Emerging Therapies for Breast Cancer
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Updated: Aug 14, 2025

Quantifying Antibody-Dependent Cellular Cytotoxicity in a Tumor Spheroid Model: Application for Drug Discovery
Published on: April 26, 2024
Shom Goel1,2, Sarat Chandarlapaty3,4,5
1Peter MacCallum Cancer Centre, Melbourne 3000, Australia Shom.goel@petermac.org chandars@mskcc.org.
Abstract:
The steady, incremental improvements in outcomes for both early-stage and advanced breast cancer patients are, in large part, attributable to the success of novel systemic therapies. In this review, we discuss key conceptual paradigms that have underpinned this success including (1) targeting the driver: the identification and targeting of major oncoproteins in breast cancers; (2) targeting the lineage pathway: inhibition of those pathways that drive normal mammary epithelial cell proliferation that retain importance in cancer; (3) targeting precisely: the application of molecular classifiers to refine therapy selection for specific cancers, and of antibody-drug conjugates to pinpoint tumor and tumor promoting cells for eradication; and (4) exploiting synthetic lethality: leveraging unique vulnerabilities that cancer-specific molecular alterations induce. We describe promising examples of novel therapies that have been discovered within each of these paradigms and suggest how future drug development efforts might benefit from the continued application of these principles.
Insights
Novel systemic therapies are improving breast cancer outcomes by targeting drivers, lineage pathways, precisely, and exploiting synthetic lethality. Future drug development can build on these successful paradigms for better patient results.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Breast cancer treatment has seen steady progress, particularly for early-stage and advanced disease.
- Novel systemic therapies have been a major contributor to these improved patient outcomes.
Purpose of the Study:
- To review key conceptual paradigms driving the success of novel systemic therapies in breast cancer.
- To highlight promising examples of therapies discovered within these paradigms.
- To suggest future directions for drug development based on these principles.
Main Methods:
- Review of conceptual paradigms in breast cancer therapy.
- Identification and discussion of novel systemic therapies.
- Analysis of therapeutic strategies including targeting oncoproteins, lineage pathways, precise targeting with molecular classifiers and antibody-drug conjugates, and synthetic lethality.
Main Results:
- Four key paradigms underpin successful breast cancer therapies: targeting drivers (oncoproteins), lineage pathways, precise targeting (molecular classifiers, antibody-drug conjugates), and synthetic lethality.
- Promising novel therapies have emerged from each of these conceptual frameworks.
- These principles offer a roadmap for future therapeutic advancements.
Conclusions:
- The success of novel systemic therapies in breast cancer is attributed to distinct conceptual paradigms.
- Continued application of these principles is crucial for future drug discovery and development.
- Advancements in targeting drivers, lineage pathways, precise delivery, and synthetic lethality offer significant promise for improving breast cancer patient outcomes.
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