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Updated: Jan 28, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Signalling Pathways and Inhibitors in Triple Negative Breast Cancer: Current Progress
Amiya Das1,2, Viney Lather3
1Department of Chemistry, Faculty of Engineering and Technology, SRM Institute of Science and Technology, NCR Campus, Delhi-NCR Campus, Delhi-Meerut Road, Modinagar-201204, Ghaziabad, Uttar Pradesh, India.
Introduction:
Triple Negative Breast Cancer (TNBC), which makes up 15% of all breast cancers, is widely acknowledged as the most aggressive and challenging subtype of the disease. It is characterized by the absence of HER2 receptors, progesterone, and estrogen, which limits the options for targeted treatment and mainly affects younger women. It is associated with a poor prognosis due to its rapid progression, high recurrence rates, and risk of metastasizing into vital organs like the brain and lungs. These clinical challenges underscore the urgent need for personalized treatment plans and innovative therapeutic strategies.
Methods:
Numerous studies have identified dysregulated signaling pathways in TNBC, including the PI3K/AKT/mTOR, JAK/STAT, Wnt/β-catenin, Notch, and MAPK/ERK pathways, which offer therapeutic targets.
Results:
Recent developments in clinical and molecular research have presented potential treatment strategies. Pembrolizumab and other immune checkpoint inhibitors have demonstrated significant benefits when used in conjunction with chemotherapy for both early-stage and metastatic TNBC. In advanced patients, sacituzumab, govitecan, and other Antibody-Drug Conjugates (ADCs) have shown remarkable efficacy in delivering cytotoxic medications, improving progression-free survival. Significant obstacles still exist despite these developments, such as tumor heterogeneity and treatment resistance.
Discussion:
This review highlights the beneficial effects of small molecule inhibitors and combination therapies in treating the deadliest type of breast cancer, as well as the therapeutic potential of targeting dysregulated signaling pathways and providing insight into potential avenues for developing new therapies.
Conclusion:
To significantly enhance outcomes for TNBC patients, future research must concentrate on identifying predictive biomarkers and refining individualized therapy plans.
Insights
Triple Negative Breast Cancer (TNBC) is an aggressive breast cancer subtype lacking targeted therapies. Recent advances show promise with immune checkpoint inhibitors and antibody-drug conjugates, but challenges like tumor heterogeneity persist.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Triple Negative Breast Cancer (TNBC) is an aggressive breast cancer subtype, accounting for 15% of all breast cancer diagnoses.
- TNBC is characterized by the absence of HER2, estrogen, and progesterone receptors, limiting targeted treatment options and primarily affecting younger women.
- The disease's rapid progression, high recurrence rates, and propensity for metastasis contribute to a poor prognosis, necessitating novel therapeutic strategies.
Purpose of the Study:
- To review current and emerging therapeutic strategies for Triple Negative Breast Cancer.
- To highlight the potential of targeting dysregulated signaling pathways in TNBC.
- To discuss challenges and future directions in TNBC treatment.
Main Methods:
- Review of recent clinical and molecular research findings on TNBC treatment.
- Identification of dysregulated signaling pathways (PI3K/AKT/mTOR, JAK/STAT, Wnt/β-catenin, Notch, MAPK/ERK) as therapeutic targets.
- Evaluation of novel treatment modalities including immune checkpoint inhibitors and Antibody-Drug Conjugates (ADCs).
Main Results:
- Immune checkpoint inhibitors (e.g., Pembrolizumab) combined with chemotherapy show significant benefits in early-stage and metastatic TNBC.
- Antibody-Drug Conjugates (ADCs) like sacituzumab govitecan demonstrate efficacy in advanced TNBC by delivering cytotoxic agents and improving progression-free survival.
- Despite advancements, significant obstacles such as tumor heterogeneity and treatment resistance remain critical challenges.
Conclusions:
- Small molecule inhibitors and combination therapies offer beneficial effects for TNBC treatment.
- Targeting dysregulated signaling pathways presents a promising avenue for developing new TNBC therapies.
- Future research should focus on identifying predictive biomarkers and refining personalized treatment plans to improve outcomes for TNBC patients.
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