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Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Targeted Therapies in Triple-Negative Breast Cancer
Frederik Marmé1, Andreas Schneeweiss1
1Universitäts-Frauenklinik, University of Heidelberg, Germany ; National Centre for Tumour Diseases, University of Heidelberg, Germany.
Abstract:
Triple-negative breast cancer (TNBC) is a heterogeneous disease comprised of several biologically distinct subtypes. However, treatment is currently mainly relying on chemotherapy as there are no targeted therapies specifically approved for TNBC. Despite initial responses to chemotherapy, resistance frequently and rapidly develops and metastatic TNBC has a poor prognosis. New targeted approaches are, therefore, urgently needed. Currently, bevacizumab, a monoclonal anti-vascular endothelial growth factor (VEGF)-A antibody, is the only targeted agent with an approval for the therapy of metastatic breast cancer, but does not provide a specific benefit in the TNBC subtype. This review discusses the current clinical developments in targeted approaches for TNBC, including anti-angiogenic therapies, epidermal growth factor receptor (EGFR)-targeted therapies, poly(ADP-ribose) polymerase (PARP) inhibitors and platinum salts, as well as novel strategies using immune-checkpoint inhibitors, which have recently demonstrated first promising results. Strategies focusing on specific subtypes of TNBC like anti-androgenic therapies for the luminal androgen receptor subtype (LAR) and others are also discussed.
Insights
Triple-negative breast cancer (TNBC) lacks targeted therapies, necessitating new approaches. This review covers emerging treatments like immune-checkpoint inhibitors and subtype-specific strategies for advanced TNBC.
Area of Science:
- Oncology
- Medical Research
Background:
- Triple-negative breast cancer (TNBC) is a heterogeneous cancer lacking targeted therapies, with chemotherapy resistance and poor prognosis in metastatic stages.
- Current treatments like bevacizumab show limited specific benefit for TNBC.
Purpose of the Study:
- To review current clinical developments in targeted therapies for triple-negative breast cancer.
- To discuss novel strategies and subtype-specific treatments for TNBC.
Main Methods:
- Review of clinical developments in targeted approaches for TNBC.
- Discussion of anti-angiogenic therapies, EGFR-targeted therapies, PARP inhibitors, platinum salts, and immune-checkpoint inhibitors.
- Exploration of subtype-specific strategies, including anti-androgenic therapies for the luminal androgen receptor (LAR) subtype.
Main Results:
- Emerging targeted therapies show promise for TNBC treatment.
- Immune-checkpoint inhibitors have demonstrated initial promising results.
- Subtype-specific therapies, such as anti-androgenic treatments for LAR TNBC, are under investigation.
Conclusions:
- New targeted approaches are urgently needed for triple-negative breast cancer due to chemotherapy resistance and poor prognosis.
- Immune-checkpoint inhibitors and subtype-specific therapies represent promising avenues for TNBC treatment.
- Further research into targeted strategies is crucial for improving outcomes in advanced TNBC.
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