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Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Triple-Negative Breast Cancer: The Progress of Targeted Therapies and Future Tendencies
Christos Damaskos1, Anna Garmpi2, Konstantinos Nikolettos3
1Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece x_damaskos@yahoo.gr.
Abstract:
Triple-negative breast cancer (TNBC) is characterized by a lack of expression of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) and unfortunately is not associated with good prognosis. Treatment of breast cancer mainly depends on chemotherapy, due to the lack of specifically approved targeted therapies for TNBC. It is of paramount importance to find new therapeutic approaches, as resistance to chemotherapy frequently occurs. Herein, we present clinical studies published within the last five years, in order to reveal possible targeted therapies against TNBC. We aimed to discuss factors against TNBC, such as tyrosine kinase inhibitors, anti-androgens, poly ADP-ribose polymerase-1 (PARP-1) inhibitors, anti-angiogenic factors, immune checkpoints and histone deacetylase inhibitors (HDACI). Furthermore, the PI3K/AKT/mTOR pathway seems to be a promising field for the development of new anti-TNBC targeted therapies. Data from 18 clinical trials with patients suffering from TNBC were summarized and presented descriptively.
Insights
Triple-negative breast cancer (TNBC) lacks targeted therapies, necessitating new treatments. This review highlights promising clinical studies on targeted therapies like PARP-1 inhibitors and PI3K/AKT/mTOR pathway modulators for TNBC.
Area of Science:
- Oncology
- Medical Research
Background:
- Triple-negative breast cancer (TNBC) lacks targeted therapies due to negative ER, PR, and HER2 expression.
- Chemotherapy remains the primary treatment, but resistance is a significant clinical challenge.
- Developing novel therapeutic strategies is crucial for improving TNBC patient outcomes.
Purpose of the Study:
- To review recent clinical studies (last five years) identifying potential targeted therapies for TNBC.
- To discuss emerging therapeutic targets and pathways relevant to TNBC treatment.
Main Methods:
- Descriptive summary of data from 18 clinical trials involving TNBC patients.
- Literature review focusing on clinical studies published within the last five years.
Main Results:
- Identified several promising targeted therapy approaches for TNBC.
- Highlighted tyrosine kinase inhibitors, anti-androgens, PARP-1 inhibitors, anti-angiogenic factors, immune checkpoints, and HDACIs as potential treatments.
- The PI3K/AKT/mTOR pathway emerged as a key area for developing new anti-TNBC therapies.
Conclusions:
- Recent clinical trials suggest several targeted therapies show promise for TNBC.
- The PI3K/AKT/mTOR pathway represents a significant avenue for future TNBC drug development.
- Further research and clinical trials are essential to validate these targeted approaches for TNBC treatment.
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