Emerging Therapies for Breast Cancer

Shom Goel1,2, Sarat Chandarlapaty3,4,5

  • 1Peter MacCallum Cancer Centre, Melbourne 3000, Australia Shom.goel@petermac.org chandars@mskcc.org.

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.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.8K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.9K
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
621
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
476
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.0K