Innovative Approaches for Molecular Targeted Therapy of Breast Cancer: Interfering with Various Pathway Signaling

Mahyar Haki1, Reihaneh Bayat2

  • 1Biomedical Engineering Department, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran.

Insights

This study reviews targeted therapies for breast cancer subtypes, including hormone receptor-positive and triple-negative. It highlights emerging treatments and challenges like therapeutic resistance, offering insights into novel drug development.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Breast cancer presents diverse subtypes: hormone receptor-positive (ER+), HER2-positive, and triple-negative (TNBC).
  • Current targeted therapies focus on estrogen receptors (ER) and HER2, but face challenges with inherent or acquired resistance.
  • Understanding tumor biology has identified new targets in pathways like PI3K/mTOR, cell-cycle regulation, heat shock protein, and epigenetics.

Purpose of the Study:

  • To provide a comprehensive overview of current and emerging targeted therapies for distinct breast cancer subtypes.
  • To discuss the efficacy and limitations of targeted treatments across ER+, HER2+, and TNBC.
  • To highlight novel therapeutic strategies and targets being explored in breast cancer research.

Main Methods:

  • Literature review of targeted therapies for breast cancer.
  • Analysis of clinical trial outcomes for novel therapeutic agents.
  • Categorization of therapies based on breast cancer subtypes (ER+, HER2+, TNBC).

Main Results:

  • Everolimus (mTOR inhibitor) is approved for advanced ER+ breast cancer resistant to aromatase inhibitors.
  • Emerging targeted therapies show promise in clinical experiments for various pathways.
  • Established targeted therapies for TNBC are limited, with uncertain efficacy of PARP inhibitors in non-BRCA mutated TNBC.

Conclusions:

  • Targeted therapies are crucial for managing breast cancer subtypes, with ongoing advancements.
  • Addressing therapeutic resistance and identifying new targets are key priorities in breast cancer treatment.
  • Further research is needed to develop effective targeted strategies, especially for triple-negative breast cancer.

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