Triple-negative breast cancer and the need for new therapeutic targets

Olav Engebraaten1, Hans Kristian Moen Vollan2, Anne-Lise Børresen-Dale3

  • 1Division of Cancer Medicine, Surgery and Transplantation, Department of Oncology, Oslo University Hospital, Oslo, Norway; K.G. Jebsen Center for Breast Cancer Research, Institute for Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Tumor Biology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.

Insights

Triple-negative breast cancers (TNBCs) are aggressive tumors lacking common markers. Research reveals molecular subtypes crucial for developing targeted therapies beyond traditional chemotherapy.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Triple-negative breast cancers (TNBCs) represent a heterogeneous and aggressive subtype of breast cancer, defined by the absence of estrogen receptors, progesterone receptors, and HER2 amplification.
  • While some TNBCs respond to chemotherapy, many exhibit poor prognoses, highlighting the need for more effective treatment strategies.
  • Decades of research have uncovered significant molecular heterogeneity within TNBCs, necessitating advanced classification methods.

Purpose of the Study:

  • To review current knowledge on the clinical characteristics and molecular alterations of TNBCs.
  • To discuss conventional therapeutic strategies and emerging targeted therapy approaches for TNBCs.
  • To integrate recent findings on molecular characterization to inform future treatment selection.

Main Methods:

  • Review of existing literature on TNBC clinical characteristics and molecular alterations.
  • Analysis of high-throughput molecular data, including genomic and transcriptomic analyses.
  • Synthesis of information on conventional and targeted therapeutic strategies.

Main Results:

  • TNBCs are molecularly diverse, with distinct subgroups identified through advanced analyses.
  • Understanding these molecular alterations is key to predicting treatment response and prognosis.
  • Current research focuses on leveraging this molecular knowledge for personalized therapy selection.

Conclusions:

  • TNBCs require tailored treatment strategies based on their specific molecular profiles.
  • Continued research into molecular characterization is essential for advancing TNBC therapy.
  • Integrating genomic and transcriptomic data holds promise for improving outcomes in TNBC patients.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...