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Predictive biomarkers for molecularly targeted therapies and immunotherapies in breast cancer
1Vessel-Organ Interaction Research Center, College of Pharmacy, Kyungpook National University, Daegu, Republic of Korea. mjkwon94@knu.ac.kr.
Abstract:
Globally, breast cancer is the most common malignancy in women. Substantial efforts have been made to develop novel therapies, including targeted therapies and immunotherapies, for patients with breast cancer who do not respond to standard therapies. Consequently, new targeted therapies, such as cyclin-dependent kinase 4 and 6 inhibitors, poly (ADP-ribose) polymerase inhibitors, phosphoinositide 3-kinase inhibitor, and antibody-drug conjugates targeting human epidermal growth factor receptor 2 or trophoblast cell surface antigen-2, and immune checkpoint inhibitor targeting programmed cell death-1, have been developed and are now in clinical use. However, only some patients have benefited from these novel therapies; therefore, the identification and validation of reliable or more accurate biomarkers for predicting responses to these agents remain a major challenge. This review summarizes the currently available predictive biomarkers for breast cancer and describes recent efforts undertaken to identify potential predictive markers for molecularly targeted therapies and immune checkpoint inhibitors.
Insights
Identifying reliable predictive biomarkers remains crucial for optimizing novel breast cancer therapies. This review covers current biomarkers and emerging markers for targeted treatments and immunotherapies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Breast cancer is the most common female malignancy globally.
- Novel targeted therapies and immunotherapies offer new hope for treatment-resistant patients.
- Current novel therapies include CDK4/6, PARP, PI3K inhibitors, ADCs, and PD-1 inhibitors.
Purpose of the Study:
- To review existing predictive biomarkers for breast cancer treatments.
- To highlight recent advancements in identifying biomarkers for novel therapies.
- To address the challenge of predicting patient response to targeted agents and immunotherapies.
Main Methods:
- Literature review of current and emerging predictive biomarkers.
- Analysis of clinical applications of targeted therapies and immunotherapies.
- Synthesis of research on biomarker discovery for breast cancer.
Main Results:
- Several targeted therapies (e.g., CDK4/6 inhibitors) and immunotherapies (e.g., PD-1 inhibitors) are in clinical use.
- Predictive biomarkers are essential but their identification and validation remain challenging.
- Ongoing research focuses on discovering more accurate markers for personalized treatment selection.
Conclusions:
- Accurate predictive biomarkers are critical for maximizing the efficacy of novel breast cancer therapies.
- Further research is needed to validate new biomarkers for targeted therapies and immunotherapies.
- Personalized medicine approaches in breast cancer rely heavily on robust biomarker strategies.
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