Immunotherapeutic approaches in triple-negative breast cancer: latest research and clinical prospects

John Stagg1, Bertrand Allard

  • 1Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Faculté de Pharmacie et Institut du Cancer de Montréal, Montréal, Québec, Canada H2L 4M1.

Insights

Triple-negative breast cancer (TNBC) shows poor prognosis due to lack of molecular targets. Tumor-infiltrating immune cells and novel immunotherapies offer potential treatment avenues for TNBC patients.

Area of Science:

  • Oncology
  • Immunology

Background:

  • Triple-negative breast cancer (TNBC) lacks specific molecular targets, presenting a significant clinical challenge.
  • TNBC is characterized by the absence of estrogen receptors, progesterone receptors, and HER2 expression.
  • Recent genomic studies reveal the molecular heterogeneity of TNBC.

Purpose of the Study:

  • To review the impact of tumor-infiltrating immune cells on TNBC clinical outcomes.
  • To discuss newly identified tumor-associated antigens in TNBC.
  • To summarize promising immunotherapeutic strategies for TNBC.

Main Methods:

  • Literature review of scientific evidence on TNBC and immunotherapy.
  • Analysis of studies investigating tumor-infiltrating lymphocytes and tumor-associated antigens.
  • Overview of current and emerging immunotherapies for TNBC.

Main Results:

  • Clinical outcomes in TNBC are influenced by tumor-infiltrating immune cells.
  • Specific tumor-associated antigens have been identified in TNBC.
  • Various immunotherapies, including vaccines, immune-checkpoint inhibitors, and adoptive cell therapies, show promise.

Conclusions:

  • Selected TNBC patients with lymphocytic infiltrates may benefit from immunotherapy.
  • Combination therapies, particularly immunotherapy with cytotoxic drugs, may enhance anti-tumor immunity.
  • Further research into immune-based strategies is crucial for advancing TNBC treatment.

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