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Signaling Networks Regulating Metastatic Progression in Triple-Negative Breast Cancer
Zuzanna Senkowska1, Katarzyna Owczarek1, Karolina Niewinna1
1Department of Biochemistry, Faculty of Medicine, Medical University of Lodz, 92-215 Lodz, Poland.
Abstract:
Triple-negative breast cancer (TNBC) is one of the most aggressive and clinically challenging subtypes of breast cancer, defined by the absence of estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 expression. The lack of actionable molecular targets contributes to limited therapeutic options, frequent recurrence, and a high propensity for distant metastasis. Metastatic dissemination remains the principal cause of mortality in patients with TNBC and is driven by complex molecular mechanisms involving multiple interconnected signaling networks. This review summarizes current knowledge of the molecular mechanisms underlying metastatic progression in TNBC, with particular emphasis on signaling pathways that regulate tumor invasion, migration, and colonization of distant organs. We discuss the roles of key pathways, including PI3K/Akt, TGF-β, Wnt/β-catenin, NF-κB, and Rho/ROCK signaling, in the regulation of epithelial-mesenchymal transition, cytoskeletal remodeling, cancer stem cell phenotypes, and tumor-microenvironment interactions. A deeper understanding of these signaling networks may facilitate the identification of novel therapeutic targets and support the development of more effective strategies to limit metastatic disease in TNBC.
Insights
Triple-negative breast cancer (TNBC) is aggressive due to metastasis. Understanding key signaling pathways like PI3K/Akt and TGF-β is crucial for developing new treatments to combat TNBC spread.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype lacking ER, PR, and HER2 expression.
- Limited therapeutic options and high metastatic potential contribute to TNBC mortality.
- Metastasis in TNBC is driven by complex, interconnected molecular signaling networks.
Purpose of the Study:
- To review molecular mechanisms of TNBC metastatic progression.
- To emphasize signaling pathways regulating invasion, migration, and distant organ colonization.
- To identify potential therapeutic targets for limiting TNBC metastasis.
Main Methods:
- Literature review of current knowledge on TNBC metastasis.
- Focus on key signaling pathways: PI3K/Akt, TGF-β, Wnt/β-catenin, NF-κB, Rho/ROCK.
- Discussion of pathway roles in epithelial-mesenchymal transition, cytoskeletal remodeling, CSC phenotypes, and TME interactions.
Main Results:
- Identified PI3K/Akt, TGF-β, Wnt/β-catenin, NF-κB, and Rho/ROCK as key regulators of TNBC metastasis.
- Highlighted their roles in epithelial-mesenchymal transition, cell migration, and invasion.
- Emphasized the importance of tumor-microenvironment interactions in metastatic progression.
Conclusions:
- Deeper understanding of these signaling networks is essential for TNBC research.
- These pathways represent potential targets for novel therapeutic strategies.
- Effective strategies are needed to limit metastatic disease and improve outcomes for TNBC patients.
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