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Updated: Oct 17, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Molecular Classification of Triple Negative Breast Cancer and the Emergence of Targeted Therapies
Elizabeth Sakach1, Ruth O'Regan2, Jane Meisel1
1Department of Hematology and Medical Oncology, Emory University, Atlanta, GA.
Abstract:
Triple negative breast cancer (TNBC) represents 15% to 20% of all primary breast cancers and is the most aggressive subtype of breast cancer. There has been rapid progress in targeted therapy and biomarker development to identify the optimal treatments for TNBC. To update recent developments, this article comprehensively reviews molecular classification and biomarkers of TNBC and targeted therapy developments in immunotherapy, PARP and AKT pathway inhibitors, antibody-drug conjugates and androgen receptor blockade. The treatment of TNBC has dramatically evolved beyond basic cytotoxic chemotherapy into an expanding domain of targeted therapies tailored to the heterogeneity of this complex and aggressive disease. Progress will continue through the sustained and devoted efforts of our investigators and the patients who dedicatedly enroll in clinical trials. Through a daring persistence to challenge the status quo we now have the opportunity to offer our patients with TNBC a new sense of hope.
Insights
Triple negative breast cancer (TNBC) is aggressive, but new targeted therapies are evolving. This review covers molecular classifications, biomarkers, and advanced treatments like immunotherapy and antibody-drug conjugates for TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Triple negative breast cancer (TNBC) is the most aggressive subtype, accounting for 15-20% of all breast cancers.
- TNBC lacks targeted treatment options due to the absence of estrogen receptors, progesterone receptors, and HER2.
- Significant advancements in understanding TNBC's molecular complexity have paved the way for novel therapeutic strategies.
Purpose of the Study:
- To provide a comprehensive review of the recent developments in molecular classification and biomarkers for TNBC.
- To summarize the progress in targeted therapies, including immunotherapy, PARP and AKT pathway inhibitors, antibody-drug conjugates, and androgen receptor blockade.
- To highlight the evolving treatment landscape for TNBC beyond traditional chemotherapy.
Main Methods:
- Literature review of recent studies and clinical trials.
- Analysis of molecular subtyping and biomarker identification in TNBC.
- Synthesis of data on emerging targeted therapies and their mechanisms of action.
Main Results:
- TNBC exhibits significant molecular heterogeneity, necessitating tailored treatment approaches.
- Immunotherapy, PARP inhibitors, AKT pathway inhibitors, antibody-drug conjugates, and androgen receptor blockade show promise in specific TNBC subtypes.
- Biomarker development is crucial for identifying patients who will benefit from these targeted agents.
Conclusions:
- The treatment of TNBC has evolved from non-specific chemotherapy to precision medicine based on molecular characteristics.
- Targeted therapies offer new hope and improved outcomes for patients with this aggressive disease.
- Continued research and clinical trial participation are essential for further progress in TNBC management.
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