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Targeted therapy and drug resistance in triple-negative breast cancer: the EGFR axis
1Molecular Cell Biology Department, Weizmann Institute of Science, Rehovot, Israel.
Abstract:
Targeting of estrogen receptor is commonly used as a first-line treatment for hormone-positive breast cancer patients, and is considered as a keystone of systemic cancer therapy. Likewise, HER2-targeted therapy significantly improved the survival of HER2-positive breast cancer patients, indicating that targeted therapy is a powerful therapeutic strategy for breast cancer. However, for triple-negative breast cancer (TNBC), an aggressive breast cancer subtype, there are no clinically approved targeted therapies, and thus, an urgent need to identify potent, highly effective therapeutic targets. In this mini-review, we describe general strategies to inhibit tumor growth by targeted therapies and briefly discuss emerging resistance mechanisms. Particularly, we focus on therapeutic targets for TNBC and discuss combination therapies targeting the epidermal growth factor receptor (EGFR) and associated resistance mechanisms.
Insights
Targeted therapies are vital for hormone-positive and HER2-positive breast cancer. This review focuses on identifying new therapeutic targets and combination strategies for triple-negative breast cancer (TNBC) to overcome treatment resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Estrogen receptor (ER) and HER2-targeted therapies are mainstays in breast cancer treatment.
- Triple-negative breast cancer (TNBC) lacks targeted therapy options, necessitating urgent research.
- Understanding resistance mechanisms is crucial for developing effective treatments.
Purpose of the Study:
- To review general strategies for inhibiting tumor growth via targeted therapies.
- To focus on emerging therapeutic targets for TNBC.
- To discuss combination therapies, particularly targeting the epidermal growth factor receptor (EGFR), and resistance mechanisms.
Main Methods:
- Literature review of targeted therapy strategies in breast cancer.
- Analysis of emerging resistance mechanisms in targeted cancer therapy.
- Focus on EGFR-targeted therapies and associated resistance in TNBC.
Main Results:
- Targeted therapies have significantly improved outcomes for ER-positive and HER2-positive breast cancer.
- TNBC presents a significant unmet need for effective targeted treatments.
- EGFR and combination therapies show promise for TNBC, but resistance is a key challenge.
Conclusions:
- Targeted therapies are a powerful strategy in breast cancer treatment.
- Identifying novel targets and combination strategies is critical for TNBC.
- Further research into overcoming resistance mechanisms is essential for advancing TNBC therapy.
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