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Targeting overexpressed surface proteins: A new strategy to manage the recalcitrant triple-negative breast cancer
Alan Raj1, Sarath Chandran C2, Kamal Dua3
1Department of Pharmaceutical Biotechnology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka state, India, 576104.
Abstract:
Triple-negative breast cancer (TNBC) is an aggressive and heterogeneous cancer that lacks all three molecular markers, Estrogen, Progesterone, and Human Epidermal Growth Factor Receptor 2 (HER2). This unique characteristic of TNBC makes it more resistant to hormonal therapy; hence, chemotherapy and surgery are preferred. Active targeting with nanoparticles is more effective in managing TNBC than a passive approach. The surface of TNBC cells overexpresses several cell-specific proteins, which can be explored for diagnostic and therapeutic purposes. Immunohistochemical analysis has revealed that TNBC cells overexpress αVβ3 integrin, Intercellular Adhesion Molecule 1 (ICAM-1), Glucose Transporter 5 (GLUT5), Transmembrane Glycoprotein Mucin 1 (MUC-1), and Epidermal Growth Factor Receptor (EGFR). These surface proteins can be targeted using ligands, such as aptamers, antibodies, and sugar molecules. Targeting the surface proteins of TNBC with ligands helps harmonize treatment and improve patient compliance. In this review, we discuss the proteins expressed, which are limited to αVβ3 integrin proteins, ICAM-1, GLUT-5, MUC1, and EGFR, on the surface of TNBC, the challenges associated with the preclinical setup of breast cancer for targeted nanoformulations, internalization techniques and their challenges, suggestions to overcome the limitations of successful translation of nanoparticles, and the possibility of ligand-conjugated nanoparticles targeting these surface receptors for a better therapeutic outcome.
Insights
Targeting specific surface proteins on triple-negative breast cancer (TNBC) with nanoparticles offers a promising therapeutic strategy. This approach enhances treatment efficacy for this aggressive cancer by utilizing ligands to target overexpressed proteins like EGFR.
Area of Science:
- Oncology
- Nanotechnology
- Molecular Biology
Background:
- Triple-negative breast cancer (TNBC) is aggressive and lacks Estrogen, Progesterone, and HER2 receptors, limiting treatment options.
- Current TNBC treatments rely on chemotherapy and surgery, with limited success due to resistance.
- Nanoparticle-based active targeting shows greater potential than passive approaches for TNBC management.
Purpose of the Study:
- To review overexpressed surface proteins on TNBC cells, including αVβ3 integrin, ICAM-1, GLUT5, MUC-1, and EGFR.
- To discuss challenges in preclinical development of targeted nanoformulations for TNBC.
- To explore ligand-conjugated nanoparticles for targeted therapy of TNBC.
Main Methods:
- Review of immunohistochemical analyses identifying TNBC surface protein expression.
- Analysis of challenges in nanoparticle internalization and preclinical translation.
- Discussion of ligand-based targeting strategies using aptamers, antibodies, and sugar molecules.
Main Results:
- TNBC cells overexpress specific surface proteins: αVβ3 integrin, ICAM-1, GLUT5, MUC-1, and EGFR.
- Ligands can target these overexpressed proteins, potentially improving treatment compliance.
- Successful translation of targeted nanoparticles faces preclinical and internalization challenges.
Conclusions:
- Targeting TNBC surface proteins with ligand-conjugated nanoparticles presents a viable strategy for improved therapeutic outcomes.
- Overcoming preclinical and translational challenges is crucial for the clinical success of targeted nanoformulations.
- Further research into ligand-receptor interactions and nanoparticle delivery systems is warranted.
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