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Updated: Jan 18, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
The Role of Tumor Microenvironment in Triple-Negative Breast Cancer and Its Therapeutic Targeting
Ana Vuletic1, Katarina Mirjacic Martinovic1, Vladimir Jurisic2
1Department of Experimental Oncology, Institute of Oncology and Radiology of Serbia, Pasterova 14, 11000 Belgrade, Serbia.
Abstract:
Triple-negative breast cancer (TNBC) is an aggressive subtype of breast cancer characterized by rapid proliferation and infiltration of immune cells into tumor microenvironment (TME). The treatment of TNBC still remains challenging due to the lack of expression of effective molecular targets pertaining to the tumor cell itself. In TNBC standard of care, therapies such as chemotherapy, together with recently introduced immunotherapy with checkpoint inhibitors, often do not result in durable clinical response. Therefore, better understanding of complex interactions between tumor cells, immune cells, and stromal cells mediated by multiple cytokines, chemokines, enzymes, and metabolites in TME is crucial for understanding the mechanisms that underlie tumor cell immune evasion strategies. The aim of this review is to give comprehensive overview of immune cell network and their interactions with cells in TME and possibilities for therapeutic targeting of TME in TNBC. We discuss cancer-associated fibroblasts (CAFs) as an important recently characterized player in TNBC with respect to their role in interactions with immune cells and their impact on tumor invasion. Based on the recently accumulated knowledge, therapies targeting immune suppressive mechanisms and CAF-related tumor-promoting mechanisms in TME hold great potential for clinical evaluation in TNBC.
Insights
Triple-negative breast cancer (TNBC) treatment is challenging. Targeting the tumor microenvironment (TME) and its immune suppressive mechanisms, including cancer-associated fibroblasts (CAFs), shows promise for effective TNBC therapies.
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Triple-negative breast cancer (TNBC) is aggressive, with limited treatment options due to a lack of specific molecular targets.
- Current therapies like chemotherapy and immunotherapy often fail to provide durable responses in TNBC.
- Understanding the complex tumor microenvironment (TME) interactions is key to overcoming immune evasion in TNBC.
Purpose of the Study:
- To provide a comprehensive overview of the immune cell network within the TME in TNBC.
- To explore the interactions between immune cells, tumor cells, and stromal cells in the TME.
- To identify therapeutic targeting strategies for the TME in TNBC.
Main Methods:
- Review of current literature on TNBC, TME, and immune cell interactions.
- Analysis of the role of cancer-associated fibroblasts (CAFs) in TNBC progression.
- Synthesis of knowledge on immune suppressive and CAF-related mechanisms in the TME.
Main Results:
- The TME plays a critical role in TNBC immune evasion and progression.
- Cancer-associated fibroblasts (CAFs) are significant players influencing immune cell interactions and tumor invasion.
- Multiple cytokines, chemokines, enzymes, and metabolites mediate complex interactions within the TME.
Conclusions:
- Targeting immune suppressive mechanisms in the TME offers potential for TNBC treatment.
- Therapeutic strategies focused on CAF-related tumor-promoting mechanisms warrant clinical evaluation for TNBC.
- A deeper understanding of TME dynamics is crucial for developing more effective TNBC therapies.
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