Is androgen receptor targeting an emerging treatment strategy for triple negative breast cancer?

Aristomenis Anestis1, Michalis V Karamouzis1, Georgia Dalagiorgou1

  • 1Molecular Oncology Unit, Department of Biological Chemistry, University of Athens Medical School, 75 M. Asias Street, 11527 Athens, Greece.

Insights

Triple negative breast cancer (TNBC) is aggressive, lacking hormone receptors. Androgen receptor (AR) targeting offers new therapeutic strategies for specific TNBC subtypes, moving beyond chemotherapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Triple negative breast cancer (TNBC) is an aggressive subtype lacking estrogen/progesterone receptors and ERBB-2 amplification.
  • Current TNBC treatment primarily relies on chemotherapy due to the absence of targeted endocrine or ERBB-2-directed therapies.
  • TNBC exhibits significant heterogeneity, presenting challenges for effective treatment strategies.

Purpose of the Study:

  • To review the role of the androgen receptor (AR) in breast carcinogenesis within the context of TNBC.
  • To examine the association between AR and altered regulatory molecules and signal transduction pathways in TNBC.
  • To evaluate the potential of AR-targeting strategies for specific TNBC subtypes based on preclinical and clinical data.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of the role of androgen receptor in breast cancer development.
  • Evaluation of signaling pathways and regulatory molecules associated with AR in TNBC.

Main Results:

  • The androgen receptor plays a role in breast carcinogenesis and is associated with specific molecular alterations in TNBC.
  • Evidence suggests that AR signaling pathways are dysregulated in TNBC.
  • Preclinical and clinical data indicate potential therapeutic relevance of targeting AR in certain TNBC subtypes.

Conclusions:

  • The androgen receptor is a potential therapeutic target for specific subtypes of triple negative breast cancer.
  • Targeting AR may offer novel treatment avenues for TNBC patients, complementing or replacing chemotherapy.
  • Further research and clinical trials are warranted to develop and validate AR-targeting strategies for TNBC.

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