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Updated: Oct 14, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Treatment landscape of triple-negative breast cancer - expanded options, evolving needs
Giampaolo Bianchini1,2, Carmine De Angelis3,4, Luca Licata5
1Department of Medical Oncology, IRCCS Ospedale San Raffaele, Milan, Italy. bianchini.giampaolo@hsr.it.
Abstract:
Tumour heterogeneity and a long-standing paucity of effective therapies other than chemotherapy have contributed to triple-negative breast cancer (TNBC) being the subtype with the least favourable outcomes. In the past few years, advances in omics technologies have shed light on the relevance of the TNBC microenvironment heterogeneity, unveiling a close dynamic relationship with cancer cell features. An improved understanding of tumour-immune system co-evolution supports the need to adopt a more comprehensive view of TNBC as an ecosystem that encompasses the intrinsic and extrinsic features of cancer cells. This new appreciation of the biology of TNBC has already led to the development of novel targeted agents, including PARP inhibitors, antibody-drug conjugates and immune-checkpoint inhibitors, which are revolutionizing the therapeutic landscape and providing new opportunities both for patients with early-stage TNBC and for those with advanced-stage disease. The current therapeutic scenario is only the tip of the iceberg, as hundreds of new compounds and combinations are in development. The translation of these experimental therapies into clinical benefit is a welcome and ongoing challenge. In this Review, we describe the current and upcoming therapeutic landscape of TNBC and discuss how an integrated view of the TNBC ecosystem can define different levels of risk and provide improved opportunities for tailoring treatment.
Insights
Triple-negative breast cancer (TNBC) has poor outcomes due to heterogeneity. Advances reveal TNBC as an ecosystem, leading to novel targeted therapies like PARP inhibitors and immune-checkpoint inhibitors.
Area of Science:
- Oncology
- Cancer Biology
- Immunology
Background:
- Triple-negative breast cancer (TNBC) presents significant therapeutic challenges due to tumor heterogeneity and limited effective treatments beyond chemotherapy.
- TNBC is associated with the least favorable outcomes among breast cancer subtypes.
Purpose of the Study:
- To review the current and emerging therapeutic landscape for TNBC.
- To discuss the significance of TNBC ecosystem, encompassing tumor-immune interactions and cancer cell features, for treatment tailoring.
Main Methods:
- Review of recent advances in omics technologies and their impact on understanding TNBC biology.
- Analysis of novel targeted agents and their clinical implications for TNBC treatment.
Main Results:
- Omics technologies have illuminated the heterogeneity of the TNBC microenvironment and its dynamic relationship with cancer cells.
- Novel targeted therapies, including PARP inhibitors, antibody-drug conjugates, and immune-checkpoint inhibitors, are transforming TNBC treatment for both early-stage and advanced disease.
Conclusions:
- A comprehensive view of TNBC as an ecosystem, integrating intrinsic and extrinsic features, is crucial for advancing treatment strategies.
- Tailoring treatment based on an integrated understanding of the TNBC ecosystem offers improved opportunities for patient benefit.
- Numerous new compounds and combinations are under development, presenting ongoing challenges and opportunities for clinical translation.
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