Triple-negative breast cancer molecular subtypes and potential detection targets for biological therapy indications

Yanchuan Zhang1,2, Qinghua Li1,2, Jie Lan3

  • 1Chongqing Key Laboratory of Sichuan-Chongqing Co-construction for Diagnosis and Treatment of Infectious Diseases Integrated Traditional Chinese and Western Medicine, Chengdu, China.

Carcinogenesis
|February 20, 2025
PubMed

Insights

Triple-negative breast cancer (TNBC) is aggressive, with limited chemotherapy options. Identifying molecular subtypes and biomarkers is crucial for personalized targeted therapies and improved patient outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Precision Medicine

Background:

  • Triple-negative breast cancer (TNBC) presents a significant clinical challenge due to its aggressive nature and poor prognosis.
  • Conventional chemotherapy for TNBC offers limited efficacy and substantial toxicity.
  • Emerging targeted therapies offer new avenues, but treatment response varies due to TNBC's inherent heterogeneity.

Purpose of the Study:

  • To review classification strategies for TNBC molecular subtypes.
  • To identify immunohistochemical (IHC) biomarkers for TNBC subtyping.
  • To explore potential therapeutic targets for personalized drug therapy in TNBC.

Main Methods:

  • Literature review of TNBC classification systems.
  • Analysis of immunohistochemical (IHC) biomarkers associated with TNBC subtypes.
  • Identification of actionable therapeutic targets for precision medicine approaches.

Main Results:

  • TNBC exhibits significant molecular heterogeneity, necessitating subtype classification for effective treatment.
  • Specific IHC biomarkers can aid in distinguishing TNBC subtypes.
  • Various targeted therapies, including immunotherapy and pathway inhibitors, show promise but require patient stratification.

Conclusions:

  • Personalized treatment strategies for TNBC are essential, driven by molecular subtyping and biomarker identification.
  • Understanding TNBC heterogeneity is key to optimizing the use of targeted therapies.
  • This review provides insights into IHC biomarkers and therapeutic targets to guide personalized TNBC treatment.