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Breast cancer molecular subtypes--modern therapeutic concepts for targeted therapy of a heterogeneous entity
Cornelia Liedtke1, Ludwig Kiesel
1Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Münster, Münster, Germany. cornelia.liedtke@ukmuenster.de
Abstract:
Within the last decade, breast cancer is increasingly understood as a heterogeneous disease comprising distinct entities that vary significantly with regard to molecular biology and clinical features. Despite impressive advances in the treatment of patients with breast cancer, not all patients derive equal benefits from current therapeutic options and a significant number of patients still experience disease recurrence. Whereas for patients with hormone receptor positive and/or HER2/neu-positive breast cancer overcoming resistance against endocrine and/or anti-HER2/neu-targeted therapy is of particular importance, patients with triple negative breast cancer suffer from a lack of sufficient targeted therapeutic options at all. In this review we give a summary of the most important targeted agents recently or currently being developed for patients with breast cancer.
Insights
Breast cancer is a complex disease with varied subtypes. This review summarizes emerging targeted therapies for hormone receptor-positive, HER2-positive, and triple-negative breast cancer, addressing treatment resistance and unmet needs.
Area of Science:
- Oncology and Molecular Biology
- Cancer Therapeutics
- Breast Cancer Research
Background:
- Breast cancer is recognized as a heterogeneous disease with diverse molecular and clinical characteristics.
- Current treatments benefit all patients unequally, leading to significant disease recurrence.
- Specific challenges exist for hormone receptor-positive, HER2-positive (human epidermal growth factor receptor 2), and triple-negative breast cancer subtypes.
Purpose of the Study:
- To review recent and ongoing development of targeted agents for breast cancer treatment.
- To highlight therapeutic strategies addressing resistance in hormone receptor-positive and HER2-positive breast cancer.
- To discuss the need for novel targeted options for triple-negative breast cancer.
Main Methods:
- Literature review of recent advancements in targeted breast cancer therapies.
- Analysis of molecular targets and clinical trial data for emerging agents.
- Synthesis of information on therapeutic resistance mechanisms and novel drug development.
Main Results:
- Identification of several promising targeted agents in various stages of development.
- Understanding of strategies to overcome endocrine and anti-HER2/neu therapy resistance.
- Recognition of the critical need for new targeted therapies for triple-negative breast cancer.
Conclusions:
- Targeted therapies offer significant promise for improving breast cancer treatment outcomes.
- Addressing therapeutic resistance and developing novel agents for all subtypes, especially triple-negative breast cancer, remains a priority.
- Continued research into molecular heterogeneity is crucial for personalized breast cancer treatment.
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