An Overview of Emerging Trends in Targeted Therapy of Triple-Negative Breast Cancer

Anuj Kumar1,2, Suresh Subramanian1

  • 1Radiopharmaceuticals Division, Bhabha Atomic Research Centre, Mumbai, India, barc.ernet.in.

Insights

Triple-negative breast cancer (TNBC) is an aggressive subtype affecting younger and minority women. New molecular targets and combination therapies show promise for improved TNBC management and patient outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Triple-negative breast cancer (TNBC) is an aggressive subtype lacking standard therapeutic targets (ER, PR, HER2).
  • TNBC disproportionately affects younger women and minority groups, presenting diagnostic and treatment challenges.
  • Current chemotherapy offers limited efficacy, leading to high relapse rates and reduced survival in TNBC patients.

Purpose of the Study:

  • To review the biological diversity and challenges in managing triple-negative breast cancer.
  • To highlight emerging molecular markers and therapeutic strategies for TNBC.
  • To emphasize the need for molecular subtype stratification in TNBC treatment.

Main Methods:

  • Review of current literature on TNBC biology, diagnosis, and treatment.
  • Analysis of novel molecular targets and therapeutic approaches in preclinical and clinical development.
  • Discussion of the role of the tumor microenvironment in TNBC metastasis.

Main Results:

  • TNBC exhibits significant molecular heterogeneity, influencing its aggressive behavior and treatment response.
  • Targeted therapies including antibody-drug conjugates (e.g., targeting Trop-2, Nectin-4) show promise.
  • Inhibitors of intracellular targets (e.g., PARP) and gene expression modulators are under investigation.
  • Tumor microenvironment composition impacts TNBC progression and metastasis.

Conclusions:

  • Molecular stratification of TNBC patients is crucial for personalized treatment.
  • Combining existing and novel therapeutic strategies is essential for effective TNBC management.
  • Further research into molecular subtypes and targeted therapies is needed to improve patient survival and outcomes.

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