The molecular subtyping and precision medicine in triple-negative breast cancer---based on Fudan TNBC classification

Lijuan Weng1,2, Jianliang Zhou2, Shenchao Guo2

  • 1Department of Medical Oncology, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.

PubMed

Insights

Triple-negative breast cancer (TNBC) is aggressive and lacks molecular targets. Multi-omics analysis refines TNBC subtypes, guiding precision medicine and improving treatment strategies for better patient outcomes.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Triple-negative breast cancer (TNBC) is an aggressive malignancy with high heterogeneity, early metastasis, and poor prognosis.
  • Current treatments are limited by the lack of specific molecular targets, hindering therapeutic efficacy.

Purpose of the Study:

  • To provide a systematic overview of recent FuDan TNBC molecular subtyping.
  • To elucidate the role of multi-omics analysis in understanding TNBC heterogeneity and guiding precision therapy.

Main Methods:

  • Integration of genomics, transcriptomics, and metabolomics data for multi-omics analysis.
  • Classification of TNBC into distinct molecular subtypes based on comprehensive data.

Main Results:

  • Multi-omics analysis refines TNBC subtyping, enhancing understanding of tumor heterogeneity.
  • Specific subtypes like Luminal Androgen Receptor (LAR) show sensitivity to anti-AR therapy.
  • Basal-like Immune-Suppressed (BLIS) subtypes may benefit from PARP inhibitors and anti-angiogenic therapy.

Conclusions:

  • Molecular subtyping of TNBC is crucial for identifying targeted therapy sensitivities.
  • Multi-dimensional combination therapies informed by molecular subtypes are essential for personalized and precision medicine in TNBC.
  • This review highlights the clinical implications of FuDan TNBC molecular subtyping for precision treatment strategies.

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