cell-growth inhibitory activity of rooperol and pharmacokinetic aspects of hypoxoside as an oral prodrug for cancer therapy. S Afr Med J. 1995;85(9):853-860.
  134. Efferth T. Molecular pharmacology and pharmacogenomics of artemisinin and its derivatives in cancer cells. Curr Drug Targets. 2006;7(4):407-421. doi: 10.2174/138945006776359412
  135. Ochwang’i DO, Kimwele CN, Oduma JA, Gathumbi PK, Kiama SG, Efferth T. Cytotoxic activity of medicinal plants of the Kakamega County (Kenya) against drug-sensitive and multidrug-resistant cancer cells. J Ethnopharmacol. 2018;215:233-240. doi: 10.1016/j.jep.2018.01.004
  136. Augustin Y, Staines HM, Krishna S. Artemisinins as a novel anti-cancer therapy: Targeting a global cancer pandemic through drug repurposing. Pharmacol Ther. 2020;216:107706. doi: 10.1016/j.pharmthera.2020.107706
  137. Izevbigie EB. Discovery of water-soluble anticancer agents (edotides) from a vegetable found in Benin City, Nigeria. Exp Biol Med (Maywood). 2003;228(3):293-298. doi: 10.1177/153537020322800308
  138. Mahfuz AMUB, Khan AM, Biswas S, et al. In search of novel inhibitors of anti-cancer drug target fibroblast growth factor receptors: Insights from virtual screening, molecular docking, and molecular dynamics. Arab J Chem. 2022;15:103882. doi: 10.1016/j.arabjc.2022.103882
  139. Challand S, Willcox M. A clinical trial of the traditional medicine Vernonia amygdalina in the treatment of uncomplicated malaria. J Altern Complement Med. 2009;15(11):1231-1237. doi: 10.1089/acm.2009.0098
  140. Shahab M, Ziyu P, Waqas M, et al. Targeting human progesterone receptor (PR), through pharmacophore-based screening and molecular simulation revealed potent inhibitors against breast cancer. Sci Rep. 2024;14:6768. doi: 10.1038/s41598-024-55321-0
  141. Wu J, Liu Y, Fang C, Zhao L, Lin L, Lu L. Traditional Chinese Medicine Preparation Combined Therapy May Improve Chemotherapy Efficacy: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2019;2019:5015824. doi: 10.1155/2019/5015824
  142. Komakech R, Kang Y, Lee JH, Omujal F. A Review of the Potential of Phytochemicals from Prunus africana (Hook f.) Kalkman Stem Bark for Chemoprevention and Chemotherapy of Prostate Cancer. Evid Based Complement Alternat Med. 2017;2017:3014019. doi: 10.1155/2017/3014019
  143. Kudamba A, Kasolo JN, Bbosa GS, et al. Review of Herbal Medicinal Plants Used in the Management of Cancers in the East Africa Region from 2019 to 2023. Integr Cancer Ther. 2024;23:15347354241235583. doi: 10.1177/15347354241235583
  144. Gaobotse G, Venkataraman S, Brown PD, et al. The use of African medicinal plants in cancer management. Front Pharmacol. 2023;14:1122388. doi: 10.3389/fphar.2023.1122388
  145. Badal K, Maniam A, Otis SU, Esserman LJ. Translating risk-based breast cancer screening to limited-resource settings. BMC Glob Public Health. 2025;3(1):59. doi: 10.1186/s44263-025-00176-4
  146. Lingwood RJ, Boyle P, Milburn A, et al. The challenge of cancer control in Africa. Nat Rev Cancer. 2008;8:398-403. doi: 10.1038/nrc2372
  147. Manson EN, Achel DG. Fighting breast cancer in low-and-middle-income countries – What must we do to get every woman screened on regular basis? Sci Afr. 2023;21:e01848. doi: 10.1016/j.sciaf.2023.e01848
  148. Black E, Richmond R. Improving early detection of breast cancer in sub-Saharan Africa: why mammography may not be the way forward. Global Health. 2019;8:3. doi: 10.1186/s12992-018-0446-6
  149. Jemal A, Bray F, Forman D, et al. Cancer burden in Africa and opportunities for prevention. Cancer. 2012;118(18):4372-4384. doi: 10.1002/cncr.27410
  150. Parkin DM. The role of cancer registries in cancer control. Int J Clin Oncol. 2008;13(2):102-111. doi: 10.1007/s10147-008-0762-6
  151. Gutnik LA, Matanje-Mwagomba B, Msosa V, et al. Breast Cancer Screening in Low-and Middle-Income Countries: A Perspective from Malawi. J Glob Oncol. 2015;1(1):4-8. doi: 10.1200/JGO.2015.000430
  152. Rawla P. Epidemiology of Prostate Cancer. World J Oncol. 2019;10(2):63-89. doi: 10.14740/wjon1191
  153. Strother RM, Gopal S, Wirth M, et al. Challenges of HIV Lymphoma Clinical Trials in Africa: Lessons from the AIDS Malignancy Consortium 068 Study. JCO Glob Oncol. 2020;6:1034-1040. doi: 10.1200/GO.20.00152
  154. Asiimwe JB, Nagendrappa PB, Atukunda EC, et al. Prevalence of the Use of Herbal Medicines among Patients with Cancer: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2021;2021:9963038. doi: 10.1155/2021/9963038
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