The Landscape of Targeted Therapies in TNBC

Triple negative breast cancer (TNBC) constitutes the most aggressive molecular subtype among breast tumors. Despite progress on the underlying tumor biology, clinical outcomes for TNBC unfortunately remain poor. The median overall survival for patients with metastatic TNBC is approximately eighteen...

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Main Authors: Elena Vagia, Devalingam Mahalingam, Massimo Cristofanilli
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/4/916
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author Elena Vagia
Devalingam Mahalingam
Massimo Cristofanilli
author_facet Elena Vagia
Devalingam Mahalingam
Massimo Cristofanilli
author_sort Elena Vagia
collection DOAJ
description Triple negative breast cancer (TNBC) constitutes the most aggressive molecular subtype among breast tumors. Despite progress on the underlying tumor biology, clinical outcomes for TNBC unfortunately remain poor. The median overall survival for patients with metastatic TNBC is approximately eighteen months. Chemotherapy is the mainstay of treatment while there is a growing body of evidence that targeted therapies may be on the horizon with poly-ADP-ribose polymerase (PARP) and immune check-point inhibitors already established in the treatment paradigm of TNBC. A large number of novel therapeutic agents are being evaluated for their efficacy in TNBC. As novel therapeutics are now incorporated into clinical practice, it is clear that tumor heterogeneity and clonal evolution can result to de novo or acquired treatment resistance. As precision medicine and next generation sequencing is part of cancer diagnostics, tailored treatment approaches based on the expression of molecular markers are currently being implemented in clinical practice and clinical trial design. The scope of this review is to highlight the most relevant current knowledge regarding underlying molecular profile of TNBC and its potential application in clinical practice.
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spelling doaj.art-5c1292d32c284454b78b30e6cf3722a32023-11-19T21:03:56ZengMDPI AGCancers2072-66942020-04-0112491610.3390/cancers12040916The Landscape of Targeted Therapies in TNBCElena Vagia0Devalingam Mahalingam1Massimo Cristofanilli2Division of Hematology Oncology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USADivision of Hematology Oncology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USADivision of Hematology Oncology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USATriple negative breast cancer (TNBC) constitutes the most aggressive molecular subtype among breast tumors. Despite progress on the underlying tumor biology, clinical outcomes for TNBC unfortunately remain poor. The median overall survival for patients with metastatic TNBC is approximately eighteen months. Chemotherapy is the mainstay of treatment while there is a growing body of evidence that targeted therapies may be on the horizon with poly-ADP-ribose polymerase (PARP) and immune check-point inhibitors already established in the treatment paradigm of TNBC. A large number of novel therapeutic agents are being evaluated for their efficacy in TNBC. As novel therapeutics are now incorporated into clinical practice, it is clear that tumor heterogeneity and clonal evolution can result to de novo or acquired treatment resistance. As precision medicine and next generation sequencing is part of cancer diagnostics, tailored treatment approaches based on the expression of molecular markers are currently being implemented in clinical practice and clinical trial design. The scope of this review is to highlight the most relevant current knowledge regarding underlying molecular profile of TNBC and its potential application in clinical practice.https://www.mdpi.com/2072-6694/12/4/916triple negative breast cancermolecular profilingDNA damage repairtargeted treatmentpersonalized medicine
spellingShingle Elena Vagia
Devalingam Mahalingam
Massimo Cristofanilli
The Landscape of Targeted Therapies in TNBC
Cancers
triple negative breast cancer
molecular profiling
DNA damage repair
targeted treatment
personalized medicine
title The Landscape of Targeted Therapies in TNBC
title_full The Landscape of Targeted Therapies in TNBC
title_fullStr The Landscape of Targeted Therapies in TNBC
title_full_unstemmed The Landscape of Targeted Therapies in TNBC
title_short The Landscape of Targeted Therapies in TNBC
title_sort landscape of targeted therapies in tnbc
topic triple negative breast cancer
molecular profiling
DNA damage repair
targeted treatment
personalized medicine
url https://www.mdpi.com/2072-6694/12/4/916
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