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Updated: May 18, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Androgen receptor in triple negative breast cancer
K M McNamara1, T Yoda, K Takagi
1Department of Anatomical Pathology, Tohoku University School of Graduate Medicine, Japan. kmcnamara@patholo2.med.tohoku.ac.jp
Abstract:
The clinical management of triple negative breast cancer (TNBC) is challenging due to the relatively aggressive biological behaviour and paucity of specific targeted therapy. A subset of TNBC patients has been reported to express androgen receptor (AR) in carcinoma cells and the manipulation of androgen signalling or AR targeted therapies have been proposed. However, the biological significance of AR in TNBC has remained relatively unknown. Therefore, this review aims to summarise the reported studies assessing the rates of AR positivity in TNBC patients and androgenic effects in TNBC cell lines. The rates of AR positivity among TNBC cases varied depending on the study population (0-53% of all TNBC patients). This difference among the reported studies may be largely due to the methodological differences of analysing AR. While the majority of cell line studies suggest that androgen increase proliferation and preliminary clinical studies suggest that AR antagonists improve the prognosis of AR positive TNBC patients, cell line transfection experiments and survival analyses of histological samples suggest that the presence of AR in tumour is either benign or predicts better survival. Therefore further translational investigations regarding the mechanisms of androgen action in TNBC are required to explain this discrepancy between clinical and basic studies.
Insights
Triple negative breast cancer (TNBC) management is difficult. Androgen receptor (AR) presence in TNBC cells offers potential therapeutic targets, but its role remains unclear, necessitating further research.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Triple-negative breast cancer (TNBC) presents significant clinical challenges due to its aggressive nature and limited targeted therapies.
- A subset of TNBC cases expresses the androgen receptor (AR), suggesting potential therapeutic avenues through androgen signaling manipulation or AR-targeted treatments.
Purpose of the Study:
- To review and summarize existing studies on AR positivity rates in TNBC patients.
- To consolidate findings on the effects of androgens in TNBC cell lines.
- To investigate the biological significance of AR in TNBC.
Main Methods:
- Systematic review of literature assessing AR positivity in TNBC patient cohorts.
- Analysis of in vitro studies examining androgenic effects on TNBC cell lines.
- Examination of clinical data and survival analyses related to AR expression in TNBC.
Main Results:
- Reported rates of AR positivity in TNBC vary widely (0-53%), likely due to methodological differences in AR analysis.
- Most cell line studies indicate androgens promote TNBC proliferation.
- Preliminary clinical data suggest AR antagonists may improve outcomes for AR-positive TNBC patients.
Conclusions:
- Conflicting evidence exists regarding AR's role in TNBC: cell line studies suggest proliferation promotion, while some clinical and transfection studies indicate a benign or favorable prognostic role.
- Discrepancies between in vitro and clinical findings highlight the need for further translational research into androgen action mechanisms in TNBC.
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