Targeted therapies in breast cancer
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Published on: April 26, 2024
Andreas Wicki1, Christoph Rochlitz
1Department of Medical Oncology, University Hospital, Basel, Switzerland. awicki@uhbs.ch
Abstract:
Targeted therapies have improved cure rates and prolonged survival in metastasised breast cancer. The most important new molecular targets in breast cancer therapy are epidermal growth factor receptor (ErbB) family signalling, DNA repair pathways and angiogenesis. Blocking ErbB2 signalling with anti-ErbB2 antibodies or ErbB2 kinase inhibitors is effective in both the adjuvant and the palliative treatment of ErbB2 positive breast cancer. Poly-ADP-ribose polymerase (PARP) inhibitors lead to synthetic lethality in double strand repair deficient tumours. Anti-VEGF antibodies reduce tumour-induced angiogenesis and prolong progression-free survival in breast cancer. The use of both PARP inhibitors and antiangiogenic therapy is currently hampered by a lack of predictive biomarkers. In contrast, predictive markers are available for ErbB family signalling. This review is intended to give a concise summary of recent developments in the therapy of breast cancer with a focus on new, targeted therapies.
Insights
Targeted therapies targeting epidermal growth factor receptor (EGF R) signaling, DNA repair, and angiogenesis have advanced metastatic breast cancer treatment. Predictive biomarkers are available for EGF R, but not yet for PARP inhibitors or antiangiogenic therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Metastatic breast cancer treatment has been significantly improved by targeted therapies.
- Key molecular targets include epidermal growth factor receptor (EGF R) family signaling, DNA repair pathways, and angiogenesis.
Purpose of the Study:
- To provide a concise review of recent advancements in targeted therapies for breast cancer.
- To focus on new molecular targets and their therapeutic implications.
Main Methods:
- Review of current literature on targeted breast cancer therapies.
- Focus on EGF R signaling, PARP inhibitors, and antiangiogenic agents.
- Discussion of predictive biomarkers for targeted treatments.
Main Results:
- Blocking EGF R signaling (ErbB2) with antibodies or kinase inhibitors is effective in ErbB2-positive breast cancer.
- Poly-ADP-ribose polymerase (PARP) inhibitors induce synthetic lethality in tumors with DNA double-strand repair deficiencies.
- Anti-VEGF antibodies inhibit tumor angiogenesis and extend progression-free survival.
Conclusions:
- Targeted therapies offer improved outcomes for metastatic breast cancer.
- Predictive biomarkers are crucial for optimizing PARP inhibitor and antiangiogenic therapy efficacy.
- EGF R family signaling has established predictive markers, guiding its targeted treatment.
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