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Updated: Feb 17, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Triple negative breast cancer: Emerging therapeutic modalities and novel combination therapies
Alice Lee1, Mustafa B A Djamgoz2
1Faculty of Medicine, Imperial College London, South Kensington Campus, London SW7 2AZ, UK.
Abstract:
Triple negative breast cancer (TNBC) is a complex and aggressive subtype of breast cancer which lacks oestrogen receptors, progesterone receptors and HER2 amplification, thereby making it difficult to target therapeutically. In addition, TNBC has the highest rates of metastatic disease and the poorest overall survival of all breast cancer subtypes. Resultantly, development of targeted therapies for TNBC is urgently needed. Recent efforts aimed at molecular characterisation of TNBCs have revealed various emerging therapeutic targets including PARP1, receptor and non-receptor tyrosine kinases, immune-checkpoints, androgen receptor and epigenetic proteins. Key successes include that of the PARP inhibitor, olaparib, which prolonged progression-free survival in a trial of BRCA-mutated breast cancer and for which clinical approval (in this setting) appears imminent. Nevertheless, the heterogeneity of TNBC has limited the clinical benefits of many trialled therapies in 'unselected' patients. Further, drug resistance develops following use of many targeted monotherapies due to upregulation of compensatory signalling pathways. In this review, we evaluate the current status of investigational targeted treatments and present evidence for the role of novel biomarkers and combination therapies in increasing response rates and circumventing drug-induced resistance. Additionally, we discuss promising novel targets in metastatic TNBC identified through preclinical and/or epidemiological studies.
Insights
Triple negative breast cancer (TNBC) is aggressive and hard to treat. This review explores new targeted therapies and biomarkers to improve outcomes for TNBC patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Triple negative breast cancer (TNBC) is an aggressive subtype lacking hormone receptors and HER2, leading to poor prognosis.
- TNBC exhibits high rates of metastasis and the lowest survival rates among breast cancer subtypes.
- The absence of specific molecular targets makes therapeutic development for TNBC challenging.
Purpose of the Study:
- To review current investigational targeted treatments for TNBC.
- To present evidence for novel biomarkers and combination therapies to enhance response rates.
- To discuss emerging therapeutic targets in metastatic TNBC.
Main Methods:
- Literature review of preclinical and clinical studies on TNBC targeted therapies.
- Evaluation of molecular characterization data for identifying new therapeutic targets.
- Analysis of evidence for biomarkers and combination strategies.
Main Results:
- Emerging targets include PARP1, tyrosine kinases, immune-checkpoints, androgen receptor, and epigenetic proteins.
- PARP inhibitors show promise, with olaparib demonstrating efficacy in BRCA-mutated breast cancer.
- TNBC heterogeneity and drug resistance necessitate novel therapeutic approaches, including combination therapies.
Conclusions:
- Targeted therapies and novel biomarkers are crucial for improving TNBC treatment outcomes.
- Combination therapies and addressing drug resistance are key to overcoming TNBC heterogeneity.
- Continued research into novel targets is essential for advancing metastatic TNBC treatment.
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