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Updated: Oct 7, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Regulatory T cells: Their role in triple-negative breast cancer progression and metastasis
Rama Rao Malla1,2, Padmaraju Vasudevaraju2, Rahul Kumar Vempati2
1Cancer Biology Laboratory, Department of Biochemistry and Bioinformatics, Institute of Science, Gandhi Institute of Technology and Management (Deemed to be University), Visakhapatnam, India.
Abstract:
Triple-negative breast cancer (TNBC) is an aggressive and immunogenic subtype of breast cancer. This tumorigenicity is independent of hormonal or HER2 pathways because of a lack of respective receptor expression. TNBC is extremely prone to drug resistance and early recurrence because of T-regulatory cell (Treg) infiltration into the tumor microenvironment (TME) in addition to other mechanisms like genomic instability. Tumor-infiltrating Tregs interact with both tumor and stromal cells as well as extracellular matrix components in the TME and induce an immune-suppressive phenotype. Hence, treatment of TNBC with conventional therapies remains challenging. Understanding the protective mechanism of Tregs in shielding TNBC from antitumor immune responses in the TME will pave the way for developing novel, immune-based therapeutics. The current review focuses on the role of tumor-infiltrating Tregs in tumor progression and metabolic reprogramming of the TME. The authors have extended their focus to oncotargeting Treg-mediated immune suppression in breast cancer. Because of its potential role in the TME, modulating Treg activity may provide a novel strategic intervention to combat TNBC. Both under laboratory conditions and in clinical trials, currently available anticancer drugs and natural therapeutics as potential agents for targeting Tregs are explored.
Insights
Triple-negative breast cancer (TNBC) is aggressive and drug-resistant due to tumor-infiltrating regulatory T-cells (Tregs). Targeting these Tregs offers a novel strategy to enhance antitumor immunity and combat TNBC.
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Triple-negative breast cancer (TNBC) lacks hormone or HER2 receptors, making it aggressive and challenging to treat.
- TNBC exhibits drug resistance and early recurrence, partly due to tumor-infiltrating regulatory T-cells (Tregs) within the tumor microenvironment (TME).
- Tumor-infiltrating Tregs create an immunosuppressive TME, hindering effective antitumor immune responses.
Purpose of the Study:
- To review the role of tumor-infiltrating Tregs in TNBC progression and TME metabolic reprogramming.
- To explore oncotargeting Treg-mediated immune suppression as a therapeutic strategy for breast cancer.
- To identify potential therapeutic agents, including existing drugs and natural compounds, for modulating Treg activity in TNBC.
Main Methods:
- Literature review focusing on Treg infiltration in TNBC.
- Analysis of Treg mechanisms in immune suppression and metabolic reprogramming within the TME.
- Exploration of laboratory and clinical data on agents targeting Tregs.
Main Results:
- Tregs play a significant role in shielding TNBC from immune attack within the TME.
- Treg activity contributes to tumor progression and metabolic alterations in the TME.
- Modulating Treg activity presents a promising avenue for novel TNBC therapeutics.
Conclusions:
- Understanding Treg function in TNBC is crucial for developing effective immunotherapies.
- Targeting Tregs offers a strategic approach to overcome immune suppression in TNBC.
- Further investigation into Treg-targeting agents holds potential for improving TNBC treatment outcomes.
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