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Therapeutic options for triple-negative breast cancers with defective homologous recombination
Janneke E Jaspers1, Sven Rottenberg, Jos Jonkers
1Division of Molecular Biology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands.
Abstract:
Breast cancer is the most common malignancy among women in developed countries, affecting more than a million women per year worldwide. Over the last decades, our increasing understanding of breast cancer biology has led to the development of endocrine agents against hormone receptor-positive tumors and targeted therapeutics against HER2-expressing tumors. However, no targeted therapy is available for patients with triple-negative breast cancer, lacking expression of hormone receptors and HER2. Overlap between BRCA1-mutated breast cancers and triple-negative tumors suggests that an important part of the triple-negative tumors may respond to therapeutics targeting BRCA1-deficient cells. Here, we review the features shared between triple-negative, basal-like and BRCA1-related breast cancers. We also discuss the development of novel therapeutic strategies to target BRCA1-mutated tumors and triple-negative tumors with BRCA1-like features. Finally, we highlight the utility of mouse models for BRCA1-mutated breast cancer to optimize (combination) therapy and to understand drug resistance.
Insights
Triple-negative breast cancer lacks targeted therapies. Research suggests BRCA1-mutated tumors share features with triple-negative cancers, offering potential new treatment strategies and insights from mouse models.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Breast cancer is a leading cause of cancer death in women globally.
- Effective targeted therapies exist for hormone receptor-positive and HER2-expressing breast cancers.
- Triple-negative breast cancer (TNBC) currently lacks specific targeted treatment options.
Purpose of the Study:
- To review shared features among triple-negative, basal-like, and BRCA1-related breast cancers.
- To discuss novel therapeutic strategies for BRCA1-mutated and BRCA1-like TNBC.
- To highlight the role of mouse models in advancing TNBC therapy.
Main Methods:
- Literature review of breast cancer biology and genetics.
- Analysis of overlapping characteristics between different breast cancer subtypes.
- Discussion of preclinical models for therapeutic development.
Main Results:
- Significant overlap exists between BRCA1-mutated breast cancers and triple-negative tumors.
- BRCA1-deficient cells present a potential therapeutic target for a subset of TNBC.
- Mouse models are crucial for optimizing combination therapies and understanding resistance mechanisms.
Conclusions:
- Targeting BRCA1 deficiency offers a promising avenue for treating specific triple-negative breast cancers.
- Further research into BRCA1-mutated and BRCA1-like breast cancers is essential for developing new treatments.
- Preclinical models are vital for translating research findings into effective clinical strategies for breast cancer.
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