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Updated: Jun 6, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Treatment of triple negative breast cancer (TNBC): current options and future perspectives
M De Laurentiis1, D Cianniello, R Caputo
1Department of Breast Oncology, National Cancer Intitute Fondazione Pascale, via Mariano Semmola, Naples, Italy. delauren@unina.it
Abstract:
Breast cancer is not considered anymore a unique disease. Microarray gene expression analysis led to the identification of 4 major breast cancer "intrinsic" subtypes, including hormone receptor (HR)-positive luminal A and B, human epidermal growth receptor 2 (HER2)-positive and basal-like breast cancer (BLBC). These subtypes have distinct phenotypes, molecular profiles, clinical behaviour and response to therapy, with the BLBC carrying the worst outcome. Microarray analysis is not feasible in routine practice and therefore oncologists rely on a simpler immunohistochemical (IHC) classification to identify relevant breast cancer subtypes. Triple negative breast cancer (TNBC) is defined by the absence of oestrogen receptor, progesterone receptor and HER2 expression at IHC analysis. TNBC is strictly related to BLBC and, given the lack of common therapeutic targets, represent a major challenge for breast oncologist. In this review we will summarize the updated knowledge on TNBC, with emphasis on its current treatment and on the new therapeutic options under development.
Insights
Triple-negative breast cancer (TNBC) is a challenging subtype with poor outcomes. This review summarizes current treatments and emerging therapies for TNBC, a type of basal-like breast cancer (BLBC).
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Breast cancer is now recognized as heterogeneous, with distinct subtypes identified through gene expression analysis.
- These subtypes include hormone receptor (HR)-positive luminal A and B, human epidermal growth receptor 2 (HER2)-positive, and basal-like breast cancer (BLBC).
- Basal-like breast cancer (BLBC) exhibits the poorest clinical outcomes.
Purpose of the Study:
- To review the current understanding of triple-negative breast cancer (TNBC).
- To emphasize the existing treatment strategies for TNBC.
- To highlight novel therapeutic options currently under development for TNBC.
Main Methods:
- Utilizes immunohistochemical (IHC) classification for identifying breast cancer subtypes in routine clinical practice.
- Defines TNBC based on the absence of estrogen receptor, progesterone receptor, and HER2 expression via IHC.
- Reviews updated knowledge on TNBC, focusing on treatment and therapeutic advancements.
Main Results:
- Triple-negative breast cancer (TNBC) is closely associated with basal-like breast cancer (BLBC).
- TNBC presents a significant therapeutic challenge due to the lack of common molecular targets.
- Current knowledge on TNBC treatment and developing options is summarized.
Conclusions:
- TNBC, a subtype of BLBC, poses a major challenge in breast cancer treatment.
- The review provides an update on the management and future therapeutic directions for TNBC.
- Further research into targeted therapies is crucial for improving outcomes in TNBC patients.
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