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Updated: Feb 3, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Targeted and immuno-biology driven treatment strategies for triple-negative breast cancer: current knowledge and
Carlo Fremd1, Dirk Jaeger1, Andreas Schneeweiss1
1a National Center for Tumor Diseases, Department of Medical Oncology , University of Heidelberg , Heidelberg , Germany.
Abstract:
Introduction: Accounting for about 15% of breast cancer patients, triple-negative breast cancer (TNBC) is responsible for 25% of disease related deaths, more frequent distant spread and visceral metastasis. However, improving survival in TNBC failed and primary resistance, immunological ignorance and tumor heterogeneity limit clinical activity of novel therapies. In view of recent molecular, genetic and immunologic insights, this review aims to describe the current status of immunological and targeted treatments from a hypothesis driven perspective. Areas covered: Recent preclinical studies and ongoing clinical trials for immune directed and targeted treatments of TNBC are summarized, including immune-checkpoint blockade, resistance mechanisms, inhibition of poly (ADP-ribose) polymerase (PARP), combinatorial strategies as well as preclinical, hypothesis generating studies. Expert commentary: Sustained responses have been observed with immune-checkpoint blockade and PARP inhibitors demonstrated remarkable efficacy in germline BRCA mutated TNBC. In order to generate clinical success of many other, to date ineffective, targeted and immune therapies, the integration of multidimensional, large amounts of data, will be essential and likely accelerate treatment progress of TNBC.
Insights
Triple-negative breast cancer (TNBC) treatments face challenges due to resistance and heterogeneity. Advances in immunotherapy and targeted therapies like PARP inhibitors show promise for improving outcomes in TNBC patients.
Area of Science:
- Oncology
- Immunology
- Genetics
Background:
- Triple-negative breast cancer (TNBC) accounts for 15% of breast cancer cases and 25% of deaths.
- TNBC is characterized by distant spread, visceral metastasis, primary resistance, and tumor heterogeneity.
- Current treatments for TNBC have limited efficacy, necessitating novel therapeutic strategies.
Purpose of the Study:
- To review the current status of immunological and targeted treatments for TNBC.
- To provide a hypothesis-driven perspective on recent molecular, genetic, and immunologic insights.
- To summarize preclinical studies and ongoing clinical trials for TNBC therapies.
Main Methods:
- Review of recent preclinical studies and ongoing clinical trials.
- Summary of immune-checkpoint blockade strategies.
- Analysis of resistance mechanisms and targeted therapies, including PARP inhibitors.
Main Results:
- Immune-checkpoint blockade has shown sustained responses in TNBC.
- PARP inhibitors demonstrate significant efficacy in TNBC with germline BRCA mutations.
- Combinatorial strategies are being explored to enhance treatment effectiveness.
Conclusions:
- Integration of multidimensional data is crucial for clinical success of TNBC therapies.
- Targeted and immune therapies hold promise but require further development and validation.
- Accelerated treatment progress in TNBC is anticipated with advanced data integration.
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