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TROP2 (trophoblast cell-surface antigen 2): a drug target for breast cancer
Michela Cortesi1, Michele Zanoni1, Roberta Maltoni2
1Biosciences Laboratory, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Introduction:
Breast cancer (BC) is the most common diagnosed cancer and the second leading cause of cancer-associated death in women, with the triple negative (TNBC) subtype being characterized by the poorest prognosis. New therapeutic targets are urgently needed to overcome the high metastatic potential, aggressiveness and poor survival of these tumors. Trop2 transmembrane glycoprotein, acting as an intracellular calcium signal transducer, recently emerged as a new potential target in epithelial cancers, in particular in breast cancer.
Areas Covered:
We summarize the key features of Trop2 structure and function, describing the therapeutic strategies targeting this protein in cancer. Particular attention is paid to antibody-drug conjugates (ADCs), actually representing the most successful strategy.
Expert Opinion:
ADCs targeting Trop2 recently received an accelerated FDA approval for the therapy of metastatic TNBC. The prospects for these novel ADCs in BC subtypes other than TNBC are discussed, taking into account the main pitfalls relative to Trop2 structure and function.
Insights
New antibody-drug conjugates targeting Trop2 show promise for treating triple-negative breast cancer (TNBC), a subtype with poor prognosis. Research explores Trop2 as a therapeutic target to improve outcomes for breast cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Breast cancer (BC) is a leading cause of cancer death in women, with triple-negative breast cancer (TNBC) having the poorest prognosis.
- High metastatic potential and aggressiveness of TNBC necessitate novel therapeutic targets.
- Trop2, a transmembrane glycoprotein involved in calcium signaling, is an emerging target in epithelial cancers, especially breast cancer.
Purpose of the Study:
- To review the structure and function of Trop2.
- To summarize therapeutic strategies targeting Trop2 in cancer.
- To evaluate the efficacy and potential of Trop2-targeting antibody-drug conjugates (ADCs) in breast cancer, particularly TNBC.
Main Methods:
- Literature review of Trop2 structure, function, and therapeutic targeting.
- Analysis of recent clinical data and FDA approvals for Trop2-targeted ADCs.
- Discussion of future prospects and challenges for Trop2-targeted therapies in various breast cancer subtypes.
Main Results:
- Trop2-targeted ADCs have received accelerated FDA approval for metastatic TNBC therapy.
- ADCs represent the most successful strategy for targeting Trop2 currently.
- Trop2's role in cancer progression and its potential as a therapeutic target are highlighted.
Conclusions:
- Trop2-targeted ADCs offer a promising new avenue for treating metastatic TNBC.
- Further research is needed to explore the efficacy of these ADCs in other breast cancer subtypes.
- Understanding Trop2's structure and function is crucial for optimizing therapeutic strategies and overcoming potential pitfalls.
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